The Association of the Pulmonary Artery Pulsatility Index and Right Ventricular Function after Cardiac Surgery

Autor: Johnny Wei, Abigail Kee, Rachel Dukes, Jack Franke, Vincent Leonardo, Brigid C. Flynn
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Critical Care Research and Practice, Vol 2024 (2024)
Druh dokumentu: article
ISSN: 2090-1313
82758204
DOI: 10.1155/2024/5408008
Popis: Background. The pulmonary artery pulsatility index (PAPi) has been shown to correlate with right ventricular (RV) failure in patients with cardiac disease. However, the association of PAPi with right ventricular function following cardiac surgery is not yet established. Methods. PAPi and other hemodynamic variables were obtained postoperatively for 959 adult patients undergoing cardiac surgery. The association of post-bypass right ventricular function and other clinical factors to PAPi was evaluated using linear regression. A propensity-score matched cohort for PAPi ≥ 2.00 was used to assess the association of PAPi with postoperative outcomes. Results. 156 patients (16.3%) had post-bypass right ventricular dysfunction defined by visualization on transesophageal echocardiography. There was no difference in postoperative PAPi based on right ventricular function (2.12 vs. 2.00, p=0.21). In our matched cohort (n = 636), PAPi
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