Perioperative right ventricular dysfunction

DenaultA.Y.; HaddadF.; JacobsohnE.; DeschampsA.

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Perioperative right ventricular dysfunction

机译：围手术期右室功能障碍

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PURPOSE OF REVIEW: To evaluate new information on the importance of right ventricular function, diagnosis and management in cardiac surgical patients. RECENT FINDINGS: There is growing evidence that right ventricular function is a key determinant in survival in cardiac surgery, particularly in patients with pulmonary hypertension. The diagnosis of this condition is helped by the use of specific hemodynamic parameters and echocardiography. In that regard, international consensus guidelines on the echocardiographic assessment of right ventricular function have been recently published. New monitoring modalities in cardiac surgery such as regional near-infrared spectroscopy can also assist management. Management of right ventricular failure will be influenced by the presence or absence of myocardial ischemia and left ventricular dysfunction. The differential diagnosis and management will be facilitated using a systematic approach. SUMMARY: The use of right ventricular pressure monitoring and the publications of guidelines for the echocardiographic assessment of right ventricular anatomy and function allow the early identification of right ventricular failure. The treatment success will be associated by optimization of the hemodynamic, echocardiographic and near-infrared spectroscopy parameters.

机译：审查目的：评估有关心脏外科患者右心室功能，诊断和管理的重要性的新信息。最近的发现：越来越多的证据表明，右心室功能是心脏手术尤其是肺动脉高压患者存活率的关键决定因素。通过使用特定的血液动力学参数和超声心动图可以帮助诊断这种情况。在这方面，最近发表了有关超声心动图评估右心室功能的国际共识指南。心脏手术中的新监视方式（例如区域近红外光谱法）也可以帮助管理。右心衰竭的治疗将受到是否存在心肌缺血和左心功能不全的影响。鉴别诊断和管理将使用系统的方法来促进。摘要：使用右心室压力监测和超声心动图评估右心室解剖结构和功能的指南的出版物可以早期识别右心室衰竭。血液动力学，超声心动图和近红外光谱参数的优化将与治疗成功相关。

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《Current opinion in anaesthesiology》 |2013年第1期|共11页
作者
DenaultA.Y.; HaddadF.; JacobsohnE.; DeschampsA.;
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正文语种 eng
中图分类麻醉学;
关键词
Echocardiography; Hemodynamics; Right ventricular failure; Right ventricular function; Transesophageal echocardiography;

机译：超声心动图;血流动力学;右心室衰竭;右心室功能;经食管超声心动图;

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1. Can Perioperative Right Ventricular Support Prevent Postoperative Right Heart Failure in Patients With Biventricular Dysfunction Undergoing Left Ventricular Assist Device Implantation? [J] . Deschka Heinz, Holthaus Alexander J., Sindermann Juergen R., Journal of cardiothoracic and vascular anesthesia . 2016,第3期

机译：围手术期右心室支持能否预防接受左室辅助装置植入的双室功能不全患者术后右心衰竭？
2. Impact of right and left ventricular systolic dysfunction on perioperative outcome and long-term survival after transcatheter aortic valve replacement [J] . Griese Daniel P., Kerber Sebastian, Barth Sebastian, Journal of interventional cardiology . 2017,第3期

机译：右心室收缩功能障碍对经经管主动脉瓣膜置换后围手术期结果和长期存活的影响
3. Prevalence, Diagnosis, Perioperative Monitoring and Treatment of Right Ventricular Dysfunction and/or Pulmonary Arterial Hypertension in Cardiac Surgical Patients in Germany-A Postal Survey [J] . Heringlake Matthias, Schoen Julika, Pliet Teresa, The Thoracic and cardiovascular surgeon . 2017,第8期

机译：德国心脏手术患者患者右心室功能障碍和/或肺动脉高压的患病率，诊断，围手术期监测和治疗 - 邮政调查
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机译：内皮功能障碍，血小板多动和氧化应激与急性冠状动脉综合征中的结果和左心室收缩功能障碍
5. Exercise prescription in patients with left ventricular dysfunction: A comparison of conventional methods of exercise prescription with a method utilizing respiratory measures and a Doppler assessment of left ventricular function. [D] . Normandin, Edgar Albert. 1989

机译：左心功能不全患者的运动处方：传统运动处方方法与利用呼吸测量和多普勒评估左心功能的方法的比较。
6. Perioperative management of left ventricular diastolic dysfunction and heart failure: an anesthesiologists perspective [O] . Taeha Ryu, Seok-Young Song 2017

机译：左室舒张功能不全和心力衰竭的围手术期管理：麻醉医师的观点
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8. Heart Failure: Evaluation and Care of Patients with Left-Ventricular Systolic Dysfunction. Clinical Practice Guideline No. 11; Heart Failure: Management of Patients with Left-Ventricular Systolic Dysfunction. Quick Reference Guide for Clinicians No. 11; Living with Heart Disease: Is It Heart Failure. Patient and Family Guide [R] . 1994

机译：心力衰竭：左心室收缩功能障碍患者的评估和护理。临床实践指南第11号;心力衰竭：左心室收缩功能障碍患者的治疗。临床医生快速参考指南第11号;与心脏病共存：是心衰吗？患者和家庭指南

Perioperative right ventricular dysfunction

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