Aortix can disrupt the harmful cardiorenal cycle in two ways: above the pump, it rests the heart by reducing aortic root pressure (
afterload) resulting in increased cardiac output and decreased cardiac work; downstream, it provides increased blood flow to the kidneys resulting in increased urine output and a reduction in fluid overload.
The management of ApHCM is mainly symptomatic using medications such as beta-blockers or nondihydropyridine calcium-channel blockers to control the heart rate, and also angiotensin-converting enzyme inhibitors (ACEIs) to reduce the left ventricle
afterload and adverse cardiac remodeling.
Increased
afterload leads to right ventricular dysfunction in a case of submassive PE.
The presystolic deflation of the balloon reduces
afterload, consequently decreasing myocardial workload, resulting in reduced myocardial oxygen demand.
These compensatory mechanisms include increased pre-load (volume and pressure or myocardial fiber length of the ventricle before contraction), increased
afterload (vascular resistance), ventricular hypertrophy (increased muscle mass), and dilation (Arcangelo, Peterson, Wilbur, & Reinhold, 2017).
On the basis of product type, Centrifugal Blood Pump are broadly categorized into three types including non -- occlusive centrifugal pump, preload dependent centrifugal pump, and
afterload dependent centrifugal pump.
Acute cor pulmonale (ACP) is common in severe ARDS patients and is always ignored.[34] The prevalence rate of echocardiographically evident ACP in ARDS ranges from 22.0% to 50.0%.[35] Treatment of ACP in ARDS includes optimization of right ventricle preload and
afterload; increased right ventricle contractility, pulmonary vasodilators, and lung protective ventilation are the important methods for reducing right ventricle
afterload.
Accordingly, when there is an increase in
afterload, wall thickness will increase which is an adaptive process in order to maintain wall stress normal.
(6) Bu durum sag kalbe olan venoz donusu (preload) ve akciger venoz basinci arttirirken sol ventrikul onundeki (
afterload) yuku de artirarak akciger kapiller basincin artisina neden olmaktadir.
The primary goal in such cases is to maintain a heart rate of 80 to 100 beats / min, reduce the
afterload and to offer adequate depth of anesthesia.
The basic principles for anaesthetizing a patient with cardiac disease are maintaining both
afterload and preload along with a sinus rhythm.