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心肌病患者的麻醉相关问题

Anesthetic concerns for patients with cardiomyopathy.

作者信息

Bednarski R M

机构信息

Department of Veterinary Clinical Sciences, Ohio State University College of Veterinary Medicine, Columbus.

出版信息

Vet Clin North Am Small Anim Pract. 1992 Mar;22(2):460-5. doi: 10.1016/s0195-5616(92)50671-4.

Abstract

Hypertrophic cardiomyopathy usually affects cats. The overall cardiac dysfunction associated with hypertrophic cardiomyopathy relates to a decrease in diastolic function. Anesthetic regimens that minimize increases in heart rate and stress-related catecholamine release are desirable. Patients with dilative cardiomyopathy can present asymptomatic or in congestive heart failure. The overall myocardial defect is a depression of systolic function. An anesthetic regimen that minimizes myocardial depression is essential.

摘要

肥厚型心肌病通常影响猫。与肥厚型心肌病相关的整体心脏功能障碍与舒张功能下降有关。理想的麻醉方案是尽量减少心率增加和应激相关儿茶酚胺释放。扩张型心肌病患者可能无症状或出现充血性心力衰竭。整体心肌缺陷是收缩功能降低。尽量减少心肌抑制的麻醉方案至关重要。

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