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Cited 27 times in

Relationship between echocardiographic index of ventricular filling pressure and intraoperative haemodynamic changes during off-pump coronary bypass surgery.

DC Field Value Language
dc.contributor.author곽영란-
dc.contributor.author심재광-
dc.contributor.author전덕희-
dc.contributor.author최용선-
dc.contributor.author홍성욱-
dc.date.accessioned2015-04-24T16:26:29Z-
dc.date.available2015-04-24T16:26:29Z-
dc.date.issued2009-
dc.identifier.issn0007-0912-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/103517-
dc.description.abstractBACKGROUND: The ratio of mitral velocity to early-diastolic velocity of the mitral annulus (E/e') is an indicator of diastolic function representing acute loading conditions of the left ventricle. We tested the efficacy of E/e' as a predictor of haemodynamic derangement during off-pump coronary artery bypass surgery (OPCAB), when heart displacement causes loading changes. METHODS AND RESULTS: Fifty patients with left ventricular (LV) ejection fraction >or= 50% were divided into two groups; E/e'<8 (normal LV filling pressure, n=25) and >15 (increased LV filling pressure, n=25). Haemodynamic measurements were recorded after induction of anaesthesia, during grafting, and after sternum closure. Patients' characteristics and operative data were similar between the groups. Cardiac index and mixed venous oxygen saturation were significantly lower during grafting and after sternum closure in the E/e'>15 group, compared with E/e'<8 group and with the baseline values. The E/e'>15 group required significantly longer ventilation time and length of stay in the intensive care unit. CONCLUSIONS: Even in patients with preserved systolic LV function, patients with E/e'>15 were more prone to undergo a significant decrease in cardiac output during OPCAB, which did not return to baseline level after completion of grafting. Whether this finding is associated with increased morbidity and mortality should be validated.-
dc.description.statementOfResponsibilityopen-
dc.format.extent316~321-
dc.relation.isPartOfBRITISH JOURNAL OF ANAESTHESIA-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBlood Flow Velocity-
dc.subject.MESHCoronary Artery Bypass, Off-Pump/methods*-
dc.subject.MESHEchocardiography, Doppler/methods-
dc.subject.MESHFemale-
dc.subject.MESHHemodynamics*-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMitral Valve/diagnostic imaging-
dc.subject.MESHMitral Valve/physiopathology-
dc.subject.MESHMonitoring, Intraoperative/methods-
dc.subject.MESHOxygen/blood-
dc.subject.MESHPrognosis-
dc.subject.MESHProspective Studies-
dc.subject.MESHStroke Volume-
dc.subject.MESHVentricular Function, Left-
dc.subject.MESHVentricular Pressure-
dc.titleRelationship between echocardiographic index of ventricular filling pressure and intraoperative haemodynamic changes during off-pump coronary bypass surgery.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorJ. K. Shim-
dc.contributor.googleauthorY. S. Choi-
dc.contributor.googleauthorD. H. Chun-
dc.contributor.googleauthorS. W. Hong-
dc.contributor.googleauthorD. H. Kim-
dc.contributor.googleauthorY. L. Kwak-
dc.identifier.doi10.1093/bja/aep005-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00172-
dc.contributor.localIdA02205-
dc.contributor.localIdA03508-
dc.contributor.localIdA04119-
dc.contributor.localIdA04398-
dc.relation.journalcodeJ00405-
dc.identifier.eissn1471-6771-
dc.identifier.pmid19203992-
dc.subject.keywordanaesthesia-
dc.subject.keywordcardiovascular-
dc.subject.keywordheart-
dc.subject.keywordmyocardial function-
dc.subject.keywordmeasurement technique-
dc.subject.keywordDoppler echocardiography-
dc.subject.keywordsurgery-
dc.subject.keywordoff-pump coronary artery bypass-
dc.contributor.alternativeNameKwak, Young Lan-
dc.contributor.alternativeNameShim, Jae Kwang-
dc.contributor.alternativeNameChun, Duk Hee-
dc.contributor.alternativeNameChoi, Yong Seon-
dc.contributor.alternativeNameHong, Seong Wook-
dc.contributor.affiliatedAuthorKwak, Young Lan-
dc.contributor.affiliatedAuthorShim, Jae Kwang-
dc.contributor.affiliatedAuthorChun, Duk Hee-
dc.contributor.affiliatedAuthorChoi, Yong Seon-
dc.contributor.affiliatedAuthorHong, Seong Wook-
dc.citation.volume102-
dc.citation.number3-
dc.citation.startPage316-
dc.citation.endPage321-
dc.identifier.bibliographicCitationBRITISH JOURNAL OF ANAESTHESIA, Vol.102(3) : 316-321, 2009-
dc.identifier.rimsid36059-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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