Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery

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Objective: To determine the possible clinical and echocardiographic predictors associated with the onset of low cardiacoutput syndrome. Materials and methods: An analytical case–control study was conducted in patients with postoperative low cardiac output syndrome treated at Centro de Cardiología y...

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Detalles Bibliográficos
Autores: de la C.Granda Gámez, Yudeikis, Rosabal Garcia, Yoandro, Copa Córdova , Lisanet
Formato: artículo
Fecha de Publicación:2023
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Lenguaje:español
inglés
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/2170
Enlace del recurso:https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170
Nivel de acceso:acceso abierto
Materia:gasto cardíaco bajo
cirugía torácica
ecocardiografía
cardiac output low
thoracic surgery
echocardiography
id REVHM_6334e04349f123c4e6e59ed4331be85b
oai_identifier_str oai:horizontemedico.usmp.edu.pe:article/2170
network_acronym_str REVHM
network_name_str Horizonte médico
repository_id_str
dc.title.none.fl_str_mv Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery
Predictores clínicos y ecocardiográficos del síndrome de bajo gasto cardiaco en la cirugía valvular cardiaca
title Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery
spellingShingle Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery
de la C.Granda Gámez, Yudeikis
gasto cardíaco bajo
cirugía torácica
ecocardiografía
cardiac output low
thoracic surgery
echocardiography
title_short Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery
title_full Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery
title_fullStr Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery
title_full_unstemmed Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery
title_sort Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery
dc.creator.none.fl_str_mv de la C.Granda Gámez, Yudeikis
Rosabal Garcia, Yoandro
Copa Córdova , Lisanet
author de la C.Granda Gámez, Yudeikis
author_facet de la C.Granda Gámez, Yudeikis
Rosabal Garcia, Yoandro
Copa Córdova , Lisanet
author_role author
author2 Rosabal Garcia, Yoandro
Copa Córdova , Lisanet
author2_role author
author
dc.subject.none.fl_str_mv gasto cardíaco bajo
cirugía torácica
ecocardiografía
cardiac output low
thoracic surgery
echocardiography
topic gasto cardíaco bajo
cirugía torácica
ecocardiografía
cardiac output low
thoracic surgery
echocardiography
description Objective: To determine the possible clinical and echocardiographic predictors associated with the onset of low cardiacoutput syndrome. Materials and methods: An analytical case–control study was conducted in patients with postoperative low cardiac output syndrome treated at Centro de Cardiología y Cirugía Cardiovascular of Hospital Provincial Docente Saturnino Lora in Santiago de Cuba from January 2019 to December 2021. Both study groups were part of the same population of patientswho underwent a cardiovascular surgery but differed in the fact that, at admission, some suffered from postoperative low cardiac output syndrome and others did not. The dependent variable was the presence of low cardiac output and the independent variables were clinical, hemodynamic and echocardiographic factors. Results: In the series, patients under 65 years of age prevailed in both case and control groups (51.2 % and 73.5 %, respectively). Atrial fibrillation, right ventricular systolic function and perioperative bleeding (p = 0.008) were statistically significant (p < 0.05). Most patients (102 [91.10 %; p = 0.047]) showed a left ventricular ejection fraction (LVEF) > 50 % and a large number of patients (76 [45.24 %; p ≤ 0.05; OR: 2.14]) had undergone emergency surgeries. A logistic regression analysis determined that the clinical and echocardiographic variables, such as age over 65 years, depressed rightventricular function, extracorporeal circulation ≥ 90 minutes and elevated pulmonary artery systolic pressure, had astatistically significant association. The area under the curve (AUC) showed that variables including age, extracorporealcirculation time and perioperative bleeding had predictive capability. Conclusions: It was observed that some clinical and echocardiographic elements, such as age, atrial fibrillation, depressed right ventricular systolic function and emergency surgery, were associated as predictors of low cardiac output syndrome.
publishDate 2023
dc.date.none.fl_str_mv 2023-05-30
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info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170
10.24265/horizmed.2023.v23n2.02
url https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170
identifier_str_mv 10.24265/horizmed.2023.v23n2.02
dc.language.none.fl_str_mv spa
eng
language spa
eng
dc.relation.none.fl_str_mv https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1485
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https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1504
https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1549
https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1681
https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1605
dc.rights.none.fl_str_mv Derechos de autor 2023 Horizonte Médico (Lima)
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2023 Horizonte Médico (Lima)
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text/xml
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dc.publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
dc.source.none.fl_str_mv Horizonte Médico (Lima); Vol. 23 No. 2 (2023): Abril-Junio; e2170
Horizonte Médico (Lima); Vol. 23 Núm. 2 (2023): Abril-Junio; e2170
Horizonte Médico (Lima); v. 23 n. 2 (2023): Abril-Junio; e2170
2227-3530
1727-558X
reponame:Horizonte médico
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instacron:USMP
instname_str Universidad de San Martín de Porres
instacron_str USMP
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spelling Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgeryPredictores clínicos y ecocardiográficos del síndrome de bajo gasto cardiaco en la cirugía valvular cardiacade la C.Granda Gámez, Yudeikis Rosabal Garcia, YoandroCopa Córdova , Lisanet gasto cardíaco bajocirugía torácicaecocardiografíacardiac output lowthoracic surgeryechocardiographyObjective: To determine the possible clinical and echocardiographic predictors associated with the onset of low cardiacoutput syndrome. Materials and methods: An analytical case–control study was conducted in patients with postoperative low cardiac output syndrome treated at Centro de Cardiología y Cirugía Cardiovascular of Hospital Provincial Docente Saturnino Lora in Santiago de Cuba from January 2019 to December 2021. Both study groups were part of the same population of patientswho underwent a cardiovascular surgery but differed in the fact that, at admission, some suffered from postoperative low cardiac output syndrome and others did not. The dependent variable was the presence of low cardiac output and the independent variables were clinical, hemodynamic and echocardiographic factors. Results: In the series, patients under 65 years of age prevailed in both case and control groups (51.2 % and 73.5 %, respectively). Atrial fibrillation, right ventricular systolic function and perioperative bleeding (p = 0.008) were statistically significant (p < 0.05). Most patients (102 [91.10 %; p = 0.047]) showed a left ventricular ejection fraction (LVEF) > 50 % and a large number of patients (76 [45.24 %; p ≤ 0.05; OR: 2.14]) had undergone emergency surgeries. A logistic regression analysis determined that the clinical and echocardiographic variables, such as age over 65 years, depressed rightventricular function, extracorporeal circulation ≥ 90 minutes and elevated pulmonary artery systolic pressure, had astatistically significant association. The area under the curve (AUC) showed that variables including age, extracorporealcirculation time and perioperative bleeding had predictive capability. Conclusions: It was observed that some clinical and echocardiographic elements, such as age, atrial fibrillation, depressed right ventricular systolic function and emergency surgery, were associated as predictors of low cardiac output syndrome.Objetivo: Determinar los posibles elementos predictores clínicos y ecocardiográficos asociados a la aparición del síndrome de bajo gasto cardiaco.Materiales y métodos: Se realizó un estudio analítico de casos y controles en pacientes con síndrome de bajo gasto cardiaco posoperatorio atendidos en el Centro de Cardiología y Cirugía Cardiovascular del Hospital Provincial Docente Saturnino Lora de Santiago de Cuba, desde enero 2019 a diciembre 2021. Ambos grupos de estudio formaron parte de la misma población de pacientes operados de cirugía cardiovascular, diferenciados por presentar o no síndrome de bajo gasto cardiaco postoperatorio al ingreso. La variable dependiente fue la presencia de bajo gasto cardiaco; las variables independientes, factores clínicos, hemodinámicos y ecocardiográficos.Resultados: En la serie predominaron los pacientes menores de 65 años tanto en el grupo de casos como de controles(51,2 % y 73,5 %, respectivamente). La fibrilación auricular, la función sistólica del ventrículo derecho y la hemorragiaperiprocedimiento (p = 0,008) presentaron alta significación estadística p < 0,05. Se observó mayoría de pacientes conFEVI > 50 % (102 [91,10 %; p = 0,047]), así como amplio dominio de pacientes (76 [45,24 %; p ≤ 0,05; OR: 2,14]) concirugías de emergencia. Se realizó una regresión logística, y se determinó que las variables clínicas y ecocardiográficastales como la edad superior a 65 años, la función de ventrículo derecho deprimida, la circulación extracorpórea ≥90 minutosy la presión sistólica de arteria pulmonar elevada tuvieron una asociación estadísticamente significativa. El AUC mostró que variables como la edad, el tiempo de circulación extracorpórea y la hemorragia perioperatoria tuvieron capacidad predictiva.Conclusiones: Se observó que algunos elementos clínicos y ecocardiográficos, como la edad, la presencia de fibrilaciónauricular, la función sistólica del ventrículo derecho deprimida y la cirugía de emergencia, se asociaron como predictores de síndrome de bajo gasto cardíaco.Universidad de San Martín de Porres. Facultad de Medicina Humana2023-05-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmltext/htmlapplication/pdftext/xmltext/htmlhttps://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/217010.24265/horizmed.2023.v23n2.02Horizonte Médico (Lima); Vol. 23 No. 2 (2023): Abril-Junio; e2170Horizonte Médico (Lima); Vol. 23 Núm. 2 (2023): Abril-Junio; e2170Horizonte Médico (Lima); v. 23 n. 2 (2023): Abril-Junio; e21702227-35301727-558Xreponame:Horizonte médicoinstname:Universidad de San Martín de Porresinstacron:USMPspaenghttps://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1485https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1489https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1504https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1549https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1681https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1605Derechos de autor 2023 Horizonte Médico (Lima)https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:horizontemedico.usmp.edu.pe:article/21702023-06-01T17:16:02Z
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