Tough Case: Beach Chair Position
A 74 year old attorney presents for Right Shoulder replacement. He was a civil trial lawyer but retired 6 years ago. HIs main concern is "stroke" from the anesthesia as he was informed by the surgeon his position will be beach chair for 2.5 hours. PMH: HTN CAD One Coronary stent placed 2 years ago; recent stress test from 6/2011 is fine. MI 2004 Obesity Dyslipidemia Mild GERD Gout NIDDM (diagnosed in 2009) PSH: Appy at age 14 CABG X 3 in 2004 Lap Chole in 2008 Meds: Enalapril... Tough Case: Beach Chair Position (Source: Student Doctor Network)
Source: Student Doctor Network - August 1, 2017 Category: Universities & Medical Training Authors: BLADEMDA Source Type: forums

Can we prevent chemo related cardiac damage?
I think this study is very exciting- Enalapril and carvedilol for preventing chemotherapy-induced left ventricular systolic dysfunction in patients with malignant hemopathies: The OVERCOME trial. J Am Coll Cardiol 2013; DOI: 10.1016/j.jacc.2013.02.072. Available here. In patients with haematological maligancies pretreatment with enalapril and carvedilol appears to ameliorate the reduction in LV ejection fractionBUT it is only a small study with a small change in EF so I guess we need  a larger study but certainly appears promising!sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 15, 2013 Category: Cardiology Authors: sadian Source Type: forums