CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Fleisher, L. A.
Right arrow Articles by Rosenbaum, S. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fleisher, L. A.
Right arrow Articles by Rosenbaum, S. H.

Canadian Journal of Anesthesia, Vol 39, 179-183, Copyright © 1992 by Canadian Anesthesiologists' Society

ARTICLES

Failure of negative dipyridamole thallium scans to predict perioperative myocardial ischaemia and infarction

LA Fleisher, AH Nelson and SH Rosenbaum
Department of Anesthesiology, Yale University School of Medicine, Yale New Haven Hospital, CT 06510.

Three cases of postoperative myocardial infarction are reported in patients with normal or fixed defects on preoperative dipyridamole thallium scans (interpreted as "negative" for active cardiac ischaemic risk). All patients were monitored with an ambulatory electrocardiographic recorder from the evening before surgery through the first two postoperative days. Two of the patients demonstrated preoperative or early postoperative ischaemia, suggesting that the test was a false negative. The third patient did not demonstrate ischaemia during the period of monitoring, but developed a myocardial infarction during the third postoperative day, suggesting progression of the underlying coronary artery disease. Preoperative dipyridamole thallium imaging may result in false negative scans in selected high-risk populations.


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
W. S. Beattie, E. Abdelnaem, D. N. Wijeysundera, and D. N. Buckley
A Meta-Analytic Comparison of Preoperative Stress Echocardiography and Nuclear Scintigraphy Imaging
Anesth. Analg., January 1, 2006; 102(1): 8 - 16.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1992 by the Canadian Anesthesiologists' Society.