ASSESSMENT OF PATIENT WITH CARDIAC DISEASE

The main objects in assessment of patients with cardiac

: disease are

a-to determine the capibilty of the heart and circulation to

withstand the stresses which accompany anaesthesia and
surgery , not only during the operative period but equally
.in the post –operative period

b- to make alogical choice of anaesthetic techniques and

supportivetherapy, based on an understanding of the
.patient's haemodynamic state

:DIAGNOSIS

Assessment involves firstly the nature and severity of the

spescific lesion present.Then we can determine the
.complication which might occur

: So assessment include

.a-The state of myocardiam

.b-The state of the vesseles
.c-The conditions of the lungs
.d-The functions of the other organs
.e-The neurological function
 :CLINICAL ASSESSMENTS
BY
a-history
.b- examination

:Observation of the patient

By simple measures like ability to claim strains
.without stop, doing housework normally

:SYMPTOMS
.angina-1
dyspnoea-2
cough-3
.palpitation-4
.syncope-5
.haemoptysis -6
.peripheral odema -7
.hepatic pain-8
.medication history,eg:digoxine-9

: EXAMINATION OF THE PATIENT

.jeneral appearance; eg: cynosis, obesity-1
.blood pressure , if hypertension-2
.cardiac palpation if cardiomegaly-3
cardiac auscultation: if murmurs are present for -4
.eg
lungs:if pleural effusion, cripitation, incraesed-5
.bronchial secretion, wide spread rhonchi
.liver:if palpable or jaundice-6
.odema-7
 ;ESPECIAL TESTS
.Chest radiography-1
blood test :eg,Hb, potassium level , liver function-2
.test , creatinine, urea, TFT
.ECG-3
.Cardiac catheterisation andangiocardiography-4

.PREOPERATIVE TRATMENT

Depend upon type of cardiac disease and the type

.of operation
In jeneral treatment is directed to the correction of
cardiac failure, prevention or treament of
dysrhythmias , the symptomatic mangment of
coronary artery disease and the treatment of
.hypertension