SciELO - Scientific Electronic Library Online

 
vol.53 issue2Challenges in perioperative management of morbidly obese patients: how to prevent complicationsAre we prepared to diagnose and managed malignant hyperthermia? author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Revista Brasileira de Anestesiologia

Print version ISSN 0034-7094

Abstract

CRUVINEL, Marcos Guilherme Cunha  and  CASTRO, Carlos Henrique Viana de. Diastolic dysfunction: it’s importance to anesthesiologists. Rev. Bras. Anestesiol. [online]. 2003, vol.53, n.2, pp. 237-247. ISSN 0034-7094.  http://dx.doi.org/10.1590/S0034-70942003000200011.

BACKGROUND AND OBJECTIVES: Until recently, heart failure was primarily viewed as an event affecting heart contractility. However recently, after the recognition that several patients with classic signs and symptoms of heart failure had normal systolic function, left ventricular diastolic function is receiving major attention. The increase in population’s life expectancy, surgical and anesthetic techniques improvements of the high prevalence of risk factors are increasing the number of patients with diastolic failure or dysfunction being referred to surgery and anesthesia. This article aims at reviewing diastolic dysfunction definition, causes, prevalence, diagnosis, management and anesthetic implications. CONTENTS: Left ventricular diastolic function and its importance to anesthesiologists are described. CONCLUSIONS: There are no proven benefits of an anesthetic technique over the others. Primary anesthetic goals are to maintain normal volume status and sinusoidal rhythm, in addition to preventing tachycardia, arterial hypertension and ventricular ischemia. Beta-blockers are the drugs more frequently used to meet these goals.

Keywords : ANESTHESIA; DISEASES [Cardiac]; DISEASES [diastolic failure].

        · abstract in Portuguese | Spanish     · text in Portuguese     · pdf in Portuguese