First Time Myocardial Infarction in a Rheumatic Patient After Elective Arthroplasty

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by joint and systemic manifestations. As the prevalence in the adult population is approximately 1 %, anesthesia management in patients with RA has to be performed on a regular basis. Besides elective orthopedic surgery, e.g. surgery of the cervical spine, all other types of planned and emergency surgery should also be anticipated. Administering anesthesia to a patient with RA can be challenging not only due to a higher incidence of difficult intubation but also because of various organ manifestations as well as an elevated cardiovascular risk. Furthermore, possible complications should be considered in patients with chronic medication, particularly in patients treated with immunomodulating drugs. Therefore, a careful preoperative evaluation, preparation for possible difficult airway management and a selective anesthesia management in patients with RA can prevent possible complications.

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First Time Myocardial Infarction in a Rheumatic Patient After Elective Arthroplasty

Abstract: The management of perioperative cardiovascular risk in patients with rheumatoid arthritis (RA) is challenging due to the independent contribution to risk by high grade inflammatory mechanisms and the underestimation of risk by traditional cardiac risk factors alone.

Cited by 2 publications

References 29 publications

Perioperatives Management von Patienten mit rheumatoider Arthritis

Perioperatives Management von Patienten mit rheumatoider Arthritis

Perioperatives Management von Patienten mit rheumatoider Arthritis

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