*9.1.4 Myocardial infarction (MI)*

It may occur during endoscopy or within few days post endoscopy. It is commonly reported in patients with history of ischemic heart disease. Hypertension, sever hypotension, tachycardia, pain and anxiety are the leading cause of myocardial ischemia and anginal attacks. The following steps should be considered to treat and prevent perioperative MI and anginal attacks:

