Effect of intravenous hypnotics on autonomic response in patients with ischemic heart disease

: The purpose of the case study was to investigate the effect from the bolus dosing of midazolam and ketamine on the autonomic hemostasis in patients with ischemic heart disease (IHD) with the prevalence of the activity of sympathetic or parasympathetic parts in the autonomic nervous system. The IHD patients (n = 75) were examined, after scheduled preoperative therapy, active orthostatic tests and tests of cardiac rate variability (CRV to determinine a type of autonomic response. After orthostatic-test results were analyzed, patients with sympathicotonic (n = 15) and vagotonic (n = 15) types of vegetative response were selected. After midazolam at 0.08-0.12 mg/kg and ketamine at 0.5-1.3 mg/kg were administered, CRV was analyzed in the operating theater.