HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Ahmed A. Alsaddique Alistair G. Royse Colin F. Royse Mohammed A. Fouda Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Alsaddique, A. A. Articles by Fouda, M. A. Search for Related Content PubMed Articles by Alsaddique, A. A. Articles by Fouda, M. A. Related Collections Cardiac - physiology Cardiac - other

Review

Management of diastolic heart failure following cardiac surgery

^a King Fahad Cardiac Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia
^b Cardiovascular Therapeutics Unit, Department of Pharmacology, University of Melbourne, Melbourne, Australia
^c Department of Cardiac Surgery, The Royal Melbourne Hospital, Parkville, Australia
^d Anaesthesia and Pain Management Unit, Department of Pharmacology, University of Melbourne, Melbourne, Australia
^e Department of Anaesthesia and Pain Management, The Royal Melbourne Hospital, Parkville, Australia
^f King Fahad Cardiac Center, King Saud University, Riyadh, Saudi Arabia

Received 26 August 2008; received in revised form 26 October 2008; accepted 29 October 2008.

^_* Corresponding author. Address: P.O. Box 7805, Riyadh 11472, Saudi Arabia. Tel.: +966 1 467 1575; fax: +966 1 468 9493. (Email: alsadd{at}hotmail.com; alistair.royse{at}unimelb.edu.au; colin.royse{at}unimelb.edu.au; dr.mfouda{at}gmail.com).

A considerable number of patients who undergo cardiac surgery have a variety of comorbid conditions that includes diastolic dysfunction. Abnormalities of diastolic function may lead to diastolic heart failure that can complicate their postoperative course. This form of failure occurs more commonly in patients with hypertensive or valvular heart disease, diabetes mellitus, myocardial ischaemia, as well as in hypertrophic or restrictive cardiomyopathy, and is more prevalent in the elderly. In spite of it being a common cause of heart failure it remains underreported in the postoperative heart. We reviewed relevant literature analysing the different therapeutic approaches and formulated a management plan for diastolic heart failure in the postoperative heart in the intensive care environment based on the most current understanding of this form of cardiac failure.

Key Words: Diastolic • Heart failure • Postoperative • Cardiac surgery