RESUMEN
The authors consider the ever-increasing number of depressed patients, related to the stress of modern life and to the prolongation of life span. They stress that these patients are often cardiopathic or impaired by the senile heart. Finally they illustrate the cardiovascular effects of antidepressant drugs and how to avoid them.
Asunto(s)
Antidepresivos/efectos adversos , Sistema Cardiovascular/efectos de los fármacos , Anciano , Animales , Antiarrítmicos/farmacología , Antidepresivos/farmacología , Antidepresivos Tricíclicos/efectos adversos , Arritmias Cardíacas/inducido químicamente , Arritmias Cardíacas/tratamiento farmacológico , Depresión/inducido químicamente , Depresión/complicaciones , Digitalis , Interacciones Farmacológicas , Cardiopatías/inducido químicamente , Cardiopatías/complicaciones , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Hipotensión/inducido químicamente , Plantas Medicinales , Plantas TóxicasRESUMEN
After recalling cardiac disorders and the cardiac risk of non cardiac surgery, the authors illustrate the methods for evaluating clinical risk in individual patients, the instrumental procedures appropriate for the diagnosis of ventricular dysfunction or myocardial ischemia which are responsible for the majority of cardiac complications during surgery. Finally, they describe alternative therapies for high-risk patients.
Asunto(s)
Cardiopatías/complicaciones , Procedimientos Quirúrgicos Operativos , Adulto , Factores de Edad , Anciano , Niño , Preescolar , Electrocardiografía , Femenino , Humanos , Masculino , Complicaciones Posoperatorias/prevención & control , Premedicación , Factores de Riesgo , Factores SexualesRESUMEN
The authors describe the diagnosis of a rare neoplasm, a sacrococcygeal chordoma, which was suspected in view of compressive symptoms and diagnosed with the aid of endoscopic and x-ray methods (barium enema and CT). Diagnosis was confirmed at surgery.