Perioperative cardiovascular complications

Cardiovascular complications

  • Hypotension
  • Hypovolaemia
  • Ventricular failure
  • Cardiogenic shock
  • Arrhythmias
  • Conduction defects
  • Hypertension

Causes of perioperative arrhythmias

  • Physiological disturbances
    • Acidosis
    • Hypercapnia
    • Hypoxaemia
    • Electrolyte imbalance
    • Vagal manoeuvres
    • Hypovolaemia
  • Pathological disturbances
    • Myocardial ischaemia or infarction
    • Pulmonary embolus
    • Phaeochromocytoma
  • Pharmacological causes
    • General anaesthesia
    • Local anaesthetic toxicity
    • Positive and negative inotropes

Causes of postoperative hypertension

  • Pain
  • Pre-existing hypertension
  • Hypoxaemia
  • Hypercapnia
  • Positive inotropic drugs
  • Hyper-reninaemia

Bibliography

Amar D.  Perioperative atrial tachyarrhythmias.  Anesthesiology 2002;  97:  1618-1623.

Weitz H H.  Perioperative cardiac complications.  Med Clin North Am 2001;  85:  1151-1169.

 

 
 

Last updated: 05 January 2008

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