Diastolic Ventricular Insufficiency and Use of Anesthetics

Abstract

Heart failure is a pathology that generates a progressive deterioration that little by little compromises the functional capacity of the individual who suffers from it, affecting the ability of the heart to pump blood to the body adequately. Regarding its prevalence in general, it can affect from 1% to 14% of the population in the United States and Europe. In Colombia, according to a study published in 2012, heart failure has a prevalence in the general population of 2.3%, with 67.5% being heart failure with preserved EF. This is classified according to the ejection fraction of the patients, which may be preserved or decreased. Diastolic ventricular dysfunction is of the type with normal ejection fraction. Its incidence varies in critically ill patients between 40 and 80%, the use of anesthetics in these patients has not been much studied, and however, some very important considerations can be taken into account when applying them. Methodology A narrative review was carried out, in which different databases were used such as Scielo, PubMed, Sciencedirect, academic google, among others. The selection of articles was made through indexed journals in English and Spanish languages from 2010 to 2021 that met the selection criteria. Results Diastolic dysfunction includes an alteration in diastolic ventricular compliance; that is, it affects cardiac filling, when the