Perioperative cardiac risks in myasthenia gravis

doi:10.12998/wjcc.v12.i13.2147

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May 6, 2024 (publication date) through May 9, 2024

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. May 6, 2024; 12(13): 2147-2150
Published online May 6, 2024. doi: 10.12998/wjcc.v12.i13.2147

Perioperative cardiac risks in myasthenia gravis

Deb Sanjay Nag, Abhishek Chatterjee, Pratap Rudra Mahanty, Merina Sam, Murari Kumar Bharadwaj

Deb Sanjay Nag, Abhishek Chatterjee, Pratap Rudra Mahanty, Merina Sam, Murari Kumar Bharadwaj, Department of Anaesthesiology, Tata Main Hospital, Jamshedpur 831001, India

Abhishek Chatterjee, Pratap Rudra Mahanty, Department of Anaesthesiology, Manipal Tata Medical College, Jamshedpur 831017, India

Author contributions: Nag DS and Chatterjee A designed the overall concept and outline of the manuscript; Mahanty PR, Sam M, and Bharadwaj MK contributed to the discussion and design of the manuscript; All authors contributed to the writing, and editing the manuscript and review of literature.

Conflict-of-interest statement: The authors declare no conflict of interest.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/

Corresponding author: Deb Sanjay Nag, MBBS, MD, Doctor, Department of Anaesthesiology, Tata Main Hospital, C Road West, Northern Town, Bistupur, Jamshedpur 831001, India. ds.nag@tatasteel.com

Received: December 19, 2023
Revised: February 23, 2024
Accepted: April 7, 2024
Published online: May 6, 2024

Core Tip

Core Tip: Current evidence shows that elderly patients with myasthenia gravis (MG) are more prone to developing perioperative cardiac complications. As healthcare professionals refine and evolve screening methods to identify patients with MG at risk of developing perioperative cardiac events due to autonomic dysfunction, the integration of screening for antistriational antibodies becomes crucial. In addition, assessing left ventricular function in the preoperative period may result in successful outcomes in these patients.