Association between Preoperative Cardiac Left Ventricular Dysfunction and Perioperative Intraaortic Balloon Pump in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery

被引:4
作者
Kusumoto, Go [1 ]
Shigematsu, Kenji [1 ]
Iwashita, Kouhei [1 ]
Tominaga, Kenji [1 ]
Totoki, Takaaki [1 ]
Yamaura, Ken [1 ]
机构
[1] Fukuoka Univ, Dept Anesthesiol, Sch Med, Fukuoka, Japan
关键词
DIASTOLIC HEART-FAILURE; CARDIOVASCULAR EVENTS; EJECTION FRACTION; PROGNOSTIC IMPLICATIONS; VASCULAR-SURGERY; ECHOCARDIOGRAPHY; DIAGNOSIS; OUTCOMES; E/E;
D O I
10.1532/hsf.1808
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Prophylactic use of intraaortic balloon pump (IABP) reduces hospital mortality in patients with left ventricular (LV) systolic dysfunction undergoing coronary artery bypass surgery (CABG); however, its association in patients with LV diastolic dysfunction is unclear. This retrospective study investigated the association between preoperative LV function and perioperative use of IABP in patients undergoing off-pump CABG (OPCAB) at a university hospital. Methods: 100 consecutive patients who underwent OPCAB between January 1, 2011 and August 31, 2014 were studied. Preoperative LV function was categorized into four groups based on LV systolic and diastolic function determined with preoperative transthoracic echocardiography. The use of IABP was reviewed from medical records. The Mann-Whitney test, Pearson chi-square test, or Fisher exact test were used. Results: Patients were categorized into the following groups: normal LV function (n = 43), isolated LV systolic dysfunction (n = 13), isolated LV diastolic dysfunction (n = 21), and combined LV systolic and diastolic dysfunction (n = 14). Intraoperative IABP use was significantly more frequent in patients with isolated LV systolic dysfunction, isolated LV diastolic dysfunction, and combined LV systolic and diastolic dysfunction than in those with normal LV function (P <.05). Furthermore, IABP was used more frequently in patients who developed combined LV systolic and diastolic dysfunction postoperatively (P <.05). Conclusion: Not only the presence of preoperative systolic dysfunction but also LV diastolic dysfunction in the presence of normal LV systolic function were associated with increased use of IABP during and after OPCAB.
引用
收藏
页码:E147 / E152
页数:6
相关论文
共 23 条
[11]   Elevated E/E' Predicts Cardiovascular Events in Hemodialysis Patients with Preserved Systolic Function [J].
Iwabuchi, Yuko ;
Ogawa, Tetsuya ;
Inoue, Tomoko ;
Otsuka, Kuniaki ;
Nitta, Kosaku .
INTERNAL MEDICINE, 2012, 51 (02) :155-160
[12]   Effect of diastolic dysfunction on postoperative outcomes after cardiovascular surgery: A systematic review and meta-analysis [J].
Kaw, Roop ;
Hernandez, Adrian V. ;
Pasupuleti, Vinay ;
Deshpande, Abhishek ;
Nagarajan, Vijaiganesh ;
Bueno, Hector ;
Coleman, Craig I. ;
Ioannidis, John P. A. ;
Bhatt, Deepak L. ;
Blackstone, Eugene H. .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2016, 152 (04) :1142-1153
[13]   Prognostic Implications of Preoperative E/e′ Ratio in Patients with Off-pump Coronary Artery Surgery [J].
Lee, Eun-Ho ;
Yun, Sung-Cheol ;
Chin, Ji-Hyun ;
Choi, Dae-Kee ;
Son, Hyo-Jung ;
Kim, Wook-Chong ;
Choi, Seong-Soo ;
Song, Jun-Gol ;
Hahm, Kyung-Don ;
Sim, Ji-Yeon ;
Choi, In-Cheol .
ANESTHESIOLOGY, 2012, 116 (02) :362-371
[14]   Heart failure - Current perspectives in diastolic dysfunction and diastolic heart failure [J].
Leite-Moreira, AF .
HEART, 2006, 92 (05) :712-718
[15]   Perioperative Assessment of Diastolic Dysfunction [J].
Matyal, Robina ;
Skubas, Nikolaos J. ;
Shernan, Stanton K. ;
Mahmood, Feroze .
ANESTHESIA AND ANALGESIA, 2011, 113 (03) :449-472
[16]   Perioperative diastolic dysfunction during vascular surgery and its association with postoperative outcome [J].
Matyal, Robina ;
Hess, Philip E. ;
Subramaniam, Balachundhar ;
Mitchell, John ;
Panzica, Peter J. ;
Pomposelli, Frank ;
Mahmood, Feroze .
JOURNAL OF VASCULAR SURGERY, 2009, 50 (01) :70-76
[17]  
Miceli Antonio, 2009, Interact Cardiovasc Thorac Surg, V9, P291, DOI 10.1510/icvts.2008.196105
[18]   Evaluation of diastolic filling of left ventricle in health and disease: Doppler echocardiography is the clinician's rosetta stone [J].
Nishimura, RA ;
Tajik, AJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 30 (01) :8-18
[19]   Trends in prevalence and outcome of heart failure with preserved ejection fraction [J].
Owan, Theophilus E. ;
Hodge, David O. ;
Herges, Regina M. ;
Jacobsen, Steven J. ;
Roger, Veronique L. ;
Redfield, Margaret M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (03) :251-259
[20]   How to diagnose diastolic heart failure:: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology [J].
Paulus, Walter J. ;
Tschöpe, Carsten ;
Sanderson, John E. ;
Rusconi, Cesare ;
Flachskampf, Frank A. ;
Rademakers, Frank E. ;
Marino, Paolo ;
Smiseth, Otto A. ;
De Keulenaer, Gilles ;
Leite-Moreira, Adelino F. ;
Borbely, Attila ;
Edes, Istvan ;
Handoko, Martin Louis ;
Heymans, Stephane ;
Pezzali, Natalia ;
Pieske, Burkert ;
Dickstein, Kenneth ;
Fraser, Alan G. ;
Brutsaert, Dirk L. .
EUROPEAN HEART JOURNAL, 2007, 28 (20) :2539-2550