Cited 33 times in
Impact of left ventricular function on immediate and long-term outcomes after pericardiectomy in constrictive pericarditis.
DC Field | Value | Language |
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dc.contributor.author | 하종원 | - |
dc.date.accessioned | 2015-05-19T17:15:48Z | - |
dc.date.available | 2015-05-19T17:15:48Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 0022-5223 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/107813 | - |
dc.description.abstract | OBJECTIVE: Most patients with constrictive pericarditis have normal measures of left ventricular function when assessed by the ejection phase index of ejection fraction, yet there is a wide spectrum of outcome after pericardiectomy. We hypothesized that parameters of non-ejection indexes of cardiac function (+dP/dt and tau) may predict postoperative prognosis. METHODS: The immediate and long-term outcomes of pericardiectomy were analyzed in 40 patients (30 male, mean age 62 years) with surgically confirmed constrictive pericarditis who underwent preoperative cardiac catheterization using high-fidelity micromanometer pressures. Left ventricular pressures were digitized at 5-msec intervals during end expiration, from which peak positive dp/dt and tau measurements were obtained. Patients were classified into 3 groups: Group 1 (n = 13) included those with abnormal +dP/dt and tau (defined as +dP/dt < 1200 mm Hg/s, tau > 50 msec); group 2 (n = 11) included those with either abnormal +dP/dt or tau; and group 3 (n = 16) included those with normal +dP/dt and tau. RESULTS: There were no significant differences of gender, New York Heart Association class, duration of symptoms, and underlying cause among the 3 groups. Group 1 patients had lower preoperative ejection fraction and higher left and right ventricular end-diastolic pressures. Postoperative inotropic support was more frequently needed in group 1, and postoperative mortality was higher in group 1 than in groups 2 and 3. All postoperative deaths but 1 were in group 1. The median postoperative follow-up was 2.4 years. The postoperative long-term survival of group 1 was significantly lower compared with that of groups 2 and 3. CONCLUSION: In patients with constrictive pericarditis undergoing pericardiectomy, those with abnormal left ventricular contractility and relaxation properties assessed by cardiac catheterization before surgery incur higher operative mortality and poor long-term outcome after surgery | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1136~1141 | - |
dc.relation.isPartOf | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cardiac Catheterization | - |
dc.subject.MESH | Echocardiography | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pericarditis, Constrictive/physiopathology* | - |
dc.subject.MESH | Pericarditis, Constrictive/surgery* | - |
dc.subject.MESH | Pericardium/surgery* | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Stroke Volume | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Ventricular Function, Left/physiology* | - |
dc.title | Impact of left ventricular function on immediate and long-term outcomes after pericardiectomy in constrictive pericarditis. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Jong-Won Ha | - |
dc.contributor.googleauthor | Jae K. Oh | - |
dc.contributor.googleauthor | Hartzell V. Schaff | - |
dc.contributor.googleauthor | Lieng H. Ling | - |
dc.contributor.googleauthor | Stuart T. Higano | - |
dc.contributor.googleauthor | Doug W. Mahoney | - |
dc.contributor.googleauthor | Rick A. Nishimura | - |
dc.identifier.doi | 10.1016/j.jtcvs.2008.03.065 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04257 | - |
dc.relation.journalcode | J01906 | - |
dc.identifier.eissn | 1097-685X | - |
dc.identifier.pmid | 19026793 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0022522308011057 | - |
dc.subject.keyword | Aged | - |
dc.subject.keyword | Cardiac Catheterization | - |
dc.subject.keyword | Echocardiography | - |
dc.subject.keyword | Female | - |
dc.subject.keyword | Humans | - |
dc.subject.keyword | Male | - |
dc.subject.keyword | Middle Aged | - |
dc.subject.keyword | Pericarditis, Constrictive/physiopathology* | - |
dc.subject.keyword | Pericarditis, Constrictive/surgery* | - |
dc.subject.keyword | Pericardium/surgery* | - |
dc.subject.keyword | Prognosis | - |
dc.subject.keyword | Stroke Volume | - |
dc.subject.keyword | Treatment Outcome | - |
dc.subject.keyword | Ventricular Function, Left/physiology* | - |
dc.contributor.alternativeName | Ha, Jong Won | - |
dc.contributor.affiliatedAuthor | Ha, Jong Won | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 136 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1136 | - |
dc.citation.endPage | 1141 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, Vol.136(5) : 1136-1141, 2008 | - |
dc.identifier.rimsid | 34699 | - |
dc.type.rims | ART | - |
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