Анестезия и клинические исследования
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The Role of Pre-Operative Focused Transthoracic Echocardiography in Anesthetic Management of Old Age Patients with Potential Risk of Post-Operative Cardiac Complications

Ahmed F. Abd Elatif, Hatem S. Mohamed, Mohamed S. Ahmed, Alaa Ali M. Elzohry

Background and aim of the study: To what extent focused transthoracic echocardiography when done preoperatively to patients admitted for elective surgery and suspected to be at risk of cardiac disease specially the geriatric population can affect perioperative anesthetic management of these patients.

Methods: This study was done at Qena university hospitals and 100 patients were included, >60 years of age who were subjected to preoperative transthoracic echocardiography (TTE) to evaluate hemodynamic state, left and right ventricular functions, systolic and diastolic volumes and pressures, valves diameters and competency, pericardial effusion and pulmonary artery pressure.

Results: Our results showed changes in clinical diagnosis in the form of reporting 26% of patients with impaired ejection fraction of left ventricle, 18% valve lesions, and diastolic dysfunction in 40% of patients. Accordingly 4% of patients were canceled and the anesthetic management was changed in 20% of patients.

Conclusions: preoperative focused TTE can help decision making in perioperative management of old age patients suspected to be at risk of post operative cardiac complications.