Theodore H. Stanley, M. D. Anesthesiology and the Heart contains the Refresher Course manuscripts of the presentations of the 35th Annual Postgraduate Course in Anesthesiology which took place at The Cliff Conference Center in Snowbird, Utah, February 16-20, 1990. The chapters reflect new data and concepts within the general framework of "evaluating myocardial function," "pharmacology and the cardiac patient," "anesthesia for patients with cardiac disease," and "stress, cardiopulmonary bypass, coagulation problems and related issues. " The purposes of the textbook are to 1) act as a reference for the anesthesiologists attending the meeting, and 2) serve as a vehicle to bring many of the latest concepts in anesthesiology to others within a short time of the formal presentation. Each chapter is a brief but sharply focused glimpse of the interests in anesthesia expressed at the conference. This book and its chapters should not be considered complete treatises on the subjects addressed but rather attempts to summarize the most salient points. This textbook is the eighth in a continuing series documenting the proceedings of the Postgraduate Course in Salt Lake City. We hope that this and the past and future volumes reflect the rapid and continuing evolution of anesthesiology in the late twentieth century. vii LIST OF CoNTIUBUTDRS Bailey, P. L. Department of Anesthesiology, The University of Utah School of Medicine, Salt Lake City, UT 84132, U. S. A. Barash, P. Department of Anesthesiology, Yale University School of Medicine, New Haven, CT 06510, U. S. A. Covino, B. G.

Assessment of the Patient with Ischemic Cardiac Disease.- Evaluating the Right Ventricle.- Cardiovascular physiology of Congenital Heart Disease.- Myocardial Lymphatics and Cardiac Function.- Pathophysiology of the Coronary Circulation.- The Aging Heart.- Hypertension: Is It Really Important?.- Perioperative Myocardial Ischemia: Diagnosis and Treatment.- Beta-Adrenergic Blocking Drugs.- Aging, Autonomic Function and Cardiovascular Homeostasis.- The Cardiac Patient and Atrial Natriuretic Hormone.- Preoperative Hypokalemia and the Cardiac Patient.- Calcium Channel Blocking Drugs.- Cardiovascular Pharmacology: What's New (And Useful)!.- Anesthetic Management of the Child with Congenital Heart Disease for Noncardiac Surgery.- Anesthesia and the Renin-Angiotensin System.- Controversies in Cardiac Monitoring.- Nitrous Oxide and the Compromised Heart.- Inhalation Anesthetics in Patients with Cardiac Disease.- Opioids in Patients with Cardiac Disease.- Is Isoflurane Contraindicated in Patients with Coronary Artery Disease?.- Cardiovascular Effects of Local Anesthetics.- Pulmonary Edema: Is Your Fluid Management Breathtaking?.- Should We All Have A Sympathectomy at Birth? Or At Least Preoperatively?.- Cardiopulmonary Bypass.- Anesthesia for Carotid Artery Surgery.- Regional Anesthesia for Patients with Cardiac Disease.- Anesthesia for Vascular Surgery.