检索结果-南通市图书馆

RISK OF PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY UNDERGOING noncardiac surgery

Chinese Medical Sciences Journal 2007年第4期22卷 211-215页

作者： Tian-ming Xuan Yong Zeng Wen-ling Zhu Division of Cardiology Department of Internal Medicine Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730

Objective To determine the risk of noncardiac surgery in patients with hypertrophic *** We reviewed the medical records of all patients who were diagnosed as hypertrophic cardiomyopathy at Peking Union Medical College Hospital from January 1998 to August 2006 and identified 24 patients who subsequently underwent noncardiac *** There were no intraoperative cardiac *** cardiac events were identified in 3 patients including 1 death due to acute myocardial infarction and 2 episodes of transient *** The risk of anesthesia and noncardiac surgery is low in patients with hypertrophic *** the perioperative period,beta-blockers and/or calcium channel blockers should be given;vasodilator and inotropic agents should be avoided due to the side effects on hemodynamics.

关键词： hypertrophic cardiomyopathy noncardiac surgery complications

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Risk factors for perioperative major cardiac events in Chinese elderly patients with coronary heart disease undergoing noncardiac surgery

引用

Chinese Medical Journal 2013年第18期126卷 3464-3469页

作者： LIU Zi-jia YU Chun-hua XU Li HAN Wei JIANG Jing-mei HUANG Yu-guang Department of Anesthesiology Peking Union Medical College Hospital Peking Union Medical College Chinese Academy of Medicine Science Beijing 100730 China Department of Epidemiology and Statistics Peking Union Medical College School of Basic Medicine Chinese Academy of Medical Sciences Institute of Basic Medical Sciences Beijing 100005 China

Background Few studies have investigated perioperative major adverse cardiac events （MACEs） in elderly Chinese patients with coronary heart disease （CHD） undergoing noncardiac surgery. This study examined the incidence and risk factors for perioperative MACE in elderly patients who underwent noncardiac surgery, and established a risk stratification system. Methods This retrospective observational clinical study included 482 patients aged -〉60 years with CHD who underwent elective major noncardiac surgery at the Peking Union Medical College Hospital. The primary outcome was MACE within 30 days after surgery. Risk factors were evaluated using multivariate Logistic regression analysis. Results Perioperative MACE occurred in 61（12.66%） of the study patients. Five independent risk factors for perioperative MACE were identified： history of heart failure, preoperative arrhythmia, preoperative diastolic blood pressure 〈75 mmHg, American Society of Anesthesiologists grade 3 or higher, and intraoperative blood transfusion. The area under the receiver operating characteristic curve for the risk-index score was 0.710＋0.037. Analysis of the risk stratification system showed that the incidence of perioperative MACE increased significantly with increasing levels of risk. Conclusions Elderly Chinese patients with CHD who undergo noncardiac surgery have a high risk of perioperative MACE. Five independent risk factors for perioperative MACE were identified. Our risk stratification system may be useful for assessing perioperative cardiac risk in elderly patients undergoing noncardiac surgery.

关键词： elderly coronary heart disease noncardiac surgery perioperative cardiac events risk assessment

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Survival of a patient who received extracorporeal membrane oxygenation due to postoperative myocardial infarction: A case report

引用

World Journal of Clinical Cases 2022年第32期10卷 11861-11868页

作者： Qian-Qian Wang Yi Jiang Jian-Gang Zhu Ling-Wei Zhang Hong-Jie Tong Peng Shen Department of Intensive Care Unit The First Hospital of JiaxingJiaxing 314001Zhejiang ProvinceChina Department of Osteology The First Hospital of JiaxingJiaxing 314001Zhejiang ProvinceChina Department of Intensive Care Unit Affiliated Jinhua Hospital Zhejiang University School of MedicineJinhua 321000Zhejiang ProvinceChina

BACKGROUND Cardiac arrest after noncardiac surgery is a dangerous complication that may contribute to *** of the high mortality rate and many complications of cardiac arrest,it is very important to identify and correct a reversible etiology *** reporting the treatment process of this case,we aimed to broaden the diagnosis and treatment of cardiac arrest after noncardiac surgery and describe how cardiopulmonary resuscitation using extracorporeal membrane oxygenation(ECMO)can improve a patient’s chance of *** SUMMARY A 69-year-old man visited our hospital complaining of low back pain on July 12,*** resonance imaging showed lumbar disc *** hours after lumbar disc herniation surgery,the patient developed cardiac *** resuscitation was performed,and ECMO was started 60 min after the initiation of cardiopulmonary *** the etiology of early cardiac arrest after surgery,acute myocardial infarction and pulmonary embolism were considered *** on ultrasound evaluation,acute myocardial infarction appeared more *** angiography confirmed occlusion of the left anterior descending branch,and coronary artery stenting was *** artery angiography was performed to exclude pulmonary *** to heparinization during ECMO and coronary angiography,there was a large amount of oozing blood in the surgical ***,heparinfree ECMO was performed in the early stage,and routine heparinized ECMO was performed after hemorrhage ***,the patient was discharged and made a full neurologic *** For early postoperative cardiac arrest,acute myocardial infarction should be considered first,and heparin should be used with caution.

关键词： noncardiac surgery Extracorporeal membrane oxygenation Cardiopulmonary resuscitation Postoperative myocardial infarction No heparinization Case report©The Author(s)2022.Published by Baishideng Publishing Group Inc.All rights reserved.

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Case of takotsubo cardiomyopathy after surgical treatment of liver hydatid cyst: A case report

引用

World Journal of Clinical Cases 2023年第29期11卷 7187-7192页

作者： Yakup Altaş Ülfet Abdullayeva Department of Cardiology Private Melikgazi HospitalKayseri 38030Turkey Department of General surgery Private Melikgazi HospitalKayseri 38030Turkey

BACKGROUND Takotsubo cardiomyopathy,also called apical ballooning syndrome,is a disease that is often triggered by stress factors in postmenopausal women and mimics acute coronary *** aim of this article is to draw attention to takotsubo cardiomyopathy after surgical treatment of liver hydatid *** SUMMARY A 50-year-old diabetic and hypertensive female patient was evaluated preoperatively before general surgery for liver hydatid cyst,and no cardiac problems were *** patient was discharged on the 3rd postoperative day without any postoperative *** postoperative day 5,the patient presented to the emergency department with fever,shortness of breath,chills,and shivering and was hospitalized with the diagnosis of *** troponin levels remained high during *** was performed on postoperative day 7,after which the patient was referred to a tertiary center with the diagnosis of non-ST-elevation myocardial infarction due to akinesia in the apical *** angiography performed at the tertiary center showed normal coronary anatomy,and the patient was diagnosed with takotsubo *** Takotsubo cardiomyopathy mimicking myocardial infarction without ST segment elevation may develop after surgical treatment of liver hydatid cyst.

关键词： Takotsubo cardiomyopathy Liver hydatid cyst noncardiac surgery Coronary angiography Echocardiography Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：