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Education  |   December 2000
Prevention of Perioperative Myocardial Ischemia
Author Notes
  • The following correspondence refers to a previously published Clinical Concepts and Commentary article by Warltier et al. (Warltier DC, Pagel PS, Kersten JR: Approaches to the prevention of perioperative myocardial ischemia. Anesthesiology 2000; 92:253–9).
  • Oxford Radcliffe Hospital, Oxford, United Kingdom. layahari@yahoo.com
Article Information
Education
Education   |   December 2000
Prevention of Perioperative Myocardial Ischemia
Anesthesiology 12 2000, Vol.93, 1531. doi:
Anesthesiology 12 2000, Vol.93, 1531. doi:
To the Editor:—
I read with interest the Clinical Concepts and Commentary section of the January 2000 issue of Anesthesiology. 1 It was useful, informative, educative, and of practical value in day-to-day anesthetic practice.
The evolving modern concept of “ischemic preconditioning” is emphasized rightly. I could not understand clearly why the authors, while explaining the shortcomings of general anesthesia, said that high concentrations of volatile anesthetics may cause increases in sympathetic activity, whereas in the next paragraph, they explained the cardioprotective effects of volatile anesthetics. 1 I suppose that should be read as decreases in sympathetic activity, rather than increases in sympathetic activity.
Reference
Reference
Warltier DC, Pagel PS, Kersten JR: Approaches to the prevention of perioperative myocardial ischemia. A nesthesiology 2000; 92: 253–9Warltier, DC Pagel, PS Kersten, JR