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Figure 4: Therapeutic approach to perioperative myocardial ischemia. Myocardial oxygen supply is optimized while reducing the oxygen demand. This might necessitate using vasopressors like phenylephrine and coronary dilators like nitroglycerine simultaneously. Intra-aortic balloon pump will mitigate persistent ischemia by improving coronary blood flow and lowering overall myocardial oxygen demand. The potential benefit of anticoagulation should be weighed against the risk of surgical bleeding

Figure 4: Therapeutic approach to perioperative myocardial ischemia. Myocardial oxygen supply is optimized while reducing the oxygen demand. This might necessitate using vasopressors like phenylephrine and coronary dilators like nitroglycerine simultaneously. Intra-aortic balloon pump will mitigate persistent ischemia by improving coronary blood flow and lowering overall myocardial oxygen demand. The potential benefit of anticoagulation should be weighed against the risk of surgical bleeding