Precardiopulmonary Bypass Right Ventricular Function Is Associated with Poor Outcome After Coronary Artery Bypass Grafting in Patients with Severe Left Ventricular Systolic Dysfunction
Patients with severe left ventricular systolic dysfunction (LVSD) undergoing coronary artery bypass grafting (CABG) have an increased risk for morbidity and mortality. The purpose of this study was to assess the association of pre-CABG right ventricular (RV) function with outcome for patients with s...
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Published in | Anesthesia and analgesia Vol. 95; no. 6; pp. 1507 - 1518 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Hagerstown, MD
International Anesthesia Research Society
01.12.2002
Lippincott |
Subjects | |
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Abstract | Patients with severe left ventricular systolic dysfunction (LVSD) undergoing coronary artery bypass grafting (CABG) have an increased risk for morbidity and mortality. The purpose of this study was to assess the association of pre-CABG right ventricular (RV) function with outcome for patients with severe LVSD. We performed a retrospective evaluation of 41 patients with severe LVSD (left ventricular ejection fraction [LVEF] ≤25%) scheduled for nonemergent CABG. Data were obtained from review of medical records, transesophageal echocardiography tapes, and phone interview. The pre- and post-cardiopulmonary bypass (CPB) LVEF and the RV fractional area of contraction (RVFAC) were calculated by using intraoperative transesophageal echocardiography. Group 1 patients had an RVFAC ≤35% (n = 7), whereas Group 2 patients had RVFAC >35% (n = 34). The durations of mechanical ventilation and of intensive care unit and hospital stays are presented as the median. Pre-CABG LVEF was similar between Groups 1 and 2 (15.8% ± 3.3% versus 17.8% ± 3.9%). Compared with Group 2, Group 1 patients required greater duration of mechanical ventilation (12 days versus 1 day;P < 0.01), longer intensive care unit (14 versus 2 days;P < 0.01) and hospital (14 versus 7 days;P = 0.02) stays, had a more frequent incidence and severity of LV diastolic dysfunction, and had a smaller change in LVEF immediately after CPB (4.1% ± 8.3% versus 12.5% ± 9.2%;P = 0.03). All Group 1 patients died of cardiac causes within 2 yr of surgery; five died during the same hospital admission. Three Group 2 patients diedone of colon cancer at 18 mo after CABG and two of cardiac causes 24 and 48 mo after surgery. A fourth patient was awaiting cardiac transplantation 4 yr after surgery. The remaining Group 2 patients were New York Heart Association Classification I or II. For patients with severe LVSD undergoing CABG, pre-CPB RV dysfunction was associated with poor outcome. Patients with RVFAC >35% had a relatively uneventful perioperative course and good long-term survival, whereas patients with RVFAC ≤35% had a poor early and late outcome. Assessment of RV function is useful to further assess the risk of CABG. |
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AbstractList | UNLABELLEDPatients with severe left ventricular systolic dysfunction (LVSD) undergoing coronary artery bypass grafting (CABG) have an increased risk for morbidity and mortality. The purpose of this study was to assess the association of pre-CABG right ventricular (RV) function with outcome for patients with severe LVSD. We performed a retrospective evaluation of 41 patients with severe LVSD (left ventricular ejection fraction [LVEF] < or =25%) scheduled for nonemergent CABG. Data were obtained from review of medical records, transesophageal echocardiography tapes, and phone interview. The pre- and post-cardiopulmonary bypass (CPB) LVEF and the RV fractional area of contraction (RVFAC) were calculated by using intraoperative transesophageal echocardiography. Group 1 patients had an RVFAC < or =35% (n = 7), whereas Group 2 patients had RVFAC >35% (n = 34). The durations of mechanical ventilation and of intensive care unit and hospital stays are presented as the median. Pre-CABG LVEF was similar between Groups 1 and 2 (15.8% +/- 3.3% versus 17.8% +/- 3.9%). Compared with Group 2, Group 1 patients required greater duration of mechanical ventilation (12 days versus 1 day; P < 0.01), longer intensive care unit (14 versus 2 days; P < 0.01) and hospital (14 versus 7 days; P = 0.02) stays, had a more frequent incidence and severity of LV diastolic dysfunction, and had a smaller change in LVEF immediately after CPB (4.1% +/- 8.3% versus 12.5% +/- 9.2%; P = 0.03). All Group 1 patients died of cardiac causes within 2 yr of surgery; five died during the same hospital admission. Three Group 2 patients died: one of colon cancer at 18 mo after CABG and two of cardiac causes 24 and 48 mo after surgery. A fourth patient was awaiting cardiac transplantation 4 yr after surgery. The remaining Group 2 patients were New York Heart Association Classification I or II. For patients with severe LVSD undergoing CABG, pre-CPB RV dysfunction was associated with poor outcome. Patients with RVFAC >35% had a relatively uneventful perioperative course and good long-term survival, whereas patients with RVFAC < or =35% had a poor early and late outcome. Assessment of RV function is useful to further assess the risk of CABG.IMPLICATIONSRight ventricular function before cardiopulmonary bypass is associated with poor outcome after coronary artery surgery in patients with poor left ventricular function. Patients with severe left ventricular systolic dysfunction (LVSD) undergoing coronary artery bypass grafting (CABG) have an increased risk for morbidity and mortality. The purpose of this study was to assess the association of pre-CABG right ventricular (RV) function with outcome for patients with severe LVSD. We performed a retrospective evaluation of 41 patients with severe LVSD (left ventricular ejection fraction [LVEF] < or =25%) scheduled for nonemergent CABG. Data were obtained from review of medical records, transesophageal echocardiography tapes, and phone interview. The pre- and post-cardiopulmonary bypass (CPB) LVEF and the RV fractional area of contraction (RVFAC) were calculated by using intraoperative transesophageal echocardiography. Group 1 patients had an RVFAC < or =35% (n = 7), whereas Group 2 patients had RVFAC >35% (n = 34). The durations of mechanical ventilation and of intensive care unit and hospital stays are presented as the median. Pre-CABG LVEF was similar between Groups 1 and 2 (15.8% +/- 3.3% versus 17.8% +/- 3.9%). Compared with Group 2, Group 1 patients required greater duration of mechanical ventilation (12 days versus 1 day; P < 0.01), longer intensive care unit (14 versus 2 days; P < 0.01) and hospital (14 versus 7 days; P = 0.02) stays, had a more frequent incidence and severity of LV diastolic dysfunction, and had a smaller change in LVEF immediately after CPB (4.1% +/- 8.3% versus 12.5% +/- 9.2%; P = 0.03). All Group 1 patients died of cardiac causes within 2 yr of surgery; five died during the same hospital admission. Three Group 2 patients died: one of colon cancer at 18 mo after CABG and two of cardiac causes 24 and 48 mo after surgery. A fourth patient was awaiting cardiac transplantation 4 yr after surgery. The remaining Group 2 patients were New York Heart Association Classification I or II. For patients with severe LVSD undergoing CABG, pre-CPB RV dysfunction was associated with poor outcome. Patients with RVFAC >35% had a relatively uneventful perioperative course and good long-term survival, whereas patients with RVFAC < or =35% had a poor early and late outcome. Assessment of RV function is useful to further assess the risk of CABG. Right ventricular function before cardiopulmonary bypass is associated with poor outcome after coronary artery surgery in patients with poor left ventricular function. Patients with severe left ventricular systolic dysfunction (LVSD) undergoing coronary artery bypass grafting (CABG) have an increased risk for morbidity and mortality. The purpose of this study was to assess the association of pre-CABG right ventricular (RV) function with outcome for patients with severe LVSD. We performed a retrospective evaluation of 41 patients with severe LVSD (left ventricular ejection fraction [LVEF] ≤25%) scheduled for nonemergent CABG. Data were obtained from review of medical records, transesophageal echocardiography tapes, and phone interview. The pre- and post-cardiopulmonary bypass (CPB) LVEF and the RV fractional area of contraction (RVFAC) were calculated by using intraoperative transesophageal echocardiography. Group 1 patients had an RVFAC ≤35% (n = 7), whereas Group 2 patients had RVFAC >35% (n = 34). The durations of mechanical ventilation and of intensive care unit and hospital stays are presented as the median. Pre-CABG LVEF was similar between Groups 1 and 2 (15.8% ± 3.3% versus 17.8% ± 3.9%). Compared with Group 2, Group 1 patients required greater duration of mechanical ventilation (12 days versus 1 day;P < 0.01), longer intensive care unit (14 versus 2 days;P < 0.01) and hospital (14 versus 7 days;P = 0.02) stays, had a more frequent incidence and severity of LV diastolic dysfunction, and had a smaller change in LVEF immediately after CPB (4.1% ± 8.3% versus 12.5% ± 9.2%;P = 0.03). All Group 1 patients died of cardiac causes within 2 yr of surgery; five died during the same hospital admission. Three Group 2 patients diedone of colon cancer at 18 mo after CABG and two of cardiac causes 24 and 48 mo after surgery. A fourth patient was awaiting cardiac transplantation 4 yr after surgery. The remaining Group 2 patients were New York Heart Association Classification I or II. For patients with severe LVSD undergoing CABG, pre-CPB RV dysfunction was associated with poor outcome. Patients with RVFAC >35% had a relatively uneventful perioperative course and good long-term survival, whereas patients with RVFAC ≤35% had a poor early and late outcome. Assessment of RV function is useful to further assess the risk of CABG. |
Author | Regan, Meredith M Mashikian, John Maslow, Andrew D Comunale, Mark E Panzica, Peter Heindel, Stephanie |
AuthorAffiliation | Department of Anesthesiology, Rhode Island Hospital, Brown Medical School, Providence, Rhode Island; and †Beth Israel Deaconess Medical Center, Boston, Massachusetts |
AuthorAffiliation_xml | – name: Department of Anesthesiology, Rhode Island Hospital, Brown Medical School, Providence, Rhode Island; and †Beth Israel Deaconess Medical Center, Boston, Massachusetts |
Author_xml | – sequence: 1 givenname: Andrew surname: Maslow middlename: D fullname: Maslow, Andrew D organization: Department of Anesthesiology, Rhode Island Hospital, Brown Medical School, Providence, Rhode Island; and †Beth Israel Deaconess Medical Center, Boston, Massachusetts – sequence: 2 givenname: Meredith surname: Regan middlename: M fullname: Regan, Meredith M – sequence: 3 givenname: Peter surname: Panzica fullname: Panzica, Peter – sequence: 4 givenname: Stephanie surname: Heindel fullname: Heindel, Stephanie – sequence: 5 givenname: John surname: Mashikian fullname: Mashikian, John – sequence: 6 givenname: Mark surname: Comunale middlename: E fullname: Comunale, Mark E |
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Cites_doi | 10.1097/00000542-200102000-00006 10.1016/1053-0770(91)90130-L 10.1016/1053-0770(91)90040-Z 10.1016/S0894-7317(97)70062-2 10.1067/mje.2001.107636 10.1016/S0025-6196(12)65673-0 10.1016/0002-9149(94)90883-4 10.1016/S0003-4975(99)01424-1 10.1016/S0002-9149(99)00905-4 10.1136/heart.86.4.376 10.1016/S0002-9149(01)01803-3 10.1161/01.CIR.96.2.436 10.1016/S0002-9149(02)02275-0 10.1016/S0735-1097(98)00337-4 10.1016/1053-0770(91)90002-B 10.1016/0003-4975(93)90282-M 10.1016/S0894-7317(89)80014-8 10.1016/S0002-8703(99)70416-3 10.1016/S0735-1097(99)00102-3 10.1016/S0002-9149(97)00400-1 10.1016/0033-0620(82)90018-4 10.1007/BF01656397 10.1213/00000539-200103000-00008 10.1016/S0002-8703(97)70252-7 10.1016/1053-0770(93)90211-3 10.1016/S0735-1097(02)01726-6 10.1016/S1053-0770(05)80226-5 10.1016/S1053-0770(05)80048-5 10.1093/oxfordjournals.eurheartj.a015196 10.1097/00003246-198906000-00006 10.1016/1053-0770(93)90210-C 10.1161/01.CIR.94.12.3190 10.1016/S0002-9149(97)00780-7 10.1161/01.CIR.68.4.785 10.1016/0735-1097(94)00511-N 10.1056/NEJM199304083281401 10.1056/NEJM199404283301707 10.1097/00000542-198606000-00015 10.1016/0003-4975(93)90884-K 10.1016/S0003-4975(01)03587-1 10.1016/1053-0770(92)90008-U 10.1097/00000542-199009000-00005 10.1016/0003-4975(93)90883-J 10.1097/00003246-199011000-00001 10.1213/00000539-200102000-00002 10.1161/01.CIR.92.12.3593 |
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Keywords | Human Postoperative Prognosis Right ventricle performance Cardiovascular disease General anesthesia Heart ventricle Left ventricular failure Coronary heart disease Cardiopulmonary bypass Aortocoronary Bypass Heart disease Surgery Risk factor Complication Preoperative |
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References | Werner (R35-9-20210902) 1994; 73 Nishimura (R25-9-20210902) 1989; 64 Bueno (R30-9-20210902) 1997; 96 Tuman (R44-9-20210902) 1995; 9 Alderman (R7-9-20210902) 1983; 68 Kinch (R26-9-20210902) 1994; 330 Raper (R29-9-20210902) 1987; 11 Boldt (R42-9-20210902) 1989; 17 Senior (R6-9-20210902) 2001; 14 Rahimtoola (R8-9-20210902) 1985; 72 Costanzo (R11-9-20210902) 1995; 92 Stein (R40-9-20210902) 1990; 18 Surgenor (R4-9-20210902) 2001; 92 Sun (R17-9-20210902) 1997; 80 Senior (R15-9-20210902) 2001; 88 Poulsen (R37-9-20210902) 2001; 86 Ferlinz (R48-9-20210902) 1982; 25 Boldt (R41-9-20210902) 1992; 6 Oh (R24-9-20210902) 1997; 10 Schreuder (R46-9-20210902) 1991; 5 De Groote (R28-9-20210902) 1998; 32 Lansman (R20-9-20210902) 1993; 56 Calvin (R27-9-20210902) 1991; 5 Parsonnet (R1-9-20210902) 1989; 79 Poulsen (R36-9-20210902) 1997; 18 Senior (R10-9-20210902) 1999; 33 Reichert (R19-9-20210902) 1992; 6 Bounous (R9-9-20210902) 1988; 78 Schiller (R21-9-20210902) 1989; 2 Gudjonsson (R49-9-20210902) 2002; 89 Hansen (R45-9-20210902) 1986; 64 Magee (R5-9-20210902) 2002; 73 Bernard (R47-9-20210902) 2001; 92 Gorscan (R16-9-20210902) 1996; 94 Luciani (R14-9-20210902) 1993; 55 Dupuis (R3-9-20210902) 2001; 94 Rafferty (R22-9-20210902) 1993; 7 Sakata (R31-9-20210902) 2000; 85 Allman (R12-9-20210902) 2002; 39 DiSalvo (R33-9-20210902) 1995; 25 Viitanen (R43-9-20210902) 1990; 73 Sumimoto (R38-9-20210902) 1997; 133 Zehender (R32-9-20210902) 1993; 328 Bernstein (R2-9-20210902) 2000; 69 Schirmer (R39-9-20210902) 1995; 9 Poulsen (R34-9-20210902) 1999; 137 Milano (R13-9-20210902) 1993; 56 Rafferty (R23-9-20210902) 1993; 7 Patel (R18-9-20210902) 1997; 80 |
References_xml | – volume: 94 start-page: 194 year: 2001 ident: R3-9-20210902 article-title: The cardiac anesthesia risk evaluation score: a clinically useful predictor of mortality and morbidity after cardiac surgery. publication-title: Anesthesiology doi: 10.1097/00000542-200102000-00006 contributor: fullname: Dupuis – volume: 5 start-page: 507 year: 1991 ident: R27-9-20210902 article-title: Acute right heart failure: pathophysiology, recognition, and pharmacologic management. publication-title: J Cardiothorac Vasc Anesth doi: 10.1016/1053-0770(91)90130-L contributor: fullname: Calvin – volume: 78 start-page: I151 year: 1988 ident: R9-9-20210902 article-title: Surgical survival benefits for coronary disease patients with left ventricular dysfunction. publication-title: Circulation contributor: fullname: Bounous – volume: 6 start-page: 24 year: 1992 ident: R41-9-20210902 article-title: Right ventricular function in patients with reduced left ventricular function undergoing myocardial revascularization. publication-title: J Cardiothorac Vasc Anesth doi: 10.1016/1053-0770(91)90040-Z contributor: fullname: Boldt – volume: 10 start-page: 246 year: 1997 ident: R24-9-20210902 article-title: The noninvasive assessment of left ventricular diastolic function with two-dimensional and Doppler echocardiography. publication-title: J Am Soc Echocardiogr doi: 10.1016/S0894-7317(97)70062-2 contributor: fullname: Oh – volume: 14 start-page: 240 year: 2001 ident: R6-9-20210902 article-title: Role of dobutamine echocardiography in detection of myocardial viability for predicting outcome after revascularization in ischemic cardiomyopathy. publication-title: J Am Soc Echocardiogr doi: 10.1067/mje.2001.107636 contributor: fullname: Senior – volume: 64 start-page: 181 year: 1989 ident: R25-9-20210902 article-title: Assessment of diastolic function of the heart background and current applications of Doppler echocardiography. II. Clinical studies. publication-title: Mayo Clin Proc doi: 10.1016/S0025-6196(12)65673-0 contributor: fullname: Nishimura – volume: 73 start-page: 792 year: 1994 ident: R35-9-20210902 article-title: Prognostic value of Doppler echocardiographic assessment of left ventricular filling in idiopathic dilated cardiomyopathy. publication-title: Am J Cardiol doi: 10.1016/0002-9149(94)90883-4 contributor: fullname: Werner – volume: 72 start-page: V123 year: 1985 ident: R8-9-20210902 article-title: A perspective on the three large multicenter randomized clinical trials of coronary bypass surgery for chronic stable angina. publication-title: Circulation contributor: fullname: Rahimtoola – volume: 69 start-page: 823 year: 2000 ident: R2-9-20210902 article-title: Bedside estimation of risk as an aid for decision-making in cardiac surgery. publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(99)01424-1 contributor: fullname: Bernstein – volume: 85 start-page: 939 year: 2000 ident: R31-9-20210902 article-title: Prognostic significant of persistent right ventricular dysfunction as assessed by radionuclide angiocardiography in patients with inferior wall acute myocardial infarction. publication-title: Am J Cardiol doi: 10.1016/S0002-9149(99)00905-4 contributor: fullname: Sakata – volume: 86 start-page: 376 year: 2001 ident: R37-9-20210902 article-title: Prognostic value of left ventricular diastolic function and association with heart rate variability after a first acute myocardial infarction. publication-title: Heart doi: 10.1136/heart.86.4.376 contributor: fullname: Poulsen – volume: 88 start-page: 624 year: 2001 ident: R15-9-20210902 article-title: Effect of revascularization on left ventricular remodeling in patients with heart failure from severe chronic ischemic left ventricular dysfunction. publication-title: Am J Cardiol doi: 10.1016/S0002-9149(01)01803-3 contributor: fullname: Senior – volume: 96 start-page: 436 year: 1997 ident: R30-9-20210902 article-title: In-hospital outcome of elderly patients with acute inferior myocardial infarction and right ventricular involvement. publication-title: Circulation doi: 10.1161/01.CIR.96.2.436 contributor: fullname: Bueno – volume: 89 start-page: 1057 year: 2002 ident: R49-9-20210902 article-title: Relation of “inotropic reserve” to functional capacity in heart failure secondary to ischemic or nonischemic cardiomyopathy. publication-title: Am J Cardiol doi: 10.1016/S0002-9149(02)02275-0 contributor: fullname: Gudjonsson – volume: 32 start-page: 948 year: 1998 ident: R28-9-20210902 article-title: Right ventricular ejection fraction is an independent predictor of survival in patients with moderate heart failure. publication-title: J Am Coll Cardiol doi: 10.1016/S0735-1097(98)00337-4 contributor: fullname: De Groote – volume: 5 start-page: 539 year: 1991 ident: R46-9-20210902 article-title: Systolic and diastolic pressure-volume relationships during cardiac surgery. publication-title: J Cardiothorac Vasc Anesth doi: 10.1016/1053-0770(91)90002-B contributor: fullname: Schreuder – volume: 55 start-page: 719 year: 1993 ident: R14-9-20210902 article-title: Severe ischemic left ventricular failure: coronary operation or heart transplantation. publication-title: Ann Thorac Surg doi: 10.1016/0003-4975(93)90282-M contributor: fullname: Luciani – volume: 2 start-page: 358 year: 1989 ident: R21-9-20210902 article-title: Recommendations for quantitation of the left ventricle by two-dimensional echocardiography: American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. publication-title: J Am Soc Echocardiogr doi: 10.1016/S0894-7317(89)80014-8 contributor: fullname: Schiller – volume: 137 start-page: 910 year: 1999 ident: R34-9-20210902 article-title: Longitudinal changes and prognostic implications of left ventricular diastolic function in first acute myocardial infarction. publication-title: Am Heart J doi: 10.1016/S0002-8703(99)70416-3 contributor: fullname: Poulsen – volume: 33 start-page: 1848 year: 1999 ident: R10-9-20210902 article-title: Myocardial viability on echocardiography predicts long-term survival after revascularization in patients with ischemic congestive heart failure. publication-title: J Am Coll Cardiol doi: 10.1016/S0735-1097(99)00102-3 contributor: fullname: Senior – volume: 80 start-page: 486 year: 1997 ident: R18-9-20210902 article-title: Right ventricular dilation in primary amyloidosis: an independent predictor of survival. publication-title: Am J Cardiol doi: 10.1016/S0002-9149(97)00400-1 contributor: fullname: Patel – volume: 25 start-page: 225 year: 1982 ident: R48-9-20210902 article-title: Right ventricular function in adult cardiovascular disease. publication-title: Prog Cardiovasc Dis doi: 10.1016/0033-0620(82)90018-4 contributor: fullname: Ferlinz – volume: 11 start-page: 154 year: 1987 ident: R29-9-20210902 article-title: Right ventricular function in the surgical patient. publication-title: World J Surg doi: 10.1007/BF01656397 contributor: fullname: Raper – volume: 92 start-page: 596 year: 2001 ident: R4-9-20210902 article-title: Predicting the risk of death from heart failure after coronary artery bypass graft surgery. publication-title: Anesth Analg doi: 10.1213/00000539-200103000-00008 contributor: fullname: Surgenor – volume: 133 start-page: 87 year: 1997 ident: R38-9-20210902 article-title: Importance of left ventricular diastolic function on maintenance of exercise capacity in patients with systolic dysfunction after anterior myocardial infarction. publication-title: Am Heart J doi: 10.1016/S0002-8703(97)70252-7 contributor: fullname: Sumimoto – volume: 7 start-page: 167 year: 1993 ident: R23-9-20210902 article-title: The relationship between “normal” transesophageal color-flow Doppler-defined regurgitation and thermodilution right ventricular ejection fraction measurements. publication-title: J Cardiothorac Vasc Anesth doi: 10.1016/1053-0770(93)90211-3 contributor: fullname: Rafferty – volume: 39 start-page: 1151 year: 2002 ident: R12-9-20210902 article-title: Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. publication-title: J Am Coll Cardiol doi: 10.1016/S0735-1097(02)01726-6 contributor: fullname: Allman – volume: 9 start-page: 659 year: 1995 ident: R39-9-20210902 article-title: Right ventricular function after coronary artery bypass grafting in patients with and without revascularization of the right coronary artery. publication-title: J Cardiothorac Vasc Anesth doi: 10.1016/S1053-0770(05)80226-5 contributor: fullname: Schirmer – volume: 9 start-page: 2 year: 1995 ident: R44-9-20210902 article-title: Effects of phenylephrine or volume loading on right ventricular function in patients undergoing myocardial revascularization. publication-title: J Cardiothorac Vasc Anesth doi: 10.1016/S1053-0770(05)80048-5 contributor: fullname: Tuman – volume: 18 start-page: 1882 year: 1997 ident: R36-9-20210902 article-title: Evaluation and prognostic significance of left ventricular diastolic function assessed by Doppler echocardiography in the early phase of a first acute myocardial infarction. publication-title: Eur Heart J doi: 10.1093/oxfordjournals.eurheartj.a015196 contributor: fullname: Poulsen – volume: 17 start-page: 518 year: 1989 ident: R42-9-20210902 article-title: Influence of acute volume loading on right ventricular function after cardiopulmonary bypass. publication-title: Crit Care Med doi: 10.1097/00003246-198906000-00006 contributor: fullname: Boldt – volume: 7 start-page: 160 year: 1993 ident: R22-9-20210902 article-title: Tranesophageal two-dimensional echocardiography analysis of right ventricular systolic performance indices during coronary artery bypass grafting. publication-title: J Cardiothorac Vasc Anesth doi: 10.1016/1053-0770(93)90210-C contributor: fullname: Rafferty – volume: 94 start-page: 3190 year: 1996 ident: R16-9-20210902 article-title: Right ventricular performance and contractile reserve in patients with severe heart failure: assessment by pressure-area relations and association with outcome. publication-title: Circulation doi: 10.1161/01.CIR.94.12.3190 contributor: fullname: Gorscan – volume: 80 start-page: 1583 year: 1997 ident: R17-9-20210902 article-title: Comparison of mortality rates and progression of left ventricular dysfunction in patients with idiopathic dilated cardiomyopathy and dilated versus nondilated right ventricular cavities. publication-title: Am J Cardiol doi: 10.1016/S0002-9149(97)00780-7 contributor: fullname: Sun – volume: 79 start-page: I3 year: 1989 ident: R1-9-20210902 article-title: A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease. publication-title: Circulation contributor: fullname: Parsonnet – volume: 68 start-page: 785 year: 1983 ident: R7-9-20210902 article-title: Results of coronary artery surgery in patients with poor left ventricular function (CASS). publication-title: Circulation doi: 10.1161/01.CIR.68.4.785 contributor: fullname: Alderman – volume: 25 start-page: 1143 year: 1995 ident: R33-9-20210902 article-title: Preserved right ventricular ejection fraction predicts exercise capacity and survival in advanced heart failure. publication-title: J Am Coll Cardiol doi: 10.1016/0735-1097(94)00511-N contributor: fullname: DiSalvo – volume: 328 start-page: 981 year: 1993 ident: R32-9-20210902 article-title: Right ventricular infarction as an independent predictor of prognosis after acute inferior myocardial infarction. publication-title: N Engl J Med doi: 10.1056/NEJM199304083281401 contributor: fullname: Zehender – volume: 330 start-page: 1211 year: 1994 ident: R26-9-20210902 article-title: Right ventricular infarction. publication-title: N Engl J Med doi: 10.1056/NEJM199404283301707 contributor: fullname: Kinch – volume: 64 start-page: 764 year: 1986 ident: R45-9-20210902 article-title: Poor correlation between pulmonary artery wedge pressure and left ventricular end-diastolic volume after coronary artery bypass graft surgery. publication-title: Anesthesiology doi: 10.1097/00000542-198606000-00015 contributor: fullname: Hansen – volume: 56 start-page: 487 year: 1993 ident: R13-9-20210902 article-title: Coronary artery bypass in patients with severely depressed ventricular function. publication-title: Ann Thorac Surg doi: 10.1016/0003-4975(93)90884-K contributor: fullname: Milano – volume: 73 start-page: 1196 year: 2002 ident: R5-9-20210902 article-title: Elimination of cardiopulmonary bypass improves early survival for multivessel coronary artery bypass patients. publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(01)03587-1 contributor: fullname: Magee – volume: 6 start-page: 429 year: 1992 ident: R19-9-20210902 article-title: Prognostic value of biventricular function in hypotensive patients after cardiac surgery as assessed by transesophageal echocardiography. publication-title: J Cardiothorac Vasc Anesth doi: 10.1016/1053-0770(92)90008-U contributor: fullname: Reichert – volume: 73 start-page: 393 year: 1990 ident: R43-9-20210902 article-title: Right ventricular response to hypercarbia after cardiac surgery. publication-title: Anesthesiology doi: 10.1097/00000542-199009000-00005 contributor: fullname: Viitanen – volume: 56 start-page: 480 year: 1993 ident: R20-9-20210902 article-title: Coronary artery bypass with ejection fraction of 0.20 or less using centigrade cardioplegia: long-term follow-up. publication-title: Ann Thorac Surg doi: 10.1016/0003-4975(93)90883-J contributor: fullname: Lansman – volume: 18 start-page: 1197 year: 1990 ident: R40-9-20210902 article-title: Depression and recovery of right ventricular function after cardiopulmonary bypass. publication-title: Crit Care Med doi: 10.1097/00003246-199011000-00001 contributor: fullname: Stein – volume: 92 start-page: 291 year: 2001 ident: R47-9-20210902 article-title: Diastolic dysfunction is predictive of difficult weaning from cardiopulmonary bypass. publication-title: Anesth Analg doi: 10.1213/00000539-200102000-00002 contributor: fullname: Bernard – volume: 92 start-page: 3593 year: 1995 ident: R11-9-20210902 article-title: Selection and treatment of candidates for heart transplantation. publication-title: Circulation doi: 10.1161/01.CIR.92.12.3593 contributor: fullname: Costanzo |
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Snippet | Patients with severe left ventricular systolic dysfunction (LVSD) undergoing coronary artery bypass grafting (CABG) have an increased risk for morbidity and... UNLABELLEDPatients with severe left ventricular systolic dysfunction (LVSD) undergoing coronary artery bypass grafting (CABG) have an increased risk for... |
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SubjectTerms | Aged Anesthesia Anesthesia depending on type of surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiopulmonary Bypass Coronary Artery Bypass Echocardiography, Transesophageal Female Humans Male Medical sciences Middle Aged Retrospective Studies Systole - physiology Thoracic and cardiovascular surgery. Cardiopulmonary bypass Ventricular Dysfunction, Left - physiopathology Ventricular Function, Right |
Title | Precardiopulmonary Bypass Right Ventricular Function Is Associated with Poor Outcome After Coronary Artery Bypass Grafting in Patients with Severe Left Ventricular Systolic Dysfunction |
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