Diastolic dysfunction, cardiovascular aging, and the anesthesiologist.
Diastolic dysfunction, cardiovascular aging, and the anesthesiologist.
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DOI：
10.1016/j.anclin.2009.07.008
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发表时间：
2009-09-01
影响因子：
--
通讯作者：
Groban, Leanne
中科院分区：
文献类型：
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作者：
Sanders, David;Dudley, Michael;Groban, Leanne
随着65岁及以上的人数不断增加，麻醉师将更频繁地遇到这一人口统计。在这些患者群体中发生的心血管变化带来了困难的麻醉挑战，并使这些患者处于围手术期发病率和死亡率的高风险中。麻醉师应该了解这些与年龄相关的心血管变化，其背后的病理生理学，以及适当的围手术期处理。无论是心脏外科还是普通外科，麻醉师必须识别由于衰老或舒张功能不全而导致生理改变的患者，并准备相应地修改护理计划。有针对性的术前评估，重点是心血管系统的某些方面，并协助强大的超声心动图工具，如组织多普勒，这是可以实现的。
As the number of persons aged 65 years and older continues to increase, the anesthesiologist will more frequently encounter this demographic. Cardiovascular changes that occur in this patient population present difficult anesthetic challenges and place these patients at high risk of perioperative morbidity and mortality. The anesthesiologist should be knowledgeable about these age-related cardiovascular changes, the pathophysiology underlying them, and the appropriate perioperative management. Whether presenting for cardiac or general surgery, the anesthesiologist must identify patients with altered physiology as a result of aging or diastolic dysfunction and be prepared to modify the care plan accordingly. With a directed preoperative assessment that focuses on certain aspects of the cardiovascular system, and the assistance of powerful echocardiographic tools such as tissue Doppler, this can be achieved.