Miyakawa H, Mori M, Iwasaka H, Hayano Y, Noguchi T, Honda N
Department of Anesthesiology, Oita Medical University.
Masui. 1994 Sep;43(9):1381-4.
We experienced the perioperative management of a patient with hypertrophic obstructive cardiomyopathy, who underwent open heart surgery. We performed three kinds of overload examinations, which included overdrive test using the pacemaker, continuous dopamine infusion with overdrive test and continuous diltiazem infusion with overdrive test, before and after cardio-pulmonary bypass under observation of the cardiac performances with transesophageal echocardiogram. We gained some important and interesting informations about the cardiac reserve of the patient. We could perform adequate perioperative management for the patient, taking the results of overload examinations into consideration.
我们经历了一名肥厚性梗阻性心肌病患者的围手术期管理，该患者接受了心脏直视手术。我们在体外循环前后，通过经食管超声心动图观察心脏性能的情况下，进行了三种负荷试验，包括使用起搏器的超速驱动试验、超速驱动试验联合持续多巴胺输注以及超速驱动试验联合持续地尔硫䓬输注。我们获得了一些关于该患者心脏储备的重要且有趣的信息。考虑到负荷试验的结果，我们能够为该患者进行充分的围手术期管理。
