Aken Hugo Van
Klinik und Poliklinik für Anästhesie und operative Intensivmedizin am Universitätsklinikum Münster.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2006 May;41(5):313-4. doi: 10.1055/s-2006-944426.
Preexisting cardiovascular diseases are the most important risk factors in the perioperative period. They can cause complications that have a major impact on the morbidity and mortality of surgical patients. The current issue of AINS thus presents the actual state of knowledge about the pathophysiology, preoperative evaluation, and perioperative management of cardiac risk diseases in three practice-orientated review articles. Only sound knowledge of the pathophysiological background together with the diagnostic and therapeutic possibilities will allow the clinically active anesthesiologist to adapt the available therapeutic and preventative options in the best possible way to the individual patient and to avoid not only medical but also economically unnecessary and/or potentially harmful interventions.
既往存在的心血管疾病是围手术期最重要的危险因素。它们可导致并发症,对手术患者的发病率和死亡率产生重大影响。因此,本期《麻醉与重症监护医学》(AINS)通过三篇面向实践的综述文章介绍了有关心脏风险疾病的病理生理学、术前评估和围手术期管理的实际知识状况。只有具备扎实的病理生理背景知识以及诊断和治疗方法,临床麻醉医生才能以最佳方式根据个体患者情况调整可用的治疗和预防方案,不仅避免医疗上不必要的、潜在有害的干预措施,还能避免经济上的浪费。