Hypothyroid patient undergoing Coronary bypass surgery- a nightmare, perioperative management challenge.

Authors

  • Anand Rampure Vittal Rao Associate Professor, Department of Anaesthesiology, Saveetha Medical College, Thandalam, Chennai 602105
  • Anand Kumar P G Associate Professor, Department of Surgery, Kannur Medical College, Anjarakandy, Kannur 670612
  • Santosh C Gudimani Associate Professor, Department of Surgery, Kannur Medical College, Anjarakandy, Kannur 670612

DOI:

https://doi.org/10.7439/ijbar.v5i11.934

Keywords:

Cardiovascular disease, pre-menopause, Post menopause, physiological parameters, lipid profile

Abstract

The management of hypothyroid patients for coronary artery bypass grafting (CABG) surgery has remained challenging. The patient will have depressed cardiac function with unpredictable response to the routine inotropes, depressed adrenergic response and baroreceptor reflexes, as well as increased systemic vascular resistance (SVR).Though there have been reports about the successful management of such patients, the risk is definitely higher. We hereby describe how we managed a grossly hypothyroid patient with unstable angina, using Levosimendan as the first choice inotrope.

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Author Biography

  • Anand Rampure Vittal Rao, Associate Professor, Department of Anaesthesiology, Saveetha Medical College, Thandalam, Chennai 602105
    Anaesthesiology, Associate Professor

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Published

2014-11-30

Issue

Vol. 5 No. 11 (2014): Nov

Section

Case Report

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How to Cite

Hypothyroid patient undergoing Coronary bypass surgery- a nightmare, perioperative management challenge. (2014). International Journal of Biomedical and Advance Research, 5(11), 571-572. https://doi.org/10.7439/ijbar.v5i11.934
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