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The Critically Ill Female Patient

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Manual of Gynecardiology

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Abstract

Differential outcomes are present among female and male patients with critical illness, related to co-morbidity, immune response, pharmacology and the underlying physiological response to intensive care and its complications. Women are more susceptible to the effects of neuromuscular blockade, opioid receptor agonists, and beta adrenergic agents and they are more likely to develop Torsade de pointes and liver dysfunction in response to pharmacological agents. Elderly female patients with basal septal hypertrophy may respond to dobutamine by developing worsening of diastolic dysfunction and increasing left-ventricular outflow tract obstruction. There are important differences in post-traumatic stress disorder (PTSD) between genders, with women at risk for markedly worse psychological outcomes after critical illness.

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Author information

Authors and Affiliations

  1. Royal Brompton Hospital, Imperial College, London, UK

    Susanna Price M.D., Ph.D. (Consultant Cardiologist and Intensivist)

  2. Anaesthetist and Major Trauma, King’s College Hospital, London, UK

    Shahana Uddin M.D., Ph.D. (Consultant Intensivist)

Authors
  1. Susanna Price M.D., Ph.D.
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  2. Shahana Uddin M.D., Ph.D.
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Corresponding author

Correspondence to Susanna Price M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Cardiology, Women’s Cardiac Health Program, Radboud University Medical Center, Nijmegen, The Netherlands

    Angela H.E.M. Maas

  2. Director Barbra Streisand Women’s Heart Center, Linda Joy Pollin Women’s Heart Health Program, Director Preventive Cardiac Center, Cedars-Sinai, Los Angeles, USA

    C. Noel Bairey Merz

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© 2017 Springer International Publishing AG

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Price, S., Uddin, S. (2017). The Critically Ill Female Patient. In: Maas, A., Bairey Merz, C. (eds) Manual of Gynecardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-54960-6_15

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  • DOI: https://doi.org/10.1007/978-3-319-54960-6_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54959-0

  • Online ISBN: 978-3-319-54960-6

  • eBook Packages: MedicineMedicine (R0)

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