Experience of approach to risk stratification of a patient with an extremely low emission fraction before performing extracardial surgical intervention in the conditions of оncological profile clinic
Abstract
Oncological and cardiovascular diseases are the leading causes of morbidity and mortality in the Russian population. Surgical treatment of patients with severe cardiovascular diseases requires a thorough assessment of cardiovascular risk. The article describes the experience of risk stratification in a patient with severe heart failure. A thorough assessment of the functional status of the patient showed that, despite the extremely low level of the cardiac output fraction, the patient's chronic heart failure is at the stage of compensation, and, therefore, surgical treatment is possible. Further observation confirmed the previously assessed risks. The patient successfully underwent three surgical operations, which allowed him to achieve remission of cancer.
About the Authors
N. L Kostina
Kursk State Medical University
Russian Federation
Russian Federation
Candidate of Medical Sciences
N. L. Lysovolenko
Kursk Cancer Research and Clinical Center named after G.E. Ostroverkhov
Russian Federation
Russian Federation
I. E. Alekseev
Kursk Cancer Research and Clinical Center named after G.E. Ostroverkhov
Russian Federation
Russian Federation
References
1. Щукин, Ю.В. Прогнозирование и профилактика кардиальных осложнений внесердечных хирургических вмешательств / Ю.В. Щукин, С.М. Хохлунов, Е.А. Суркова // Кардиоваскулярная терапия и профилактика. – 2011. – Т.10, № 6. – С. 1-28.
2. Poldermans, D. Рекомендации по оценке сердечно-сосудистого риска перед операциями и ведению пациентов при некардиальных операциях / D. Poldermans // Рациональная фармакотерапия в кардиологии. – 2010. – № 6. – С. 391-412.
3. Poldermans, D. Рекомендации по оценке сердечно-сосудистого риска перед операциями и ведению пациентов при некардиальных операциях / D. Poldermans // Рацион фармакотерапия в кардиологии. – 2010. – № 6. – С. 578-598.
4. Perioperative cardiovascular mortality in noncardiac surgery: validation of the Lee cardiac risk index / E. Boersma, M.D. Kertai, O. Schouten [et al.] // The American journal of medicine. – 2005. – V. 118. – P. 1134-1141.
5. Guidelines for perioperative cardiovascular evaluation for noncardiac surgery: report of the American College of Cardiology / K.A. Eagle, B.H. Brundage, B.R. Chaitman [et al.] // American Heart Association Task Force on Practice Guidelines (Committee on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation. – 1996. – V. 93. – P. 1278-1317.
6. Echocardiography for assessing cardiac risk in patients having noncardiac surgery. Study of Perioperative Ischemia Research Group / E.A. Halm, W.S. Browner, J.F. Tubau [et al.] // Annals of internal medicine. – 1996. – V. 125. – P. 433-441.
7. Optimizing the prediction of perioperative mortality in vascular surgery by using a customized probability model / Kertai M.D., Boersma E., Klein J. [et al.] // Archives of internal medicine. – 2005. – V. 165, № 8. – P. 898-904
8. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery / T.H. Lee, E.R. Marcantonio, C.M. Mangione [et al.] // Circulation. – 1999. – V. 100, № 10. – P. 1043-1049.
9. Sun, J.P. Quantification of Left Ventricular Regional Myocardial Function Using Two – Dimensional Speckle Tracking Echocardiography in Healthy Volunteers –A
10. Multi-Center Study / J.P. Sun, A. Pui-Wai Lee, C. Wu // Int.J.Cardiol. – 2013. – V.167, № 2. – P. 495-501. – DOI:10.1016/j.ijcard.2012.01.071.
11. Mortality and Readmission of Patients With Heart Failure, Atrial Fibrillation, or Coronary Artery Disease Undergoing Noncardiac Surgery An Analysis of 38 047 Patients / S. Van Diepen, J.A. Bakal, F.A. McAlister [et al.] // Circulation. – 2011. – V. 124. – P. 289-296.
Review
For citations:
Kostina N.L., Lysovolenko N.L., Alekseev I.E. Experience of approach to risk stratification of a patient with an extremely low emission fraction before performing extracardial surgical intervention in the conditions of оncological profile clinic. Innova. 2021;(2):53-57. (In Russ.)
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