BMJ 1995;311:628 (2 September)

Letters

Infarcts after surgery

Authors overlooked prospective trial of incidence of perioperative infarction

EDITOR,--It is unfortunate that N Mamode and colleagues are "not aware of any prospective trial in Britain intended to measure the incidence of perioperative infarction."1 They have overlooked the prospective trial carried out at the University of Southampton by Seegobin et al, in which the Goldman and Cooperman risk indices were compared as a method of predicting perioperative infarction after non-cardiac surgery.2 They have also overlooked a large anaesthetic literature on perioperative myocardial ischaemia. Three references are particularly pertinent.3 4 5

Senior registrar Consultant Magill Department of Anaesthesia, Chelsea and Westminster Hospital, London SW10 9NH

D P Dob, S Yentis 

  1. Mamode N, Cobbe S, Pollock JG. Infarcts after surgery. BMJ 1995;310:1215-6. (13 May.) [Free Full Text]
  2. Seegobin RD, Goodland FC, Wilmshurst TH, Johnston J, Wainwright C, Norman J, et al. Postoperative myocardial damage in patients with coronary artery disease undergoing major non cardiac surgery. Can J Anaesth 1991;38:1005-11. [Medline]
  3. . . . [Full text of this article]


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Relevant Article

Infarcts after surgery
N Mamode, S Cobbe, and J G Pollock
BMJ 1995 310: 1215-1216. [Extract] [Full Text]

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