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Example text
In a recent study, Argenziano et al found that about 10% of patients undergoing cardiac surgery experienced hypotension by vasodilation after bypass surgery, which not necessarily is associated with cardiogenic or septic shock. Interestingly, in situations in which hypotension persists after surgery RVM, smooth muscle cells become less sensitive to circulating catecholamines. This phenomenon is due to decreased function of adrenergic receptors, the study of 50 patients conducted at Columbia Presbyterian Medical Center undergoing cardiac surgery were treated with vasopressin in the operating room or intensive therapy in the first 24 hr surgery (6).
This is done by direct measurement of cardiac output by thermodilution technique. Authors such as J. 5 L/min/m2 cardiac index usually require therapeutic intervention, whatever its value must be accompanied by systemic vascular resistance values normal or elevated, for differentiation vasoplegic syndrome that presents with decreased systemic vascular resistance. The radionuclide ventriculography with Technetium 99 is an excellent diagnostic tool, with it you can obtain the ejection fraction as much of the left ventricle of the right ventricle, and allows cardiac tamponade diagnosed by the presence of pericardial blood or clots in relation to Echocardiography its main drawback is to obtain an acceptable acoustic window in this group of patients, however these problems have been solved with transesophageal echocardiography.
St. Louis, Baltimore, Boston, Chicago, London, Madrid, Philadelphia, Sydney, Toronto: Mosby, 1993. [4] Casey LC. Roles of cytokines in the pathogenesis of multisystem organ failure induced cardiopulmonary. Ann Thorac Surg 1993; S6: S92-S96. [5] Huddy SP, Joyce WP. Pepper JR. 473 bypass surgery. Br J Surg 1991; 78:293-296. [6] CHV Thakar, Jared JP, Worley S, Cotman K, Paganini EP. Renal dysfunction and Serious Infections After open-heart surgery. Kidney Int 2003; 64:239-246. [7] Laffey J, Boylan J, Cheng D.