General Anesthesia in Patients with Cardiac Risk Factors
Dr. Richard Rust serves as an anesthesiologist at Northside Anesthesia Services in Indianapolis, Indiana, where he works to ensure patients’ comfort and safety during surgery. In cases of elective surgery, Dr. Richard Rust may help to determine whether a patient’s heart is strong enough for anesthesia.
General anesthesia keeps patients insensible to pain during surgery by rendering them unconscious. In doing so, however, the anesthetic drugs also suppress several of the body’s core automatic functions, including heartbeat and circulation. Because certain procedures put a higher strain on the heart, patients with pre-existing heart conditions may be at higher risk of heart problems, such as myocardial infarction (heart attack), during surgery. Fortunately, there are preventive steps that an anesthesiologist can take, provided that patients disclose those elements of their history.
Full disclosure of medical history is also essential to an anesthesiologist’s ability to prevent irregular heart rate during surgery. This irregularity, known as arrhythmia, may occur when the heart adjusts to compensate for surgery-related changes in blood flow. Because certain medications can increase these risks, anesthesiologists must also be alerted of patient medication regimens.
A heart condition does not necessarily mean that a person will experience any of these complications, but it may mean that a patient’s doctor will caution against elective surgery. If the surgery is medically necessary, however, the patient will need extremely close monitoring by a qualified anesthesiologist.