Clinical and echocardiographic predictors of low cardiac output syndrome after heart valve surgery
Descripción del Articulo
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...
Autores: | , , |
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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 |
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Horizonte médico |
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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 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article 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 https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2170/1489 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) https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf text/xml text/html application/pdf text/xml text/html |
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 instname:Universidad de San Martín de Porres instacron:USMP |
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Universidad de San Martín de Porres |
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USMP |
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USMP |
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Horizonte médico |
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Horizonte médico |
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1844720560505880576 |
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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13.403676 |
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La información contenida en este registro es de entera responsabilidad de la institución que gestiona el repositorio institucional donde esta contenido este documento o set de datos. El CONCYTEC no se hace responsable por los contenidos (publicaciones y/o datos) accesibles a través del Repositorio Nacional Digital de Ciencia, Tecnología e Innovación de Acceso Abierto (ALICIA).