Association between Preoperative Cardiac Left Ventricular Dysfunction and Perioperative Intraaortic Balloon Pump in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery
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.
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Lee, Eun-Ho
;
Yun, Sung-Cheol
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Univ Ulsan, Coll Med, Asan Med Ctr, Dept Clin Epidemiol & Biostat, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Yun, Sung-Cheol
;
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机构:
Chin, Ji-Hyun
;
Choi, Dae-Kee
论文数: 0引用数: 0
h-index: 0
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Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Choi, Dae-Kee
;
Son, Hyo-Jung
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h-index: 0
机构:Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Son, Hyo-Jung
;
Kim, Wook-Chong
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Kim, Wook-Chong
;
Choi, Seong-Soo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Choi, Seong-Soo
;
Song, Jun-Gol
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Song, Jun-Gol
;
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Hahm, Kyung-Don
;
Sim, Ji-Yeon
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Sim, Ji-Yeon
;
Choi, In-Cheol
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USA
Matyal, Robina
;
Skubas, Nikolaos J.
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med Sch, Dept Anesthesia & Crit Care Med, New York, NY USAHarvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USA
Skubas, Nikolaos J.
;
Shernan, Stanton K.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Dept Anesthesia & Crit Care Med, Brigham & Womens Hosp, Sch Med, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USA
Shernan, Stanton K.
;
Mahmood, Feroze
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USA
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Matyal, Robina
;
Hess, Philip E.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Hess, Philip E.
;
Subramaniam, Balachundhar
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Subramaniam, Balachundhar
;
Mitchell, John
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Mitchell, John
;
Panzica, Peter J.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Panzica, Peter J.
;
Pomposelli, Frank
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Vasc Surg, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Pomposelli, Frank
;
Mahmood, Feroze
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Lee, Eun-Ho
;
Yun, Sung-Cheol
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Clin Epidemiol & Biostat, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Yun, Sung-Cheol
;
论文数: 引用数:
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机构:
Chin, Ji-Hyun
;
Choi, Dae-Kee
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Choi, Dae-Kee
;
Son, Hyo-Jung
论文数: 0引用数: 0
h-index: 0
机构:Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Son, Hyo-Jung
;
Kim, Wook-Chong
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Kim, Wook-Chong
;
Choi, Seong-Soo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Choi, Seong-Soo
;
Song, Jun-Gol
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Song, Jun-Gol
;
论文数: 引用数:
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机构:
Hahm, Kyung-Don
;
Sim, Ji-Yeon
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
Sim, Ji-Yeon
;
Choi, In-Cheol
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South KoreaUniv Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USA
Matyal, Robina
;
Skubas, Nikolaos J.
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med Sch, Dept Anesthesia & Crit Care Med, New York, NY USAHarvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USA
Skubas, Nikolaos J.
;
Shernan, Stanton K.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Dept Anesthesia & Crit Care Med, Brigham & Womens Hosp, Sch Med, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USA
Shernan, Stanton K.
;
Mahmood, Feroze
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Dept Anesthesia & Crit Care Med, Sch Med, Boston, MA 02215 USA
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Matyal, Robina
;
Hess, Philip E.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Hess, Philip E.
;
Subramaniam, Balachundhar
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Subramaniam, Balachundhar
;
Mitchell, John
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Mitchell, John
;
Panzica, Peter J.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Panzica, Peter J.
;
Pomposelli, Frank
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Vasc Surg, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA
Pomposelli, Frank
;
Mahmood, Feroze
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USAHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia & Crit Care, Boston, MA 02215 USA