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Dorchester Center, MA 02124

Risk Incidence in USA: 15.5 million. Approximately 735,000 pts per y with CAD will have an acute MI and approximately 15% of these will die. CAD is responsible for approximately 1 of every 7 deaths in USA. Male predominance in…

Risk RV failure is the third most common cardiac Dx after age 50 y. Of all CHF admissions, 10–20% have some aspect of right heart failure. Gender predominance is male > female. Perioperative Risks Increased risk for respiratory failure, severe…

Risk Reported prevalence varies widely (11–500”100,000). It may account for unexplained symptoms in as much as 1–14% of general medical/surgical pts and possibly as much as 20% of new outpatient neurology referrals. Possibly higher in rural populations, developing areas, lower…

Risk Median prevalence of constipation in adults is 16% (studies range 0.7–79%); in adults aged ≥60 y, it is 33.5%. Prevalence may be higher in nonwhite and institutionalized populations. Male:female ratio: 1:1.5. Perioperative Risks Increased risk of gastroparesis and N/V…

Risk Heart failure is a syndrome, not a disease. Incidence in USA: About 5.1 million, with more than 650,000 new cases diagnosed annually. Primary discharge diagnosis made in more than 1 million pts. 1-y and 5-y survival rates are 57%…

Risk Cause of cardiorespiratory compromise 10–15% associated with CHD Perioperative Risks May develop worsening of cardiorespiratory status Contamination of unaffected lung by infected material from cyst Worry About Associated congenital anomalies Tension pneumothorax Cardiorespiratory compromise Overview Congenital Pulmonary Cystic Lesions…

Risk Navajo Indians, Alaskan Indians, and people of Puerto Rican and Cuban ancestry Normal life span (except for RCM type II) Perioperative Risks Oxidizing agents may increase MetHb to dangerous levels. Mild respiratory/cardiac depression may adversely affect pts with already…

Risk C1 esterase inhibitor–deficiency incidence: 1:50,000-150,000 of the general population. Symptoms onset and diagnosis occur approximately at 20 y, and by 30 y approximately 98% of pts have symptoms. C2 deficiency incidence: <0.1% of the general population. Male versus female…

Risk Extremely rare: approximately 250 reported cases in the literature Mean presentation 30–40 y; however, cases in children and elderly reported No predilection for gender, race, or ethnicity Possible association with IBD Perioperative Risks Hemorrhage Thrombosis and organ/limb ischemia Adrenal…

Risk Sixth most-common congenital heart defect: 4:10,000 live births Recognized in 5–8% of pts with CHD Perioperative Risks Perioperative mortality: 1% when associated with no other cardiac anomalies in neonates, 10% when associated with a VSD, and 50% when associated…