Echocardiography-Based Hemodynamic Management of Left Ventricular Diastolic Dysfunction: A Feasibility and Safety Study

• Published in: Echocardiography (Mount Kisco, N.Y.) Vol. 31; no. 10; pp. 1189 - 1198
• Main Authors: Shillcutt, Sasha K., Montzingo, Candice R., Agrawal, Ankit, Khaleel, Maseeha S., Therrien, Stacey L., Thomas, Walker R., Porter, Thomas R., Brakke, Tara R.
• Format: Journal Article
• Language: English
• Published: United States Blackwell Publishing Ltd 01.11.2014
• Subjects: Aged; anesthesia; atrial fibrillation; congestive heart failure; Echocardiography - methods; Echocardiography, Transesophageal - methods; elderly; Feasibility Studies; Female; Follow-Up Studies; Hemodynamics - physiology; Humans; Intraoperative Care - methods; left ventricular diastolic dysfunction; Male; Middle Aged; Observer Variation; Operative Time; Patient Safety; Pilot Projects; Postoperative Complications - etiology; Postoperative Complications - prevention & control; Preoperative Care - methods; Prospective Studies; Reference Values; Risk Assessment; Severity of Illness Index; Single-Blind Method; Surgery, Computer-Assisted - methods; Surgical Procedures, Operative - adverse effects; Surgical Procedures, Operative - methods; transesophageal echocardiography; transthoracic echocardiography; Treatment Outcome; Ventricular Dysfunction, Left - complications; Ventricular Dysfunction, Left - diagnostic imaging; atrial fibrillation; left ventricular diastolic dysfunction; elderly; congestive heart failure; transthoracic echocardiography; transesophageal echocardiography; anesthesia

Background Patients with left ventricular diastolic dysfunction (LVDD) are at increased risk of postoperative adverse events. The primary aim of this study was to evaluate the safety and feasibility of using echocardiography‐guided hemodynamic management (EGHEM) during surgery in subjects with LVDD...