Managing Diastolic Dysfunction Perioperatively

被引:3
作者
Cios, Theodore J. [1 ,3 ]
Klick, John C. [2 ]
Roberts, S. Michael [1 ]
机构
[1] Penn State Hershey Med Ctr, Dept Anesthesiol & Perioperat Med, Hershey, PA USA
[2] Univ Vermont, Dept Anesthesiol, Med Ctr, Burlington, VT USA
[3] Penn State Hlth Milton S Hershey Med Ctr, Dept Anesthesiol & Perioperat Med, 500 Univ Dr, H187, Hershey, PA 17033 USA
关键词
chronic heart failure; perioperative mortality; intraoperative transesophageal echocardiography; Cardiac anesthesia; left ventricular hypertrophy; PRESERVED EJECTION FRACTION; PULMONARY-ARTERY CATHETER; HEART-FAILURE; LIVER-TRANSPLANTATION; EUROPEAN ASSOCIATION; NONCARDIAC SURGERY; AMERICAN SOCIETY; LEFT-VENTRICLE; ECHOCARDIOGRAPHY; RELAXATION;
D O I
10.1177/10892532221142441
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Preoperative cardiac evaluation is a cornerstone of the practice of anesthesiology. This consists of a thorough history and physical attempting to elucidate signs and symptoms of heart failure, angina or anginal equivalents, and valvular heart disease. Current guidelines rarely recommend preoperative echocardiography in the setting of an adequate functional capacity. Many patients may have poor functional capacity and/or have medical history such that echocardiographic data is available for review. Much focus is often placed on evaluating major valvular abnormalities and systolic function as measured by ejection fraction, but a key impactful component is often overlooked-diastolic function. A diagnosis of diastolic heart failure is an independent predictor of mortality and is not uncommon in patients with normal systolic function. This narrative review addresses the clinical relevance and management of diastolic dysfunction in the perioperative setting.
引用
收藏
页码:42 / 50
页数:9
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