Anesthetic Management of the Patient With Dilated Cardiomyopathy Undergoing Pulmonary Resection Surgery

Sumler, Michele; Andritsos, Michael; Blank, Randal S.

doi:10.1177/1089253212453620

Cited by 3 publications

(2 citation statements)

References 141 publications

(253 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…16.8% of exclusions were due to multimorbidity or another cause of limited life expectancy. Among multimorbid patients, a severely reduced LVEF may lead to an unacceptably high interventional risk [22,23], especially in the context of deep conscious sedation, which is needed during the procedure [24]. Almost one half of the patients excluded for multimorbidity (44.4%) had a severely reduced LVEF.…”

Section: Discussionmentioning

confidence: 99%

Discriminating factors excluding patients from a catheter-based left atrial appendage closure and an outcome analysis of non-intervened and intervened patients

et al. 2020

View full text Add to dashboard Cite

IntroductionThe catheter-based left atrial appendage closure (LAAC) has evolved as an alternative to oral anticoagulation (OAC) among non-valvular atrial fibrillation (AF) patients in whom long-term OAC is contraindicated. In daily practice, however, a sizeable number of patients who have been referred for an LAAC do not receive this intervention. This study aimed primarily to investigate the factors deterring the practice of an LAAC in referred AF patients, and secondarily to compare the complication rates of intervened patients with those who had refused the intervention within one year.Material and methodsThis retrospective single-centre study includes 200 patients. After a thoroughly conducted clinical selection process, 161 of these patients (80.5%) were excluded from receiving an LAAC intervention.ResultsAn analysis comparing these patients to those receiving an LAAC reveales that a higher proportion of intervened patients had suffered a prior gastrointestinal bleeding (48.7 vs. 28.0%; p = 0.013) as well as a haemorrhagic stroke (12.8 vs. 2.5%; p = 0.015), and was not anticoagulated at the time of presentation (35.9 vs. 14.9%; p = 0.006). The main reason for not conducting the procedure was patient refusal (62.1%) followed by multimorbidity (16.8%). The annual rate of ischaemic strokes and bleedings among patients refusing the intervention was 2.1% and 29.5%, respectively, and this was not statistically different from the intervened patients (each p > 0.05).ConclusionsThe reasons why patients did not undergo the catheter-based LAAC were mainly reluctance for the procedure and multimorbidity. Furthermore, it could be assumed that the potential benefit of the LAAC may not be realised within the first year.

show abstract

Section: Discussionmentioning

confidence: 99%

Discriminating factors excluding patients from a catheter-based left atrial appendage closure and an outcome analysis of non-intervened and intervened patients

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Also, pulmonary capillary bed reduction and insufficiency of pulmonary ventilation function after lung resection would result in decreasing of lung ventilation/perfusion ratio and increasing of pulmonary capillary blood flow (28). Cardiac function would also significantly be reduced (29). The above factors played important roles in the induction of arrhythmia.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the risk factors of postoperative cardiopulmonary complications and ability to predicate the risk in patients after lung cancer surgery

Gao

et al. 2017

J. Thorac. Dis.

View full text Add to dashboard Cite

Background: Postoperative cardiopulmonary complications might be fatal for patients with lung cancer after surgery. The aim of this study was to identify the risk factors of postoperative cardiopulmonary complications in lung cancer patients and get a fitting formula for predicting incidences of cardiopulmonary complications. Methods:We conducted a retrospective analysis of 653 patients with a diagnosis of lung cancer who underwent a surgery in the Tianjin Medical University Cancer Institute and Hospital (Tianjin, China) from January to December 2014. All patients received lung cancer surgeries. Clinical data was collected for the analysis of the influence factors of cardiopulmonary complication after lung cancer surgeries. The medical statistical analysis program R was used to calculate cardiopulmonary complication probability of classification of quantitative results.Results: Our work showed that ages, lymphocyte count, smoking history, chronic bronchitis history, operation mode and extubation time were significantly associated with lung infection both in univariate and multivariate survival analysis. And ages, smoking history, arrhythmia of electrocardiogram and operation mode were significantly associated with postoperative arrhythmia both in univariate and multivariate survival analysis. Multiple linear regressions were generated with risk factors by program R software. Finally, we got a fitting formula for predicting cardiopulmonary complications. Risk score for each patient could be obtained by this formula. Conclusions:The incidences of pulmonary infection and arrhythmia were high for patients who underwent lung cancer surgery. It is important to discriminate risk factors for each patient for reducing the risk of heart and lung complications. Preoperative quantitative evaluation of cardiopulmonary complication after operation is beneficial to the risk control.

show abstract

Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery

Li,

Huang

2023

Medicina

View full text Add to dashboard Cite

Dilated cardiomyopathy (DCM), a primary myocardial disease, is characterized by dilation of the left or both ventricles and systolic dysfunction with or without congestive heart failure. DCM per se is a well-recognized risk factor for sudden cardiac death and poor surgical outcomes following noncardiac surgery. Surgical trauma/stress represents unique challenges for DCM patient management. Unfortunately, there is a big knowledge gap in managing DCM patients undergoing non-cardiac surgery. Therefore, the aim of our review is to provide basic facts and current advances in DCM, as well as a practical guideline to perioperative care providers, for the management of surgical patients with DCM, who are quite rare compared with the general surgical population. This review summarizes recent advances in the medical management of DCM as well as perioperative assessment and management strategies for DCM patients undergoing noncardiac surgery. Optimal surgical outcomes depend on multiple-disciplinary care to minimize perioperative cardiovascular disturbances.

show abstract

Anesthetic Management of the Patient With Dilated Cardiomyopathy Undergoing Pulmonary Resection Surgery

Cited by 3 publications

References 141 publications

Discriminating factors excluding patients from a catheter-based left atrial appendage closure and an outcome analysis of non-intervened and intervened patients

Discriminating factors excluding patients from a catheter-based left atrial appendage closure and an outcome analysis of non-intervened and intervened patients

Analysis of the risk factors of postoperative cardiopulmonary complications and ability to predicate the risk in patients after lung cancer surgery

Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery

Contact Info

Product

Resources

About