A. Mureşan 1, R. Macovei 2
1 MD, Centre Hospitalier Universitaire d’Amiens, Pôle Anesthésie – Réanimation, France
2 MD, PhD, Clinical Emergency Hospital Bucharest, Anesthesiology – Intensive Care, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
Abstract
Cardiac failure is a frequently associated pathology in surgical diseases, both as emergency or as programmed surgery, which requires a particular approach to anesthesia, from the commencement of the anamnesis and the clinical examination. Assessment of the brain natriuretic peptide can be useful as diagnosis marker but also as prognostic element of cardiac failure, in particular of left ventricular distress; it also conveys a signifi cant input in the diff erential diagnosis with acute pulmonary dyspneic pathology. An early detection of perioperative myocardial ischemia is essential to the syndrome’s therapeutic approach.