Document Detail


Anesthetic considerations in the patient with valvular heart disease undergoing noncardiac surgery.
MedLine Citation:
PMID:  18397904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Valvular heart disease can be an important finding in patients presenting for noncardiac surgery. Valvular heart disease and resulting comorbidity, such as heart failure or atrial fibrillation, significantly increase the risk for perioperative adverse events. Appropriate preoperative assessment, adequate perioperative monitoring, and early intervention, should hemodynamic disturbances occur, may help prevent adverse events and improve patient outcome. This review article aims to guide the practitioner in the various aspects of anesthetic management in the perioperative care of patients with valvular heart disease. The pharmacological approach to optimization of patient outcome with drugs, such as betablockers and lipid-lowering medications (statins), is an evolving field, and recent developments are discussed in this article.
Authors:
Alexander Jc Mittnacht; Michael Fanshawe; Steven Konstadt
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2008-04-07
Journal Detail:
Title:  Seminars in cardiothoracic and vascular anesthesia     Volume:  12     ISSN:  1089-2532     ISO Abbreviation:  Semin Cardiothorac Vasc Anesth     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-04-22     Completed Date:  2008-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9807630     Medline TA:  Semin Cardiothorac Vasc Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  33-59     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Mount Sinai Medical Center, New York, NY 10029, USA. alexander.mittnacht@msnyuhealth.org
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MeSH Terms
Descriptor/Qualifier:
Anesthesia*
Aortic Valve Insufficiency / complications
Aortic Valve Stenosis / complications
Cardiomyopathy, Hypertrophic / complications
Heart Valve Diseases / complications*
Humans
Mitral Valve Insufficiency / complications
Mitral Valve Stenosis / complications
Postoperative Care
Risk Assessment
Surgical Procedures, Operative*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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