Grade III diastolic dysfunction in surgical patients is linked to increased incidence of major adverse cardiovascular events and peri-operative complications.
Highlights the significant peri-operative risks, including haemodynamic instability and pulmonary oedema, in surgical patients with chronic kidney disease and severe left ventricular diastolic dysfunction.
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Left ventricular diastolic dysfunction is frequently noticed in patients with chronic kidney disease. Echocardiography is used to determine the presence and severity of diastolic dysfunction. In left ventricular diastolic dysfunction the ventricular diastolic distensibility, filling or relaxation is abnormal; however, the left ventricular ejection fraction may be normal or decreased. In heart failure with preserved ejection fraction, the patients have symptomatic pulmonary congestion even though the systolic ejection fraction is more than 50%. This condition is commonly associated with ventricular diastolic dysfunction. Increased incidence of major adverse cardiovascular events has been reported in surgical patients having grade III diastolic dysfunction. Peri-operatively haemodynamic instability and fluid overload in this set of patients is known to generate pulmonary oedema.
Kapoor et al. (Mon,) reported a other. Grade III diastolic dysfunction in surgical patients is linked to increased incidence of major adverse cardiovascular events and peri-operative complications.
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