Systolic and Diastolic Dysfunction
Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:
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First Things First (assess & treat for the following)
- Is there evidence for isolated systolic dysfunction?
- LV ejection fraction < 50%
- Is there evidence for isolated diastolic dysfunction?
- Ejection fraction >50%, but
- Impaired ventricular filling on echocardiography
- Signs of heart failure/cardiogenic shock? (i.e., low/“inadequate” cardiac output)
- Heart failure is a clinical diagnosis (symptoms and signs).
- Treat reversible causes (tamponade, coronary ischemia, pulmonary embolism, thyrotoxicosis, severe anemia, etc.).
- Optimize cardiac output and treat symptoms.
- Inotropic support (drugs, assist devices, etc.)
- Vasodilator therapy and/or afterload reduction
- Diuresis as tolerated