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Perioperative Critical Care Cardiology pp 225–241Cite as

Prevention and Management of Cardiac Dysfunction during and after Cardiac Surgery

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Part of the book series: Topics in Anaesthesia and Critical Care ((TIACC))

Abstract

Surgery is analogous to an extreme stress test. It initiates inflammatory, hypercoagulable, stress, and hypoxic states, which may be associated with elevations in troponin levels leading to postoperative myocardial dysfunction and failure [1]. Cardiac surgery, especially, is associated with the inherent risk of myocardial ischemia and myocardial infarction; and consequently, with postoperative heart failure. The degree of permanent postoperative myocardial injury is determined by the severity and duration of ischemia. A progressive pattern of myocardial dysfunction-apart from ongoing ischemia-suggests that additional underlying mechanisms, which are at least partially different from those of myocardial stunning, may also exist [2].

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Authors and Affiliations

  1. Department of Anesthesiology and Intensive Care, General Hospital Linz, Austria

    W. Moosbauer, A. Hofer & H. Gombotz

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  1. W. Moosbauer
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  2. A. Hofer
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  3. H. Gombotz
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© 2007 Springer-Verlag Italia

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Moosbauer, W., Hofer, A., Gombotz, H. (2007). Prevention and Management of Cardiac Dysfunction during and after Cardiac Surgery. In: Perioperative Critical Care Cardiology. Topics in Anaesthesia and Critical Care. Springer, Milano. https://doi.org/10.1007/978-88-470-0558-7_14

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  • DOI: https://doi.org/10.1007/978-88-470-0558-7_14

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0557-0

  • Online ISBN: 978-88-470-0558-7

  • eBook Packages: MedicineMedicine (R0)

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