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Coexisting Cardiac and Hematologic Disorders

Jordan E Goldhammer1, Benjamin A Kohl1

  • 1Department of Anesthesiology, Sidney Kimmel Medical College, Thomas Jefferson University, 111 South 11th Street, Philadelphia, PA 19107, USA.

Anesthesiology Clinics
|November 7, 2016
PubMed

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.

Keywords:
Anticoagulation management of severe heart failureCardiac manifestations of sickle cell diseaseEssential thrombocytosisIdiopathic thrombotic purpuraPerioperative anticoagulation management of artificial heart valvesPerioperative anticoagulation management of ventricular assist devicesPerioperative transfusion threshold

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