Risk Prevalence 1:100,000 persons M:F ratio: 1:1.8 Perioperative Risks CV instability, labile BP, hypotension, shock Hypovolemia, hyperkalemia, cardiac dysrhythmia Limited response to vasopressors Worry About N/V and diarrhea leading to dehydration, electrolyte imbalances, and acid/base disorder. Acute adrenal insufficiency leading…
Case Synopsis A 65-year-old man is admitted for a colon resection for a nonobstructing cancer. He had a myocardial infarction 4 months ago with placement of a drug-eluting stent. He has been asymptomatic since the stent placement. The patient is…
1 What is the natural history of perioperative cardiac morbidity? Perioperative cardiac morbidity occurs most commonly during the first 3 postoperative days and includes perioperative myocardial infarction (PMI), unstable angina, congestive heart failure, cardiac death, and nonfatal cardiac arrests. Studies…
Additional content is available online at Elsevier eBooks for Practicing Clinicians Cardiovascular morbidity and mortality represent a special concern in patients with known (or with risk factors for) cardiovascular disease who undergo noncardiac surgery. The cost of perioperative myocardial injury…