Coexisting Cardiac and Hematologic Disorders

Publication date: December 2016
Source:Anesthesiology Clinics, Volume 34, Issue 4
Author(s): Jordan E. Goldhammer, Benjamin A. Kohl

Teaser

Patients with concomitant cardiac and hematologic disorders presenting for noncardiac surgery are challenging. Anemic patients with cardiac disease should be approached in a methodical fashion. Transfusion triggers and target should be based on underlying symptomatology. The approach to anticoagulation management in patients with artificial heart valves, cardiac devices, or severe heart failure in the operative setting must encompass a complete understanding of the rationale of a patient's therapy as well as calculate the risk of changing this regimen. This article focuses common disorders and discusses strategies to optimize care in patients with coexisting cardiac and hematologic disease.


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