Perioperative Critical Care Cardiology

In this book, discussed are topics of particular importance to critical care cardiovascular diagnosis and management in the perioperative period. Chapter topics are the causes for heart failure; the pathophysiology of heart failure; coronary heart disease

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J. L. Atlee • A. Gullo • G. Sinagra • J.-L.Vincent (Eds)

Perioperative Critical Care Cardiology 2nd edition

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JOHN L. ATLEE

ANTONINO GULLO

Department of Anesthesiology University of Wisconsin (Madison) Medical College of Wisconsin (Milwaukee) Hartland, USA

Department of Anaesthesia and Intensive Care Policlinic University Hospital Catania, Italy

GIANFRANCO SINAGRA

JEAN-LOUIS VINCENT

Cardiovascular Department Ospedali Riuniti and University of Trieste, Italy

Department of Intensive Care Erasme University Hospital Brussels, Belgium

Library of Congress Control Number: 2006937626 ISBN-10 88-470-0557-4 Springer Milan Berlin Heidelberg New York ISBN-13 978-88-470-0557-0 Springer Milan Berlin Heidelberg New York Springer is a part of Springer Science+Business Media springer.com © Springer-Verlag Italia 2007

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Preface to the 2nd edition

Perioperative critical care cardiology (PCCC) includes the cardiovascular management of patients with any underlying diseases or imposed conditions (whether natural or iatrogenic) that involve or affect the heart–including, acute or chronic mechanical heart failure (HF). This can result from ischemic heart disease, diabetes mellitus, uncontrolled hypertension, arrhythmias that compromise heart function, circulatory shock, or dilated or obstructive cardiomyopathy. Patients needing therapy for HF are especially challenging to clinicians involved their perioperative care. While PCCC has traditionally been within the context of anesthesia and surgery, we now must consider the implications of other therapeutic interventions outside of surgery in critically ill patients. Thus, we may become involved in any stage of their care, including specialized diagnostics, nonsurgical interventions, both during and after such intervention, all of which occur outside of traditional OR settings. Interve