Risk Declared eradicated worldwide in 1980. Two repositories hold the variola virus: VECTOR in Koltsovo, Novosibirsk, Russia, and the CDC in Atlanta, Georgia, USA. Potential agent of bioterrorism. Vaccinations are not administered to the general public. In 2007, ACAM2000, the…
Risk Incidence in USA is 3–15% of the whole population (increased fourfold in last 15 y, presumably due to increase in obesity). M:F ratio: 2.5:1. Race with highest prevalence: Unknown. Perioperative Risks Increased risk of pulm Htn, RV failure, and…
Risk Incidence USA is 3–12% of middle-aged adults (which has increased fourfold in last 15 y, presumably due to increase in obesity). The M:F ratio is 2–2.5:1; obstructive or mixed. Risk increases with male sex, upper middle age (55–64 y),…
Risk HLHS is the most common SV congenital cardiac malformation. HLHS accounts for 7.5% of newborns with CHD. Male predominance for HLHS. Perioperative Risks Paradoxical emboli. Complications of chronic hypoxemia: Hyperviscosity, decreased coagulation factors and platelets Surgical shunts (narrowing of…
Risk Silicosis is irreversible fibronodular lung disease caused by inhalation of dust containing crystalline silica (alpha-quartz or silicon dioxide) during occupational exposure. Currently, >1,000,000 workers are exposed, with 200–300 deaths/y; protection devices decrease incidence. Mostly >65 y of age Incidence…
Risk Incidence in USA: 3 million; 350 million in world Race with highest prevalence: African Americans Perioperative Risks Increased risk of complications following CABG. Periop mortality rate in published cases of SA trait is 0.8%. Some increased risk of CVA…
Risk Affects persons with African, Greek, Turkish, Italian, Arab, Latin American, and Indian ancestry. Incidence in USA: Most common disease identified through state-mandated screening, occurring in 1:2647 births; varies by race, occurring in 1:396 African-American births and 1:36,000 Hispanic births.…
Risk Highest incidence occurs in pts >60 y. Common in pts who have had congenital heart defect repair surgery. Sinus node dysfunction is a common indication for pacemaker implantation. Perioperative Risks Syncope, symptomatic bradycardia, and asystole. Worry About Sinus bradycardia…
Acknowledgment A sincere thanks to Drs. Brad J. Hymel and Don D. Doussan for their contribution to this chapter in the previous edition of this text. Risk More common in men than in women. Symptoms begin in fifth-seventh decades of…
Risk Incidence of sepsis within USA: Approximately 1 million per year and increasing. Severe sepsis and septic shock are associated with high morbidity and mortality, and septic shock is the most common cause of death among critically ill pts in…