Stroke RSS Page 11

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Condition: Hypertension
Procedure: Anesthesia

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Total 235 results found since Jan 2013.

Pre-eclampsia through the eyes of the obstetrician and anesthesiologist
Hypertensive disorders of pregnancy (HDP) complicate approximately 5 –10% of pregnancies. In the past 20 years, the incidence of HDPs has increased by 25%.1 These disorders, combined with delayed or inadequate treatment of severe systolic hypertension, continue to be leading causes of maternal death; nearly one woman dies every day in the United States of America (USA) and there are an additional 50–60 000 deaths per year worldwide.2,3 A vast majority of deaths result from hemorrhagic stroke and the complications of seizures.
Source: International Journal of Obstetric Anesthesia - April 12, 2019 Category: Anesthesiology Authors: M.M. Siddiqui, J.M. Banayan, J.E. Hofer Tags: Review article Source Type: research

Preeclampsia and Risk of Dementia Later in Life: A Nationwide Cohort Study
(BMJ. 2018;363:k4109) Vascular dysfunction plays an important role in the pathophysiology of preeclampsia, and women with a history of preeclampsia face an increased risk of other cardiovascular disorders after pregnancy, including hypertension and stroke. Given these associations, women with preeclampsia might also be at increased risk of developing dementia. Previous studies that have investigated the association between hypertensive disorders of pregnancy and dementia later in life have had limitations such as being underpowered and dependent on self-reported information. This current study used a large register-based ...
Source: Obstetric Anesthesia Digest - August 27, 2019 Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research

Early or Late Pregnancy Loss and Development of Clinical Cardiovascular Disease Risk Factors: A Prospective Cohort Study
This study aimed to assess the associations of pregnancy loss and risk of hypertension, type 2 diabetes (T2D), and hypercholesterolemia.
Source: Obstetric Anesthesia Digest - November 26, 2019 Category: Anesthesiology Tags: Mother, Fetus, Neonate Source Type: research

Anesthesia Management for a Patient Undergoing Pulmonary Endarterctomy without Cardiopulmonary Bypass
Abstract Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperativ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors and Prognostic Impact of In-hospital Bleeding after Transcatheter Aortic Valve Replacement According to BARC and VARC-2 Definitions
Abstract Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperativ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Erratum
Abstract Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperativ...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preoperative Vitamin D Concentration and Cardiac, Renal, and Infectious Morbidity after Noncardiac Surgery
Conclusions Preoperative vitamin D was not associated with a composite of postoperative 30-day cardiac outcomes. However, there was a significant association between vitamin D deficiency and a composite of infectious complications and decreased kidney function. While renal effects were not clinically meaningful, the effect of vitamin D supplementation on infectious complications requires further study.
Source: Anesthesiology - December 13, 2019 Category: Anesthesiology Source Type: research

CHA2DS2-VASc Score and In-Hospital Mortality in Critically Ill Patients With New-Onset Atrial Fibrillation
To examine the role of the CHA2DS2-VASc (Congestive heart failure; Hypertension; Age ≥75 years [doubled]; Diabetes; previous Stroke, transient ischemic attack, or thromboembolism [doubled]; Vascular disease; Age 65-75 years; and Sex category) score as a prognostic marker of in-hospital mortality in critically ill patients who develop new-onset atrial fibrillation (NOAF).
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 29, 2019 Category: Anesthesiology Authors: Kunal Karamchandani, Robert S. Schoaps, Thomas Abendroth, Zyad J. Carr, Tonya S. King, Anthony Bonavia Tags: Original Article Source Type: research

Anaphylaxis-induced atrial fibrillation and anesthesia: Pathophysiologic and therapeutic considerations.
Abstract Atrial fibrillation is the most common cardiac arrhythmia in western society affecting more than 35 million individuals worldwide annually. It is a common postoperative complication and may also occur spontaneously during general and local anesthesia administration. Aging, diabetes mellitus, hypertension, and cardiovascular diseases including cardiomyopathies, congenital cardiac anomalies, heart failure, myocardial ischemia, pericarditis, previous cardiac surgery, vascular disease, and valvular heart disease are some correlated factors. Beyond age, increased incidence of atrial fibrillation has been corre...
Source: Annals of Cardiac Anaesthesia - December 31, 2019 Category: Anesthesiology Authors: Kounis NG, Koniari I, Tzanis G, Soufras GD, Velissaris D, Hahalis G Tags: Ann Card Anaesth Source Type: research

Pulmonary Vasodilation by Intravenous Infusion of Organic Mononitrites Of 1,2-Propanediol in Acute Pulmonary Hypertension Induced by Aortic Cross Clamping and Reperfusion: A Comparison With Nitroglycerin in Anesthetized Pigs
Conclusions: PDNO was an effective pulmonary vasodilator and appeared superior to nitroglycerin and inorganic nitrite, without causing significant systemic hypotension, impaired arterial oxygenation, or methaemoglobin formation in an animal model of SRACC and reperfusion. Also, PDNO may have kidney-protective effects and anti-inflammatory properties.
Source: Shock - June 12, 2020 Category: Emergency Medicine Tags: Basic Science Aspects Source Type: research

Torsades de Pointes in Coronavirus Disease 2019 Infection
A 73-YEAR-OLD MAN (weight 69 kg, height 175 cm) was transferred to the authors ’ critical care unit with respiratory and acute renal failure secondary to coronavirus disease 2019 (COVID-19) infection. His past medical history included hypertension, diabetes, and previous stroke, from which he had made a full recovery. The patient was treated with mechanical ventilation and p eritoneal dialysis. He was recruited into the hydroxychloroquine arm of the RECOVERY (Randomised Evaluation of COVID-19 Therapy) trial.
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 31, 2020 Category: Anesthesiology Authors: Bagrat Lalabekyan, Gudrun Kunst, Vanessa A. Skelton Tags: Diagnostic Dilemma Source Type: research

Intraoperative factors contributory to myocardial injury in high-risk patients undergoing abdominal surgery in a South Indian population
Conclusions: Female patients with CAD undergoing abdominal surgery, needing vasopressors and transfusion of plasma are at high risk for MINS with higher hospital mortality and merit vigilant monitoring postoperatively.
Source: Indian Journal of Anaesthesia - August 31, 2020 Category: Anesthesiology Authors: G Gopan Lakshmi Kumar Anjana Rajan Babu Abish Sudhakar Rubin George Vidya P Menon Source Type: research

A figure of eight and a circle within a circle: is this left ventricular geometry responsible for multiple embolic strokes two years after inferior wall myocardial infarction?
An 83-year-old, 165 cm, 67 kg man with hypertension, hyperlipidemia, and stage III chronic kidney disease presented for evaluation after several strokes. The patient suffered an inferior wall myocardial infarction two years before the current admission and more recently, underwent placement of a stent in the left circumflex coronary artery at a community hospital for treatment of a hemodynamically significant stenosis. The patient reported he was physically active after his most recent stroke with improved strength in his right upper and lower extremities.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 23, 2020 Category: Anesthesiology Authors: Ryan M. Davidovich, Benjamin M. Mathews, Zafar Iqbal, Xavier V. Jean, Heather A. Sutter, G. Hossein Almassi, Paul S. Pagel Source Type: research

Regulation of cerebral blood flow in humans: physiology and clinical implications of autoregulation
Physiol Rev. 2021 Mar 26. doi: 10.1152/physrev.00022.2020. Online ahead of print.ABSTRACTBrain function critically depends on a close matching between metabolic demands, appropriate delivery of oxygen and nutrients, and removal of cellular waste. This matching requires continuous regulation of cerebral blood flow (CBF), which can be categorized into four broad topics: 1) autoregulation, which describes the response of the cerebrovasculature to changes in perfusion pressure, 2) vascular reactivity to vasoactive stimuli [including carbon dioxide (CO2)], 3) neurovascular coupling (NVC), i.e., the CBF response to local changes...
Source: Physiological Reviews - March 26, 2021 Category: Physiology Authors: Jurgen A H R Claassen Dick H J Thijssen Ronney B Panerai Frank M Faraci Source Type: research

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