Shoulder arthroscopy in patients with a cardiac pacemaker or defibrillator: A case report and discussion of perioperative management
| Autor: | Bradley P. Knight, Steven D. Levin, Brett McCoy, David S. Wellman |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_specialty Defibrillation medicine.medical_treatment Disease Preoperative care Patient Care Planning Cardiac pacemaker Rotator Cuff Injuries Arthroscopy Rotator Cuff Preoperative Care Humans Medicine Orthopedics and Sports Medicine Rotator cuff Postoperative Care Intraoperative Care medicine.diagnostic_test Shoulder Joint business.industry Rotator cuff injury General surgery General Medicine Middle Aged medicine.disease Defibrillators Implantable Surgery medicine.anatomical_structure Shoulder joint business |
| Zdroj: | Journal of Shoulder and Elbow Surgery. 19:1204-1209 |
| ISSN: | 1058-2746 |
| Popis: | The prevalence and severity of rotator cuff tears increase with age. After the age of 60, 50% of adults show signs of rotator cuff disease, and in the ninth decade, the prevalence reaches 80%. As we see an increase in elderly patients leading active lifestyles, there is a concomitant increase in patients who present with shoulder ailments that require surgical treatment. Surgeons who treat shoulder problems in this older subset of patients must be prepared to address complex medical comorbidities. Symptoms and activity level should be key factors in surgical decision making. Although no definitive age limit exists for operative intervention, the results of surgery have been less beneficial in patients older than 65 years. These outcomes are partially attributable to medical comorbidities and not simply musculoskeletal factors. Cardiovascular disease, although not unique to elderly patients, increases in prevalence as patients age. Orthopaedic surgeons frequently see active elderly patients with pacemakers and other implantable cardiac defibrillators (ICDs) for an expanding list of cardiovascular conditions. After the first pacemaker was placed in 1958, the prevalence of implantable cardiac devices has been steadily |
| Databáze: | OpenAIRE |
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