USE OF ESMOLOL IN THE POSTBYPASS MANAGEMENT OF HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY

被引:8
作者
OOI, LG [1 ]
OSHEA, PJ [1 ]
WOOD, AJ [1 ]
机构
[1] ROYAL LONDON HOSP,DEPT CARDIOTHORAC SURG,LONDON E1 1BB,ENGLAND
关键词
COMPLICATIONS; HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY; SYMPATHETIC NERVOUS SYSTEM; BETA-ADRENOCEPTOR BLOCK; ESMOLOL;
D O I
10.1093/bja/70.1.104
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
In patients suffering from hypertrophic obstructive cardiomyopathy (HOCM), any catecholamine release during anaesthesia may aggravate the severity of the outflow tract obstruction and compromise cardiac output. In this event the situation may be improved by beta block. Esmolol, an ultra-short-acting beta-blocker (haff-life 9 min) appears to be a suitable agent for this purpose. We describe its use in the perioperative management of a patient who underwent surgical correction of HOCM.
引用
收藏
页码:104 / 106
页数:3
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