Clinical Update in Pericardial Diseases

作者: Benjamin C. Tuck , Matthew M. Townsley

DOI: 10.1053/J.JVCA.2018.04.003

关键词: PericardiocentesisPericardial effusionDiseasePerioperativePericardiectomyPericardiumIntensive care medicinePericarditisMedicineCardiac tamponade

摘要: Patients with pericardial disease often require interventional therapies or surgery, making it essential for anesthesiologists to understand the altered physiology of these states and resultant impact on perioperative management. The broad spectrum syndromes involving pericardium present varying degrees clinical significance, from asymptomatic presentations life-threatening emergencies. Impaired diastolic filling heart represents a common theme disease, rate onset pathology largely determining extent this impairment subsequent severity presentation. This review highlights recent updates in literature regarding diagnostic evaluation, medical therapy, invasive therapeutic procedures perspective physician.

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