Abstract
A 76-year-old man had been schedul ed for total bladder removal under general anesthe-sia. His past history ineluded angina pectoralis, hypertension, and liver cirrhosis, and he was taking oral nitroglycerin and Ca-channel blocker medication. Preoperative treadmill ECG revealed ST elevation in lead V1-3, ST depression in lead V4-6, and multifocal PVC what study. Coronary angiography demonstrated severe stenoses in the right and left coronary arteries. The operation cancelled and the patient received PTCA therapy. He was died suddenly of myocardial infarction two months later. Correct evaluation of patient condition was extremely important in the anesthetic management of a patient with ischemic heart disease.
