Considerations on the Management of Acute Postoperative Ischemia After Cardiac Surgery

Published: June 22, 2023

elder female suffering from chest pain
  • There is no consensus definition of postoperative myocardial ischemia, as elevations in cardiac biomarkers may not be reliable for diagnosis postoperatively, and pain management regimens may mask ischemic symptoms.
  • Due to the difficulty with diagnosis, clinicians must maintain a high level of suspicion for diagnosing postoperative ischemia, and use of modalities such as ECG, and echocardiogram, are encouraged early.
  • This Statement describes the incidence, etiology, clinical presentation, diagnosis, treatment, and outcomes for patients who experience postoperative ischemia following cardiac surgery.