Very Radical Prostatectomy

Report:

Sinus tachycardia 134/min

ST/T changes c/w infarction/ischæmia

Comment:

Urology disasters were commonplace when I was young. With better perioperative care and more assertive anæsthetic departments they are no longer a regular feature of hospital life. Some patients, like this one, still slip through the system.

The last ECG (Fig 22c) is his preoperative trace from the Pre-admission Clinic. It has the T3 > T1 and TV1 > TV6 features consistent with the patient’s history of angina pectoris. The latter was never investigated except by this ECG which was never contemplated or understood.

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