Anaes Vivas · Preoperative assessment & risk
Data viva — the preoperative ECG and the risk assessment
A data viva on the preoperative ECG — the old MI (Q waves), the ischaemia (T-wave inversion), the conduction abnormality (LBBB), and the integration with the Lee index and the ESC/ESA algorithm.
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ANZCAFRCAABAEDAIC
Prompt
A preoperative 12-lead ECG showing old anterior Q waves, T-wave inversion in V1-V3, and a left bundle branch block in a patient scheduled for a vascular surgery.
Stimulus
A preoperative ECG showing old anterior Q waves (V1-V4), T-wave inversion in V1-V3, and a left bundle branch block, in a 70-year-old man scheduled for an open aortic aneurysm repair. Interpret the ECG and discuss the preoperative implications.
References1ShowHide
- [2]Kristensen SD, et al. 2014 ESC/ESA guidelines on noncardiac surgery: Cardiovascular assessment and management : Are the differences clinically relevant? The European perspective. J Nucl Cardiol, 2017.PMID 27538569