The use of cardioselective β-blockers in a patient with idiopathic hypertrophic subaortic stenosis and chronic obstructive pulmonary disease |
| |
Authors: | Alex Bekker MD, PhD, Khaled Sorour MD,Sanford Miller MD |
| |
Affiliation: | a Department of Anesthesiology, New York University Medical Center, New York, NY10016, USA |
| |
Abstract: | The β-adrenergic receptor blocking drugs are commonly used in the treatment of patients with idiopathic hypertropic subaortic stenosis (IHSS). These drugs, however, are contraindicated in patients with chronic obstructive pulmonary disease (COPD). We report the anesthetic management of a patient with IHSS complicated by severe COPD. We concluded that the β1 selective, ultra-short acting β-blocker, esmolol, can be used intraoperatively when both conditions are present. The pathophysiology and the commonly used anesthetic drugs and practices for treatment of patients with IHSS are reviewed. |
| |
Keywords: | β-adrenergic blocking drugs cardiomyopathy hypertrophic chronic obstructive pulmonary disease esmolol idiopathic hypertrophic subaortic stenosis |
本文献已被 ScienceDirect 等数据库收录! |
|