In this cohort of 313 patients undergoing vascular surgery, all had TEE performed to define systolic and diastolic dysfunction. Of the patients, 8% had systolic dysfunction, 43% had diastolic dysfunction, and 24% had both. Diastolic, but not systolic dysfunction, independently predicted post-operative CHF. It is important to include diastolic dysfunction in the peri-operative risk stratification (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.