Optimising cardiac function before emergency surgery
An elderly man with known heart failure presents to the emergency department with severe abdominal pain. He requires emergency surgery, but it is feared that it will trigger manifest heart failure. What would you do to help this patient? The following infographic shows how effective preoperative optimisation of his cardiovascular status enabled him to successfully undergo and recover from abdominal surgery.
An 83 year-old male has been rushed to hospital due to increased shortness of breath and abdominal distension. He has a history of chronic heart failure and paroxysmal atrial fibrillation. How would you treat this patient?