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Preoperative preparation of patients with cardiomyopathies in non-cardiac surgery

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dc.creator Bradić Željko
dc.creator Ivanović Branislava
dc.creator Marković Dejan
dc.creator Simić Dušica
dc.creator Janković Radmilo
dc.creator Kalezić Nevena
dc.date 2011
dc.date.accessioned 2013-05-30T11:43:59Z
dc.date.available 2013-05-30T11:43:59Z
dc.date.issued 2013-05-30
dc.identifier http://www.doiserbia.nb.rs/img/doi/0354-950X/2011/0354-950X1102039B.pdf
dc.identifier http://www.doaj.org/doaj?func=openurl&genre=article&issn=0354950X&date=2011&volume=58&issue=2&spage=39
dc.identifier.uri http://koha.mediu.edu.my:8181/jspui/handle/123456789/4782
dc.description Cardiomyopathies are myocardial diseases in which there is structural and functional disorder of the heart muscle, in the absence of coronary artery disease, hypertension, valvular disease and congenital heart disease. Cardiomyopathies are grouped into specific morphological and functional phenotypes: dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy and unclassified cardiomyopathies. Patients with dilated and hypertrophic cardiomypathy are prone to the development of congestive heart failure in the perioperative period. Also, patients with hypertrophic and arrhythmogenic right ventricular cardiomyopathy are prone to arrhythmias in the perioperative period. Preoperative evaluation includes history, physical examination, ECG, chest radiography, complete blood count, electrolytes, creatinine, glomerular filtration rate, glucose, liver enzymes, urin analysis, BNP and echocardiographic evaluation of left ventricular function. Drug therapy should be optimized and continued preoperatively. Surgery should be delayed (unless urgent) in patients with decompensated or untreated cardiomyopathy. Preoperative evaluation requires integrated multidisciplinary approach of anesthesiologists, cardiologist and surgeons.
dc.language eng
dc.publisher Klinički centar Srbije, Institut za bolesti digestivnog sistema
dc.source Acta Chirurgica Iugoslavica
dc.subject cardiomyopathies
dc.subject preoperative preparation
dc.subject non-cardiac surgery
dc.subject anesthesia
dc.title Preoperative preparation of patients with cardiomyopathies in non-cardiac surgery

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