[Preoperative evaluation of patients with low cardiac function].
Patients with low cardiac function due to congestive heart failure, cardiomyopathy or valvular diseases are associated with significant perioperative cardiac mortality. Mature plan is necessary for preventing perioperative cardiovascular events. Systematic approach including basic clinical assessment obtained by history, physical examinations and biochemical tests is necessary for the appropriate evaluation of patients with heart failure. Impaired cardiac condition should be evaluated and treated carefully. In less urgent circumstances, the preoperative cardiac evaluation may lead to a variety of responses, including postponement of an elective surgery to improve the cardiac function.
Hara
Tetsuya
T
Department of Anesthesiology, Nagasaki University School of Medicine, Nagasaki 852-8501.
Sumikawa
Koji
K
D002303:Cardiac Output, Low / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D011300:Preoperative Care