Arterial Lactate Level Changes in First Day after Cardiac Operation

Introduction: Lactate level is an important index for predicting cardiac events. There are some debates about time and type of sampling for defining of its prognostic values.Methods: To assess the prognostic importance of arterial lactate level in patients after cardiac surgery with regarding to ope...

Full description

Bibliographic Details
Main Authors: Shamsi Ghaffari, Majid Malaki
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2013-12-01
Series:Journal of Cardiovascular and Thoracic Research
Subjects:
Online Access:http://journals.tbzmed.ac.ir/JCVTR/Manuscript/JCVTR-5-143.pdf
_version_ 1828312282137886720
author Shamsi Ghaffari
Majid Malaki
author_facet Shamsi Ghaffari
Majid Malaki
author_sort Shamsi Ghaffari
collection DOAJ
description Introduction: Lactate level is an important index for predicting cardiac events. There are some debates about time and type of sampling for defining of its prognostic values.Methods: To assess the prognostic importance of arterial lactate level in patients after cardiac surgery with regarding to operation factors serial arterial lactate levels during and after surgery was measured up to 24 hours, these data were processed by T-independent test and chi-square, P less than 0.01 was significant.Results: 31 patients entered to study, high persistent arterial lactate level (1.5-4 mmol/L) can be seen in most patients (80%) during operation which returned to normal level (<1.5 mmol/L) up to12th hours post operation in 75% of cases. Persistent high level (>4 mmol/L) will occur unusually at 24th hour but can be associated with poor prognosis.Conclusion: Serial measurement of serum lactate level can be helpful for our management quality and very highly persistent arterial lactate level (>4 mmol/lit) up to 24 hours after operation will increase mortality rate in operated patients for congenital heart disease.
first_indexed 2024-04-13T16:12:36Z
format Article
id doaj.art-45e4808753574152a01544d0db81eba8
institution Directory Open Access Journal
issn 2008-5117
2008-6830
language English
last_indexed 2024-04-13T16:12:36Z
publishDate 2013-12-01
publisher Tabriz University of Medical Sciences
record_format Article
series Journal of Cardiovascular and Thoracic Research
spelling doaj.art-45e4808753574152a01544d0db81eba82022-12-22T02:40:09ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302013-12-015414314510.5681/jcvtr.2013.031JCVTR_432_20131219174044Arterial Lactate Level Changes in First Day after Cardiac OperationShamsi Ghaffari0Majid Malaki1Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranPediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, IranIntroduction: Lactate level is an important index for predicting cardiac events. There are some debates about time and type of sampling for defining of its prognostic values.Methods: To assess the prognostic importance of arterial lactate level in patients after cardiac surgery with regarding to operation factors serial arterial lactate levels during and after surgery was measured up to 24 hours, these data were processed by T-independent test and chi-square, P less than 0.01 was significant.Results: 31 patients entered to study, high persistent arterial lactate level (1.5-4 mmol/L) can be seen in most patients (80%) during operation which returned to normal level (<1.5 mmol/L) up to12th hours post operation in 75% of cases. Persistent high level (>4 mmol/L) will occur unusually at 24th hour but can be associated with poor prognosis.Conclusion: Serial measurement of serum lactate level can be helpful for our management quality and very highly persistent arterial lactate level (>4 mmol/lit) up to 24 hours after operation will increase mortality rate in operated patients for congenital heart disease.http://journals.tbzmed.ac.ir/JCVTR/Manuscript/JCVTR-5-143.pdfArterial LactateHeart SurgeryMortality
spellingShingle Shamsi Ghaffari
Majid Malaki
Arterial Lactate Level Changes in First Day after Cardiac Operation
Journal of Cardiovascular and Thoracic Research
Arterial Lactate
Heart Surgery
Mortality
title Arterial Lactate Level Changes in First Day after Cardiac Operation
title_full Arterial Lactate Level Changes in First Day after Cardiac Operation
title_fullStr Arterial Lactate Level Changes in First Day after Cardiac Operation
title_full_unstemmed Arterial Lactate Level Changes in First Day after Cardiac Operation
title_short Arterial Lactate Level Changes in First Day after Cardiac Operation
title_sort arterial lactate level changes in first day after cardiac operation
topic Arterial Lactate
Heart Surgery
Mortality
url http://journals.tbzmed.ac.ir/JCVTR/Manuscript/JCVTR-5-143.pdf
work_keys_str_mv AT shamsighaffari arteriallactatelevelchangesinfirstdayaftercardiacoperation
AT majidmalaki arteriallactatelevelchangesinfirstdayaftercardiacoperation