[Coronary patient undergoing non cardiac surgery and Diprivan]

It is legitimate to avoid the administration of propofol in patients suffering from severe ischaemic heart disease (unstable angina). Propofol may be given to patients with stable angina. However, to avoid hypotension, which may compromise oxygen delivery to areas of myocardium supplied by stenosed arteries, it is essential to treat any possible hypovolaemia and to administer fentanyl before tracheal intubation, in order to reduce the dose of propofol.