Systemic hypertension and non-cardiac surgery

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Systemic hypertension and non-cardiac surgery

Primary systemic hypertension affects 10%-25% of individuals presenting for surgery and anaesthesia and constitutes an important cause of cancellation of elective surgeries. Much of the fear stems from the fact that hypertension may lead to adverse perioperative outcomes. Although long-standing hypertension increases the risk of stroke, renal dysfunction or major adverse cardiovascular events, ...

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Severe pulmonary hypertension complicates postoperative outcome of non-cardiac surgery.

BACKGROUND Whether and how pulmonary hypertension (PH) impacts perioperative outcome in non-cardiac surgery is incompletely understood. METHODS From November 1999, all patients undergoing non-cardiac, non-local anaesthetic surgery and ever examined by echocardiography within 30 days before surgery were screened. Those having echocardiographic pulmonary artery systolic pressure >70 mm Hg were ...

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Pulmonary Hypertension in Cardiac Surgery

Pulmonary hypertension is an important prognostic factor in cardiac surgery associated with increased morbidity and mortality. With the aging population and the associated increase severity of illness, the prevalence of pulmonary hypertension in cardiac surgical patients will increase. In this review, the definition of pulmonary hypertension, the mechanisms and its relationship to right ventric...

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Cardiac risk of non-cardiac surgery.

Yes – death directly due to anaesthesia is less than 1 in a few hundred thousand. However 30 day mortality and morbidity following surgery is common and much of it is cardiac. Worldwide more than 200 million adults have major non-cardiac surgical procedures annually. Millions of these patients will have a major vascular complication (vascular death, nonfatal myocardial infarction [MI], nonfatal...

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Ventricular assist devices and non-cardiac surgery

The use of ventricular assist devices has expanded significantly since their approval by the Food and Drug Administration in the United States in 1994. In addition to this, the prevalence of heart failure continues to increase. We aim to provide an overview of perioperative considerations and management of these patients for non-cardiac surgery. We performed a Medline search for the words "vent...

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ژورنال

عنوان ژورنال: Indian Journal of Anaesthesia

سال: 2017

ISSN: 0019-5049

DOI: 10.4103/ija.ija_377_17