Why the study?
Managing parturient women with cardiac disease is challenging, existing cardiac indices have limited predictive value for perioperative complications, and BNP serves as a prognosticator of complications.
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Population
Parturient women with cardiovascular diseases undergoing cesarean section
Comparison
General anesthesia versus spinal anesthesia
Spinal anesthesia may reduce cardiac stress and complications; hypothesis-generating and should not yet change practice.
Background Dealing with parturient women with cardiac disease is still a challenge for anesthesiologists due to the presence of physiologic burden of pregnancy in addition to the already existing compromised cardiovascular system. A variety of cardiac indices have been utilized to forecast the risk of perioperative cardiac complications, yet limitations in their predictive value exist. Perioperative brain natriuretic peptide (BNP) level is used as a prognosticator of cardiac complications following surgery in cardiac and non-cardiac individuals.
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Omar et al. (2023) studied this question.
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