Early Echocardiographic Outcomes in Mitral Valve Repair for Myxomatous Mitral Regurgitation – A Single Centre Experience
| Autor: | Z. Akhunji, Levi Bassin, Peter Grant, Paul Gilhooly, Hugh Wolfenden, Damian Gimpel, Beatrix Weiss, Riley Smith |
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| Rok vydání: | 2013 |
| Předmět: |
Pulmonary and Respiratory Medicine
Mechanical ventilation medicine.medical_specialty Mitral regurgitation Creatinine Mitral valve repair business.industry medicine.medical_treatment Renal function Perioperative medicine.disease Cardiac surgery chemistry.chemical_compound chemistry Internal medicine medicine Cardiology Cardiology and Cardiovascular Medicine business Stroke |
| Zdroj: | Heart, Lung and Circulation. 22:466 |
| ISSN: | 1443-9506 |
| DOI: | 10.1016/j.hlc.2013.03.028 |
| Popis: | creatinine were associated with longer hours (>24 h) of mechanical ventilation, ICU stay and low cardiac output syndrome compared to the other groups. Group >100% rise of serum creatinine were associated with significant increase stroke (AdjustedHR 5.40 and 95%CI (1.90–15.34), multiorgan failure with adjusted HR 6.33and 95% CI (2.43–16.49). Increase of perioperative serum creatinine above 50% give higher chance to have postoperative renal failure adjusted HR 8.98 and 95% CI (3.96–20.37) increase to Adjusted HR 35.32 and 95% CI (16.79–74.31) in >100% group. Analysis of serum creatinine change showed that a 47% increase was the best predictor of renal failure after cardiac surgery, with 86.76% specificity and 64.89% sensitivity. Conclusions: An increase of perioperative serum creatinine in cardiac surgery was consistently associated with higher postoperative mortality and increase risk of most majormorbidityoutcomes.Efforts to identifypatientswith high risk of impaired renal function and preserve renal function before andduring cardiac surgerymay yield benefits for patients in the future. http://dx.doi.org/10.1016/j.hlc.2013.03.027 2012 Poster Presentation/Panel 2 Early EchocardiographicOutcomes inMitral ValveRepair for Myxomatous Mitral Regurgitation – A Single Centre |
| Databáze: | OpenAIRE |
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