Prediction of the Time of Cardiac Function Normalization after Surgery under Extracorporeal Circulation
Objective: to study the prognostic value and correlations of hemodynamic parameters during operations under extracorporeal circulation (EC), as well as the possibilities of mathematically predicting the time that takes to recover the normal function of the heart operated on.Subjects and methods: Nin...
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| Format: | Article |
| Language: | English |
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2007-12-01
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| Series: | Общая реаниматология |
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| Online Access: | https://www.reanimatology.com/rmt/article/view/902 |
| _version_ | 1826562370015592448 |
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| author | L. A. Krichevsky I. A. Kozlov |
| author_facet | L. A. Krichevsky I. A. Kozlov |
| author_sort | L. A. Krichevsky |
| collection | DOAJ |
| description | Objective: to study the prognostic value and correlations of hemodynamic parameters during operations under extracorporeal circulation (EC), as well as the possibilities of mathematically predicting the time that takes to recover the normal function of the heart operated on.Subjects and methods: Ninety-three patients (88 males and 5 females) who had undergone myocardial revascularization under EC were examined. The standard intraoperative monitoring involved pulmonary arterial catheterization and transesophageal echocardiography (TEEcho-CG) The duration of postopertative inotropic therapy was recorded. Multiple linear regression analysis was used to comparatively assess the prognostic value of hemodynamic parameters.Results: At the end of surgery, left ventricular ejection fraction, pulmonary artery wedge pressure, and cardiac index were established to be significant predictors of the duration of using cardiotonics. The analysis permitted the prognostic value of the established hemodynamic predictors to be depicted as a linear regression equation. It was shown to be clinically applied.Conclusion. The study revealed the significant intraoperative hemodynamic predictors of recovery of the function of the myocardium after its revascularization under EC. The proposed procedure for interpreting the data obtained, by using a Swan-Ganz catheter and TEEcho-CG, predicts the duration of required sympathomimetic therapy and hence the time of recovery of normal function of the heart operated on. |
| first_indexed | 2024-04-10T01:30:35Z |
| format | Article |
| id | doaj.art-7cf25ccee59d49afabd4a4f1c43cf58c |
| institution | Directory Open Access Journal |
| issn | 1813-9779 2411-7110 |
| language | English |
| last_indexed | 2025-03-14T09:46:59Z |
| publishDate | 2007-12-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj.art-7cf25ccee59d49afabd4a4f1c43cf58c2025-03-02T11:29:27ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102007-12-013615315610.15360/1813-9779-2007-6-153-156902Prediction of the Time of Cardiac Function Normalization after Surgery under Extracorporeal CirculationL. A. Krichevsky0I. A. Kozlov1Research Institute of Transplantology and Artificial Organs, Russian Agency for Health Care, MoscowResearch Institute of Transplantology and Artificial Organs, Russian Agency for Health Care, MoscowObjective: to study the prognostic value and correlations of hemodynamic parameters during operations under extracorporeal circulation (EC), as well as the possibilities of mathematically predicting the time that takes to recover the normal function of the heart operated on.Subjects and methods: Ninety-three patients (88 males and 5 females) who had undergone myocardial revascularization under EC were examined. The standard intraoperative monitoring involved pulmonary arterial catheterization and transesophageal echocardiography (TEEcho-CG) The duration of postopertative inotropic therapy was recorded. Multiple linear regression analysis was used to comparatively assess the prognostic value of hemodynamic parameters.Results: At the end of surgery, left ventricular ejection fraction, pulmonary artery wedge pressure, and cardiac index were established to be significant predictors of the duration of using cardiotonics. The analysis permitted the prognostic value of the established hemodynamic predictors to be depicted as a linear regression equation. It was shown to be clinically applied.Conclusion. The study revealed the significant intraoperative hemodynamic predictors of recovery of the function of the myocardium after its revascularization under EC. The proposed procedure for interpreting the data obtained, by using a Swan-Ganz catheter and TEEcho-CG, predicts the duration of required sympathomimetic therapy and hence the time of recovery of normal function of the heart operated on.https://www.reanimatology.com/rmt/article/view/902prediction of postoperative cardiac functionaortocoronary bypass surgeryhemodynamic monitoringintraoperative transesophageal echocardiography |
| spellingShingle | L. A. Krichevsky I. A. Kozlov Prediction of the Time of Cardiac Function Normalization after Surgery under Extracorporeal Circulation Общая реаниматология prediction of postoperative cardiac function aortocoronary bypass surgery hemodynamic monitoring intraoperative transesophageal echocardiography |
| title | Prediction of the Time of Cardiac Function Normalization after Surgery under Extracorporeal Circulation |
| title_full | Prediction of the Time of Cardiac Function Normalization after Surgery under Extracorporeal Circulation |
| title_fullStr | Prediction of the Time of Cardiac Function Normalization after Surgery under Extracorporeal Circulation |
| title_full_unstemmed | Prediction of the Time of Cardiac Function Normalization after Surgery under Extracorporeal Circulation |
| title_short | Prediction of the Time of Cardiac Function Normalization after Surgery under Extracorporeal Circulation |
| title_sort | prediction of the time of cardiac function normalization after surgery under extracorporeal circulation |
| topic | prediction of postoperative cardiac function aortocoronary bypass surgery hemodynamic monitoring intraoperative transesophageal echocardiography |
| url | https://www.reanimatology.com/rmt/article/view/902 |
| work_keys_str_mv | AT lakrichevsky predictionofthetimeofcardiacfunctionnormalizationaftersurgeryunderextracorporealcirculation AT iakozlov predictionofthetimeofcardiacfunctionnormalizationaftersurgeryunderextracorporealcirculation |