Cited 19 times in
Efficacy of perioperative oral triiodothyronine replacement therapy in patients undergoing off-pump coronary artery bypass grafting
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 최용선 | - |
dc.contributor.author | 곽영란 | - |
dc.contributor.author | 송영 | - |
dc.contributor.author | 송종욱 | - |
dc.contributor.author | 심재광 | - |
dc.date.accessioned | 2014-12-18T09:41:22Z | - |
dc.date.available | 2014-12-18T09:41:22Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 1053-0770 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/88641 | - |
dc.description.abstract | OBJECTIVE: The aim of this study was to assess the effects of oral triiodothyronine (T3) therapy on postoperative thyroid hormone concentrations, hemodynamic variables, and outcomes. DESIGN: A prospective, randomized, controlled, double-blind study. SETTING: Cardiac operating room at a single institution. PARTICIPANTS: One hundred patients undergoing elective off-pump coronary artery bypass graft surgery. INTERVENTIONS: Patients received either 20 μg of oral T3 or placebo every 12 hours starting 20 minutes before anesthetic induction, for a total of 4 doses. MEASUREMENTS AND MAIN RESULTS: Plasma concentrations of thyroid hormones were measured serially before surgery, upon arrival in the intensive care unit, and 12, 24, and 36 hours after surgery. Hemodynamic variables also were recorded serially. Postoperative inotrope requirement and major morbidity endpoints were assessed. Serum T3 concentrations were significantly higher with fewer patients having T3 concentrations below the normal range in the T3 group than the placebo group throughout the postoperative period. Hemodynamic variables, postoperative inotrope requirement, and outcome variables showed no differences between the groups. CONCLUSIONS: Oral T3 therapy significantly attenuated the postoperative decline in T3 concentrations in patients undergoing off-pump coronary artery bypass graft surgery. The lack of apparent clinical benefit merits further investigations in patients with reduced cardiac performance. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | - |
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 | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cardiotonic Agents/therapeutic use | - |
dc.subject.MESH | Coronary Artery Bypass, Off-Pump/methods* | - |
dc.subject.MESH | Critical Care | - |
dc.subject.MESH | Double-Blind Method | - |
dc.subject.MESH | Endpoint Determination | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hemodynamics/physiology | - |
dc.subject.MESH | Hormone Replacement Therapy/methods* | - |
dc.subject.MESH | Hospital Mortality | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Longevity | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Perioperative Care/methods | - |
dc.subject.MESH | Postoperative Complications/epidemiology | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Thyroid Hormones/blood | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Triiodothyronine/therapeutic use* | - |
dc.subject.MESH | Young Adult | - |
dc.title | Efficacy of perioperative oral triiodothyronine replacement therapy in patients undergoing off-pump coronary artery bypass grafting | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | Yong Seon Choi | - |
dc.contributor.googleauthor | Jae Kwang Shim | - |
dc.contributor.googleauthor | Jong Wook Song | - |
dc.contributor.googleauthor | Young Song | - |
dc.contributor.googleauthor | So-Young Yang | - |
dc.contributor.googleauthor | Young Lan Kwak | - |
dc.identifier.doi | 10.1053/j.jvca.2013.01.027 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04119 | - |
dc.contributor.localId | A00172 | - |
dc.contributor.localId | A02036 | - |
dc.contributor.localId | A02060 | - |
dc.contributor.localId | A02205 | - |
dc.relation.journalcode | J01289 | - |
dc.identifier.eissn | 1532-8422 | - |
dc.identifier.pmid | 23958074 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S1053077013000359 | - |
dc.subject.keyword | nonthyroidal illness syndrome | - |
dc.subject.keyword | off-pump coronary artery bypass graft surgery | - |
dc.subject.keyword | triiodothyroinine | - |
dc.contributor.alternativeName | Choi, Yong Seon | - |
dc.contributor.alternativeName | Kwak, Young Lan | - |
dc.contributor.alternativeName | Song, Young | - |
dc.contributor.alternativeName | Song, Jong Wook | - |
dc.contributor.alternativeName | Shim, Jae Kwang | - |
dc.contributor.affiliatedAuthor | Choi, Yong Seon | - |
dc.contributor.affiliatedAuthor | Kwak, Young Lan | - |
dc.contributor.affiliatedAuthor | Song, Young | - |
dc.contributor.affiliatedAuthor | Song, Jong Wook | - |
dc.contributor.affiliatedAuthor | Shim, Jae Kwang | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 27 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1218 | - |
dc.citation.endPage | 1223 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, Vol.27(6) : 1218-1223, 2013 | - |
dc.identifier.rimsid | 33377 | - |
dc.type.rims | ART | - |
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