ISCHEMIC HEART DISEASE AFFECTED BY RENAL FAILURE IN POSTOPERATIVE ORTHOPEDIC LOWER SURGERY: A CASE REPORT

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FATHI MEHDI; IMANI FARNAD; JOUDI MARJAN; GOODARZI VAHID; SHAHHOSSEINI GHOLAM REZA

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Journal: Journal of Anesthesiology and Pain Year:2011 | Volume:1 | Issue:4 Page(s): 79-84

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Title

ISCHEMIC HEART DISEASE AFFECTED BY RENAL FAILURE IN POSTOPERATIVE ORTHOPEDIC LOWER SURGERY: A CASE REPORT

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Keywords

ACUTE TUBULAR NECROSISQ3

ACE INHIBITORQ2

DIABETES MELLITUSQ3

ISCHEMIC HEART DISEASEQ4

INTER-TROCHANTRIC FRACTUREQ2

Abstract

Background: Renal dysfunction in the surgical patient is usually multifactorial: the most common cause is ACUTE TUBULAR NECROSIS (ATN) as a result of hypoxic damage to renal cells. Intra-operative events such as hypoxia and hypotension Anesthesiology and Pain Vol.1, No 4, Summer 2011 (ISRAPM) undoubtedly play an important role in this regards. Besides, among the peri-operative risk factors for ATN we can mention history of ISCHEMIC HEART DISEASEs and hypertension, age more than 65 years, DIABETES MELLITUS, ACE INHIBITOR therapy, other comorbid illnesses, oliguria, sepsis, mechanical ventilation, and multiorgan failure.Results: In this special case, as we will discuss more, you would realize that our patient was an 89 years old woman with hypertension, ISCHEMIC HEART DISEASE, and diabet, with history of myocardial infarction. She had heart failure with ejection fraction of 30% and severe pulmonary hypertension who had also AF rhythm refractory to every kind of therapy. As she had to be operated due to falling down and her intertrochanteric fracture, spinal anesthesia was chosen for her. However following the scenario which will be mentioned, she passed away unfortunately because of post –operative ATN in the ICU.

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APA: Copy

FATHI, MEHDI, IMANI, FARNAD, JOUDI, MARJAN, GOODARZI, VAHID, & SHAHHOSSEINI, GHOLAM REZA. (2011). ISCHEMIC HEART DISEASE AFFECTED BY RENAL FAILURE IN POSTOPERATIVE ORTHOPEDIC LOWER SURGERY: A CASE REPORT. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), 1(4), 79-84. SID. https://sid.ir/paper/216323/en

Vancouver: Copy

FATHI MEHDI, IMANI FARNAD, JOUDI MARJAN, GOODARZI VAHID, SHAHHOSSEINI GHOLAM REZA. ISCHEMIC HEART DISEASE AFFECTED BY RENAL FAILURE IN POSTOPERATIVE ORTHOPEDIC LOWER SURGERY: A CASE REPORT. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)[Internet]. 2011;1(4):79-84. Available from: https://sid.ir/paper/216323/en

IEEE: Copy

MEHDI FATHI, FARNAD IMANI, MARJAN JOUDI, VAHID GOODARZI, and GHOLAM REZA SHAHHOSSEINI, “ISCHEMIC HEART DISEASE AFFECTED BY RENAL FAILURE IN POSTOPERATIVE ORTHOPEDIC LOWER SURGERY: A CASE REPORT,” JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), vol. 1, no. 4, pp. 79–84, 2011, [Online]. Available: https://sid.ir/paper/216323/en

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