The role of venodilators in the perioperative management of heart failure.

Abstract:

:A unifying hypothesis which satisfactorily explains the clinical syndrome of heart failure has proved elusive. A deeper understanding of the underlying pathophysiology has led to the development of more complex models and, as a result, the evolution of new treatment strategies. In patients undergoing non-cardiac surgery, perioperative heart failure has an incidence of approximately 1% and is a predictor of major adverse cardiovascular events. Although vasodilators undoubtedly play a major role in the management of patients with heart failure, the relative importance of venodilatation remains unclear. The purpose of this article is to discuss the clinical evidence supporting the use of drugs with venodilating properties in surgical patients with heart failure.

journal_name

Eur J Anaesthesiol

authors

Valchanov KP,Arrowsmith JE

doi

10.1097/EJA.0b013e32835016be

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

121-8

issue

3

eissn

0265-0215

issn

1365-2346

journal_volume

29

pub_type

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