Why the study?
What are the most reliable methods for detecting myocardial ischemia in the intensive care unit and operating room?
Population
Patients in the intensive care unit and operating room at risk of perioperative myocardial ischemia
Design
Review
Authors
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May support TEE for earlier perioperative ischemia detection than ECG; leaves open randomized outcome trials before practice change.
What are the most reliable methods for detecting myocardial ischemia in the intensive care unit and operating room?
Transesophageal echocardiography is a more sensitive and earlier indicator of perioperative myocardial ischemia compared to ECG and hemodynamic monitoring, though it requires specialized interpretation skills.
Jack S. Shanewise (2006) studied this question.
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