New advances in perioperative cardioprotection.
Mona MomeniStefan G De HertPublished in: F1000Research (2019)
With the increasing age of the general population, medical conditions necessitating a surgical intervention will increase. Concomitant with advanced age, the prevalence of type 2 diabetes mellitus will also increase. These patients have a two- to three-fold higher risk of occurrence of cardiovascular events and are at higher risk of perioperative myocardial ischemia. This review will discuss recent advances in the field of perioperative cardioprotection and focus specifically on strategies that have aimed to protect the diabetic and the aged myocardium. This review will not deal with potential putative cardioprotective effects of opioids and anesthetic agents, as this is a very broad area that would necessitate a dedicated overview.
Keyphrases
- cardiovascular events
- cardiac surgery
- patients undergoing
- end stage renal disease
- coronary artery disease
- ejection fraction
- newly diagnosed
- cardiovascular disease
- healthcare
- chronic kidney disease
- type diabetes
- risk factors
- chronic pain
- prognostic factors
- acute kidney injury
- heart failure
- pain management
- climate change
- patient reported
- atrial fibrillation