Looking above the heart: A rare cause of ventricular tachycardia

Subramnaian, Muthiah; Shah, Vihang; Saggu, Daljeet Kaur; Yalagudri, Sachin; Narasimhan, Calambur

doi:10.1002/joa3.12546

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…In a case series by Dutta et al [61] on acromegaly with overt congestive HF, 50% of the patients died from ventricular arrhythmias, attributed to abnormal ventricular remodeling. Another case study by Subramnaian et al [62] illustrated that idiopathic premature ventricular contraction (PVC) and ventricular tachycardia (VT) can be manifestations of any systemic disease, including acromegaly. Other rhythm disorders seen during physical exercise are paroxysmal atrial fibrillations, paroxysmal supraventricular tachycardia, sick sinus syndrome, bundle branch block, and atrial and ventricular ectopic beats [63].…”

Section: Arrhythmia In Acromegalymentioning

confidence: 99%

Cardiovascular Effects of Excess Growth Hormone: How Real is the Threat?

Rivera¹,

Taliño²,

Ansay³

et al. 2023

Rev. Cardiovasc. Med.

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Patients with acromegaly carry a high risk of developing cardiovascular diseases (CVD). In fact, CVD is the leading cause of mortality among this group of patients. The most frequent cardiovascular complications are heart failure (HF), valvular disease, hypertension, arrhythmias, and coronary artery disease (CAD). The pathophysiology centers on the family of growth hormone (GH). These hormones are involved in normal cardiac development and function; however, excess of insulin-like growth factor-1 (IGF-1), the principally active hormone, can also cause negative effects on the cardiovascular system. HF in acromegaly usually presents with biventricular enlargement and diastolic dysfunction and is strongly associated with the duration of GH excess rather than the degree of hormone elevation. There is a high prevalence of valvular disease affecting aortic and mitral valves among patients with longer disease duration. The development of hypertension in acromegaly may be attributed to the effects of chronic GH/IGF-1 excess on different organ systems, which act via several mechanisms. The aspect of arrhythmia and CAD complicating acromegaly are currently not fully understood.

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Section: Arrhythmia In Acromegalymentioning

confidence: 99%

Cardiovascular Effects of Excess Growth Hormone: How Real is the Threat?

Rivera¹,

Taliño²,

Ansay³

et al. 2023

Rev. Cardiovasc. Med.

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Some features of the perioperative management of patients with a tumor of the chiasmal cellaric region: a review

Tsentsiper,

Petrova,

Terekhov

et al. 2024

Annals of Critical Care

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INTRODUCTION: Tumors of the chiasmal-sellar region (CSR) account for more than 20 % of all primary intracranial neoplasms, of which pituitary adenomas account for up to 20 % of the world population. Currently, removal of these neoplasms is performed using endoscopic transsphenoidal surgical accesses. OBJECTIVE: analysis of the results of publications concerning perioperative management of patients with CSO tumors. MATERIAL AND METHODS: publications were searched and selected in bibliographic databases PubMed, Web of Science, Scopus. To study the approach to perioperative management of patients with CSF tumors, the works published from 2013 to 2023 were analyzed. Search keywords: pituitary surgery, anesthesia. Based on the analysis of current problems in anesthesia planning for patients with CSF tumors, the search was expanded with additional keywords: “pituitary tumor”, “perioperative complications”, “endocrine disorders”, “difficult airway”, “acromegaly”, “cardiologic complications, acromegaly”, “peripheral neuropathy, acromegaly”, “trigemino-cardiac reflex”, 206 publications were additionally analyzed and the main key points in anesthesia planning were summarized. A total of 230 publications were included but 161 were excluded. A total of 69 studies were selected. RESULTS: The main features of patients with CSF tumors are: water-electrolyte disorders, cardiovascular pathology, difficult airway. This determines a multidisciplinary approach in preparation for surgery. It is necessary to take into account these features when planning anesthetic support and management of the early postoperative period. In addition, endoscopic transnasal-transsphenoidal access may cause a number of complications: damage to the hypothalamic region and large vessels, and in the postoperative period: respiratory disorders, hormonal insufficiency, Water and Sodium Disturbances. CONCLUSIONS: Additional vigilance is required when preparing a patient with CSF formation for surgery. Perioperative management of a patient with CSO tumor requires a team approach with participation of neurosurgeons, neurologists, ophthalmologists, endocrinologists, cardiologists, anesthesiologists-resuscitators.

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Looking above the heart: A rare cause of ventricular tachycardia

Cited by 2 publications

References 4 publications

Cardiovascular Effects of Excess Growth Hormone: How Real is the Threat?

Cardiovascular Effects of Excess Growth Hormone: How Real is the Threat?

Some features of the perioperative management of patients with a tumor of the chiasmal cellaric region: a review

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