| Perioperative anesthetic risk of noncardiac surgery in hypertrophic obstructive cardiomyopathy. | |
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MedLine Citation:
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PMID: 4046165 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To determine their perioperative risk, we reviewed the records of 35 patients with hypertrophic cardiomyopathy diagnosed by cardiac ultrasound and/or catheterization who underwent general (52) or spinal (four) anesthesia--a total of 56 major surgical procedures. There were no operative or related perioperative deaths and no significant ventricular tachyarrhythmias. Intraoperative or postoperative complications included: myocardial infarction with heart failure in one patient who also had coronary artery disease and was one of three patients who had spinal anesthesia, arrhythmia requiring therapy in eight, and angina during supraventricular tachycardia in one. We conclude that the risk of general anesthesia and major noncardiac surgery is low in patients with hypertrophic obstructive cardiomyopathy. Spinal anesthesia, which decreases systemic vascular resistance and increases capacitance, may be relatively contraindicated. Concomitant coronary artery disease may increase the risk. |
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Authors:
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R C Thompson; R R Liberthson; E Lowenstein |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: JAMA : the journal of the American Medical Association Volume: 254 ISSN: 0098-7484 ISO Abbreviation: JAMA Publication Date: 1985 Nov |
Date Detail:
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Created Date: 1985-11-14 Completed Date: 1985-11-14 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7501160 Medline TA: JAMA Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 2419-21 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Anesthesia, General / adverse effects* Anesthesia, Spinal / adverse effects* Cardiomyopathy, Hypertrophic / complications, physiopathology* Cardiovascular Diseases / etiology Child Coronary Disease / complications Female Humans Male Middle Aged Postoperative Complications / etiology Retrospective Studies Risk Surgical Procedures, Operative / adverse effects* |
| Grant Support | |
ID/Acronym/Agency:
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23591//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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