Diastolic Dysfunction – What an Anesthesiologist needs to know?

Publication date: Available online 15 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Aidan Sharkey, Feroze Mahmood, Robina MatyalAbstractDiastolic dysfunction (DD) is a common condition that is increasingly being encountered in patients undergoing both cardiac and non-cardiac surgery as the age profile of our patient population increases and the non-invasive diagnosis of DD becomes more accessible. There is a growing body of evidence demonstrating the significance of DD and adverse peri-operative outcomes and thus it is becoming imperative for anesthesiologists to have an understanding of the pathophysiology, diagnosis and management of patients with DD. Current guidelines are based on transthoracic echocardiogram (TTE) measurements in patients who are spontaneously breathing and in a euvolemic state and consequently not applicable to the perioperative period. In this review article we discuss the grading of DD as well as introduce a practical approach to the diagnosis and management of patients with DD during the peri-operative period.
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research