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Effect of pulse pressure on the predictability of stroke volume variation for fluid responsiveness in patients with coronary disease

DC FieldValueLanguage
dc.contributor.author곽영란-
dc.contributor.author김소연-
dc.contributor.author송영-
dc.contributor.author심재광-
dc.date.accessioned2014-12-18T08:49:20Z-
dc.date.available2014-12-18T08:49:20Z-
dc.date.issued2013-
dc.identifier.issn0883-9441-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/87015-
dc.description.abstractWe hypothesized that the predictability of stroke volume variation (SVV) on fluid responsiveness would be reduced in patients with coronary disease who have wide pulse pressure (PP). METHODS: Sixty-six patients undergoing coronary surgery were divided into 2 groups according to the PP measured 1 day before surgery: normal PP (n = 33, PP ≤ 60 mm Hg) or wide PP (n = 33, PP > 60 mm Hg). After applying mechanical ventilation, hemodynamic parameters (including SVV measured by the FloTrac/Vigileo system [Edwards Lifesciences, Irvine, Calif]) were recorded before and 10 minutes after fluid replacement in a closed-chest condition. Prediction of fluid responsiveness was tested by calculating the area under the receiver operating characteristic curves. RESULTS: Twenty-one patients in the normal PP and 16 patients in the wide PP condition were fluid responders. The area under the receiver operating characteristic curves of SVV to predict fluid responsiveness were 0.808 (P = .022) and 0.609 (P = .288) in the normal PP and wide PP patients, respectively. In the normal PP condition, a SVV value of 13% discriminated between fluid responders and nonresponders with a sensitivity of 76% and a specificity of 67%. CONCLUSIONS: In contrast to patients with normal PP, SVV does not predict fluid responsiveness in patients with coronary disease who have wide PP.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF CRITICAL CARE-
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.MESHArea Under Curve-
dc.subject.MESHBlood Pressure/physiology*-
dc.subject.MESHCardiac Catheterization-
dc.subject.MESHCoronary Artery Bypass-
dc.subject.MESHCoronary Disease/physiopathology-
dc.subject.MESHCoronary Disease/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHFluid Therapy*-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHROC Curve-
dc.subject.MESHSensitivity and Specificity-
dc.subject.MESHStroke Volume/physiology*-
dc.titleEffect of pulse pressure on the predictability of stroke volume variation for fluid responsiveness in patients with coronary disease-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorSo Yeon Kim-
dc.contributor.googleauthorYoung Song-
dc.contributor.googleauthorJae Kwang Shim-
dc.contributor.googleauthorYoung Lan Kwak-
dc.identifier.doi10.1016/j.jcrc.2012.09.011-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00172-
dc.contributor.localIdA02036-
dc.contributor.localIdA02205-
dc.contributor.localIdA00616-
dc.relation.journalcodeJ01358-
dc.identifier.eissn1557-8615-
dc.identifier.pmid23122680-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0883944112003218-
dc.subject.keywordFluid responsiveness-
dc.subject.keywordPulse contour analysis-
dc.subject.keywordPulse pressure-
dc.subject.keywordStroke volume index-
dc.subject.keywordStroke volume variation-
dc.contributor.alternativeNameKwak, Young Lan-
dc.contributor.alternativeNameKim, So Yeon-
dc.contributor.alternativeNameSong, Young-
dc.contributor.alternativeNameShim, Jae Kwang-
dc.contributor.affiliatedAuthorKwak, Young Lan-
dc.contributor.affiliatedAuthorSong, Young-
dc.contributor.affiliatedAuthorShim, Jae Kwang-
dc.contributor.affiliatedAuthorKim, So Yeon-
dc.rights.accessRightsnot free-
dc.citation.volume28-
dc.citation.number3-
dc.citation.startPage318-
dc.citation.endPage7-
dc.identifier.bibliographicCitationJOURNAL OF CRITICAL CARE, Vol.28(3) : 318-7, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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