Hypothyroid patient undergoing Coronary bypass surgery- a nightmare, perioperative management challenge.

International Journal of Biomedical and Advance Research

Anand Rampure Vittal Rao ; Anand Kumar P G ; Santosh C Gudimani

关键词: s Hypothyroid, coronary artery bypass grafting, cardiac function, systemic vascular resistance, levosimendan;   

学科分类：药学、药理学、毒理学（综合）

来源: Scholar Science Journals

【 摘 要 】

The management of hypothyroid patients for coronary artery bypass grafting (CABG) surgery has remained challenging. The patient will have depressed cardiac function with unpredictable response to the routine inotropes, depressed adrenergic response and baroreceptor reflexes, as well as increased systemic vascular resistance (SVR).Though there have been reports about the successful management of such patients, the risk is definitely higher. We hereby describe how we managed a grossly hypothyroid patient with unstable angina, using Levosimendan as the first choice inotrope.

【 授权许可】

CC BY