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Acta Médica Peruana

On-line version ISSN 1728-5917


DIAZ HERRERA, William; FERNANDO RINCON FLOREZ, Diego  and  MARTINEZ MONTALVO, Carlos Mauricio. As assessment of diastolic dysfunction and its influence on perioperative considerations. Acta méd. Peru [online]. 2017, vol.34, n.3, pp.208-216. ISSN 1728-5917.

We assessed the presence of diastolic dysfunction during the perioperative period as a predictor of morbidity and mortality caused by major cardiovascular events. We did a literature search in specialized data bases (PubMed, Cochrane, Scielo, Bireme, Lilacs, and Google Scholar). Two hundred and fifty papers were found, and we chose 55 of them which complied with the selection criteria previously established by the authors. This review allowed us to find that a great proportion of patients with heart failure had preserved systolic function, and having diastolic dysfunction was an independent risk factor for developing major cardiovascular events in the perioperative period and in non-cardiac surgery; performing a cardiac ultrasonography is becoming more important for diagnosing and following diastolic dysfunction, being this still a misdiagnosed condition. Also, the therapy management should be well directed and cautious, avoiding sudden hemodynamic variations and preventing the occurrence of hypotension by using adequate pharmacological measures and proper fluid management, being supported by a strict perioperative control with invasive blood pressure monitoring and the use of transesophageal cardiac ultrasonography

Keywords : Heart failure, diastolic; Anesthesia; Ultrasonography; Echocardiography.

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