Anaesthetic Management Of Ihd Patients For Non Cardiac Surgery

Successful preoperative management of ischemic heart disease patients undergoing non cardiac surgery requires careful team work Primary care physician, anesthesiologist and surgeon.Ischemic heart disease is a condition where the myocardial demand outstrips the O2 supply from coronary vessels.An adrenergic surge leading to an imbalance in myocardial o2 supply – demand ratio Surgery also causes alterations in the balance between prothrombotic and fibrinolytic factors resulting in hypercoagulability and possible coronary thrombosis.Fluid shift in the perioperative period add to surgical stress