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Cardiovascular Pharmacology

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Postoperative Critical Care for Cardiac Surgical Patients

Abstract

Cardiovascular disease is a leading cause of morbidity and mortality in the United States, resulting in an estimated $503 billion in indirect and direct costs in 2010. Annually, there are 1.8 million hospitalizations for acute coronary syndromes. The total number of inpatient cardiovascular operations and procedures increased 27 %, from 1997 to 2007 in the Unites States (National Heart, Lung, and Blood Institute computation based on National Center for Health Statistics annual data). About 10–16 % of patients with coronary artery disease go on to have coronary artery bypass graft surgery (CABG), and each year approximately one million patients worldwide undergo cardiac surgery such as CABG, valve repair or replacement, aneurysm repairs, and arrhythmia surgery. Data for 2008 from the Society of Thoracic Surgeons show that most of these patients require at least an overnight ICU stay, with a mean of about 4 days. Management of cardiovascular surgery patients is complex, encompassing numerous different areas including infectious disease, cardiology, diabetes, and critical care. This chapter reviews the common pharmacologic agents employed by providers in the ICU setting.

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Author information

Authors and Affiliations

  1. Cedars-Sinai Medical Center, West Hollywood, CA, USA

    Robert Fellin PharmD, BCPS

Authors
  1. Robert Fellin PharmD, BCPS
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Correspondence to Robert Fellin PharmD, BCPS .

Editor information

Editors and Affiliations

  1. Dept. Anesthesiol. & Anesthesiol. Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Ali Dabbagh

  2. Heart Transplant and Mechanical Circulatory Support, Cedars-Sinai Heart Institute, Los Angeles, CA, USA

    Fardad Esmailian

  3. Divisions of Cardiac Surgery, Brigham and Womens Hospital, Boston, Massachusetts, USA

    Sary F. Aranki

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© 2014 Springer-Verlag Berlin Heidelberg

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Fellin, R. (2014). Cardiovascular Pharmacology. In: Dabbagh, A., Esmailian, F., Aranki, S. (eds) Postoperative Critical Care for Cardiac Surgical Patients. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40418-4_2

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  • DOI: https://doi.org/10.1007/978-3-642-40418-4_2

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-40417-7

  • Online ISBN: 978-3-642-40418-4

  • eBook Packages: MedicineMedicine (R0)

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