Hypophosphataemia causing profound cardiac failure after cardiac surgery

Summary We report the case of a patient who developed severe cardiac failure after cardiac surgery and required high‐dose inotrope infusion. The patient was found to have significant hypophosphataemia and high insulin requirements immediately after surgery. On giving intravenous phosphate, there was...

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Bibliographic Details
Published in:Anaesthesia 2006-12, Vol.61 (12), p.1211-1213
Main Authors: Heames, R. M., Cope, R. A.
Format: Article
Language:English
Subjects:
Aged
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Coronary Artery Bypass
Fatal Outcome
Female
Heart Failure - etiology
Heart Valve Prosthesis Implantation
Humans
Hypophosphatemia - complications
Hypophosphatemia - drug therapy
Medical sciences
Phosphates - therapeutic use
Postoperative Complications - drug therapy
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Summary:Summary We report the case of a patient who developed severe cardiac failure after cardiac surgery and required high‐dose inotrope infusion. The patient was found to have significant hypophosphataemia and high insulin requirements immediately after surgery. On giving intravenous phosphate, there was a rapid decrease in inotrope requirement and improved glycaemic control. This occurrence raises questions about the cause of hypophosphataemia after cardiac surgery, the possible need for pre‐operative plasma phosphate measurement and whether phosphate replacement should be part of the standard management of postoperative hypophosphataemia.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.2006.04839.x