Vasoplegic syndrome

ACE inhibitors and ARBs are a little bit more controversial.

A lot of the studies show that they are associated with higher vasopressor requirement after bypass with vasoplegia, which we're going to go through later.

So some guidelines like the European cardiothoracic guideline do recommend holding them.

Anticoagulants, they matter here too, and this ties back to our episode from last week.

This is pretty rare.

That's what we're going to talk about in Friday's member-only episode, some of these ventricular support devices.

So now let's talk about a special kind of hypotension that happens after bypass, which is called vasoplegia.

Now, vasoplegia is this persistent hypotension after bypass, despite a pretty normal or even high cardiac output.