Cited 7 times in
Cardiac displacement-induced hemodynamic instability during off-pump coronary artery bypass surgery and its predictors
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 곽영란 | - |
dc.contributor.author | 김종찬 | - |
dc.contributor.author | 송종욱 | - |
dc.contributor.author | 심재광 | - |
dc.contributor.author | 오세영 | - |
dc.contributor.author | 유경종 | - |
dc.date.accessioned | 2014-12-20T16:49:11Z | - |
dc.date.available | 2014-12-20T16:49:11Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0001-5172 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/93438 | - |
dc.description.abstract | BACKGROUND: Emergent conversion to an on-pump procedure during an off-pump coronary artery bypass surgery (OPCAB) due to hemodynamic instability is associated with increased morbidity and mortality. The aim of this study was to evaluate the predictors of hemodynamic instability associated with mechanical heart displacement during OPCAB and the fate of these patients. METHODS: Data of 494 patients who underwent elective, isolated OPCAB between December 2006 and April 2010 were reviewed. Hemodynamic instability was defined as mixed venous oxygen saturation (SvO(2) ) <60% during grafting. Pre-operative variables including the presence of diastolic dysfunction and mitral regurgitation (MR) were evaluated for their predictive value for hemodynamic instability by logistic regression analysis. Outcome variables were also compared between patients who developed hemodynamic instability and those who did not. RESULTS: In univariate analysis, body mass index, diabetes mellitus, chronic obstructive pulmonary disease (COPD), left ventricular ejection fraction, diastolic dysfunction, MR ≥ grade 1, higher creatinine and the use of diuretics were identified as risk factors. In multivariate analysis of these variables, COPD and creatinine remained as independent risk factors for hemodynamic instability. These patients also had significantly lower cardiac output and SvO(2) after sternum closure and a higher incidence of composite morbidity end points. CONCLUSION: COPD and pre-operative creatinine level were identified as independent risk factors of mechanical heart displacement-induced hemodynamic instability during OPCAB. As these patients were associated with significantly lower SvO(2) even at the end of surgery and with adverse outcome, consideration may be given to initiate preemptive measures to increase SvO(2) before or during grafting. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 870~877 | - |
dc.relation.isPartOf | ACTA ANAESTHESIOLOGICA SCANDINAVICA | - |
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 | Anesthesia, General | - |
dc.subject.MESH | Cardiac Surgical Procedures/methods* | - |
dc.subject.MESH | Coronary Artery Bypass, Off-Pump* | - |
dc.subject.MESH | Creatinine/blood | - |
dc.subject.MESH | Diuretics/adverse effects | - |
dc.subject.MESH | Endpoint Determination | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Heart/physiology* | - |
dc.subject.MESH | Hemodynamics/physiology* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Logistic Models | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Monitoring, Intraoperative | - |
dc.subject.MESH | Oxygen/blood | - |
dc.subject.MESH | Postoperative Complications/epidemiology | - |
dc.subject.MESH | Predictive Value of Tests | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Cardiac displacement-induced hemodynamic instability during off-pump coronary artery bypass surgery and its predictors | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | S. Y. OH | - |
dc.contributor.googleauthor | J. K. SHIM | - |
dc.contributor.googleauthor | J. W. SONG | - |
dc.contributor.googleauthor | J. C. KIM | - |
dc.contributor.googleauthor | K. J. YOU | - |
dc.contributor.googleauthor | Y. L. KWAK | - |
dc.identifier.doi | 10.1111/j.1399-6576.2011.02472.x | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00172 | - |
dc.contributor.localId | A02060 | - |
dc.contributor.localId | A02205 | - |
dc.contributor.localId | A02377 | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A00929 | - |
dc.relation.journalcode | J00006 | - |
dc.identifier.eissn | 1399-6576 | - |
dc.identifier.pmid | 21658018 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1111/j.1399-6576.2011.02472.x/abstract | - |
dc.contributor.alternativeName | Kwak, Young Lan | - |
dc.contributor.alternativeName | Kim, Jong Chan | - |
dc.contributor.alternativeName | Song, Jong Wook | - |
dc.contributor.alternativeName | Shim, Jae Kwang | - |
dc.contributor.alternativeName | Oh, Se Young | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.contributor.affiliatedAuthor | Kwak, Young Lan | - |
dc.contributor.affiliatedAuthor | Song, Jong Wook | - |
dc.contributor.affiliatedAuthor | Shim, Jae Kwang | - |
dc.contributor.affiliatedAuthor | Oh, Se Young | - |
dc.contributor.affiliatedAuthor | Yoo, Kyung Jong | - |
dc.contributor.affiliatedAuthor | Kim, Jong Chan | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 55 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 870 | - |
dc.citation.endPage | 877 | - |
dc.identifier.bibliographicCitation | ACTA ANAESTHESIOLOGICA SCANDINAVICA, Vol.55(7) : 870-877, 2011 | - |
dc.identifier.rimsid | 28233 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.