![]() | Only 14 pages are availabe for public view |
Abstract In the past decade, improved understanding of the haemodynarnic and mechanical mechanisms of myocardial contraction and cardiac performance has contributed to the better care of patients who have heart disease and circulatory derangements. Also advances in engineering and electronic technology have contributed to the development of methods routinely employed for monitoring cardiovascular function in severely ill cardiac patients. These methods have found widespread clinical application as they provide more reliable measurement than do clinical impressions (Lappas et al., 1977). Cardiac dysfunction occurring in the perioperative period requlros prompt diagnosis and intervention. Selection of the appropriate treatment depends on an understanding of the pathophysiologic mechanisms involved, identification of the cause of.inadequate peripheral perfusion,and correction of extracardiac factors that may be contributing to low cardiac output (Lappas et al.,l977). |