T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...

BACKGROUND Metastatic cardiac tumors may cause different symptoms including angina, symptoms of heart failure and/or arrhythmia. In patients with concomitant coronary artery disease, it may be difficult to distinguish between angina caused by metastases to the heart, for example, by stealing perfusion from the coronary arteries, and angina caused by coronary stenosis. Identifying the origin of ...

Chronic obstructive pulmonary disease (COPD) and heart diseases are considered independent risk factors for mortality and major cardiopulmonary complications after surgery. Coronary artery disease, heart failure and COPD share common risk factors and are often encountered,--isolated or combined--, in many surgical candidates. Perioperative optimization of these high-risk patients deserves a tho...

Open heart surgeries were performed on 2463 cases . Acute renal failure occurred in 18 patients after such procedures in 11 patients after correction of congenital anomalies and in 7 patients after valvular surgery. Peritoneal and hemodialysis was required in 16 patients. lntraoperative hypotension, bleeding, low cardiac output, excessive use of cardiotonics, cardiac arrest and mismatched trans...