Can ultrasonographic measurement of carotid intima-media thickness predict hypotension after induction of general anesthesia?
| Autor: | Erhan Gökçek, Dilek Duman Güven, Ayhan Kaydu |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Blood Pressure Health Informatics Anesthesia General Critical Care and Intensive Care Medicine Independent predictor Carotid Intima-Media Thickness Risk Assessment Sensitivity and Specificity 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Anesthesiology Odds Ratio Prevalence Humans Medicine Prospective Studies cardiovascular diseases Elective surgery Ultrasonography business.industry Surrogate endpoint 030208 emergency & critical care medicine Odds ratio Middle Aged Confidence interval Carotid Arteries Anesthesiology and Pain Medicine Mean blood pressure ROC Curve Intima-media thickness Area Under Curve Anesthesia Preoperative Period cardiovascular system Female Hypotension business Biomarkers |
| Zdroj: | Journal of Clinical Monitoring and Computing. 33:825-832 |
| ISSN: | 1573-2614 1387-1307 |
| DOI: | 10.1007/s10877-018-0228-y |
| Popis: | Hypotension in patients under general anesthesia is prevalent and causes unfavorable outcomes. Carotid intima-media thickness (CIMT) is a surrogate marker for atherosclerosis and useful for evaluating the risk of cardiovascular diseases. We investigated the usefulness of preoperative CIMT measurement as a predictor of post-induction hypotension (PIH). The ultrasonographic measurement of CIMT was performed preoperatively on 82 patients scheduled for elective surgery under general anesthesia in a prospective, observational study. Mean blood pressure (MBP) was recorded before induction. Hypotension was defined as a 20% decrease in MBP from baseline. The ultrasonographic measurement of CIMT was unsuccessful in 2 (2.43%) patients, leaving 80 patients for analyses. Hypotension developed in 41 patients. CIMT was higher in the patient group with PIH than in the group without PIH (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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