The use of cardioselective β-blockers in a patient with idiopathic hypertrophic subaortic stenosis and chronic obstructive pulmonary disease

被引：4

作者：

Bekker, A ^{[1
]}

Sorour, R ^{[1
]}

Miller, S ^{[1
]}

机构：

[1] NYU, Med Ctr, Dept Anesthesiol, New York, NY 10016 USA

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2002年 / 14卷 / 08期

关键词：

beta-adrenergic blocking drugs; cardiomyopathy; hypertrophic; chronic obstructive pulmonary disease; esmolol; idiopathic hypertrophic subaortic stenosis;

D O I：

10.1016/S0952-8180(02)00429-4

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The beta-adrenergic receptor blocking drugs are commonly used in the treatment Of Patients with idiopathic hypertropic subaortic stenosis (IHSS). These drugs, however, are contraindicated in patients with chronic obstructive pulmonary disease (COPD). We report the anesthetic management of a patient with IHSS complicated by severe COPD We concluded that the beta(1) selective, ultra-short acting beta-blocker, esmolol, can be used intraoperatively when both conditions are present. The pathophysiology and the commonly used anesthetic drugs and practices for treatment of patients with IHSS are reviewed. (C) 2003 by Elsevier Science Inc.

引用

页码：589 / 591

页数：3

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