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心肌病与麻醉

Cardiomyopathies and anaesthesia.

作者信息

Juneja Rajiv, Nambiar Prajeesh M

机构信息

Department of Cardiac Anaesthesia, Medanta - The Medicity, Gurgaon, Haryana, India.

出版信息

Indian J Anaesth. 2017 Sep;61(9):728-735. doi: 10.4103/ija.IJA_385_17.

Abstract

Cardiomyopathy is considered as a heart muscle disease of multiple aetiologies, unlike other cardiac diseases related to a definitive pathophysiology. With more and more research and with the advent of genetic analysis pin pointing the disease causing mutations, causative factors have been defined and classifications and definitions have changed over time. Patients with these conditions present to anaesthesiologists in elective and emergency situations, placement of automated internal cardioverter defibrillator (AICD) devices or biventricular pacing but may also be diagnosed at anaesthetic pre-assessment. We describe cardiomyopathies such as dilated cardiomyopathy, hypertrophic cardiomyopathy, post-partum cardiomyopathy and Takotsubo cardiomyopathy in brief and their anaesthetic management.

摘要

与其他具有明确病理生理学的心脏疾病不同,心肌病被认为是一种由多种病因引起的心肌疾病。随着研究的不断深入以及基因分析技术的出现,能够精准定位导致疾病的突变,致病因素得以明确,分类和定义也随时间发生了变化。患有这些疾病的患者会在择期和急诊情况下就诊于麻醉医生,接受自动体内除颤器(AICD)装置植入或双心室起搏治疗,也可能在麻醉术前评估时被诊断出来。我们简要描述扩张型心肌病、肥厚型心肌病、围产期心肌病和应激性心肌病等心肌病及其麻醉管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51f2/5613598/606f9251dab0/IJA-61-728-g002.jpg

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