Pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after CABG
Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohor...
Ausführliche Beschreibung
Autor*in: |
Chowdhury, Mohammed Andaleeb [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2018 |
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Anmerkung: |
© The Author(s) 2018 |
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Übergeordnetes Werk: |
volume:5 ; year:2018 ; number:4 ; day:01 ; month:12 ; pages:155-166 |
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Links: |
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DOI / URN: |
10.1530/ERP-18-0041 |
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Katalog-ID: |
SPR050506641 |
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520 | |a Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohort. Pre-operative echocardiographic data, perioperative adverse outcomes (POAO) and long-term mortality were retrospectively analyzed in 491 patients who underwent isolated CABG at a single academic center between 2006 and 2014. Results: Average age of enrolled subjects was 66 ± 11.5 years with majority being male (69%). 227/491 patients had 30 days POAO (46%); most common being post-operative atrial fibrillation (27.3%) followed by prolonged ventilation duration (12.7%). On multivariate analysis, left atrial volume index ≥ 42 mL/$ m^{2} $ (LAVI) (OR (95% CI): 1.98 (1.03-3.82), P = 0.04), mitral E/A > 2 (1.97 (1.02-3.78), P = 0.04), right atrial size >18 $ cm^{2} $ (1.86 (1.14-3.05), P = 0.01), tricuspid annular plane systolic excursion (TAPSE) <16 mm (1.8 (1.03-3.17), P = 0.04), right ventricular systolic pressure (RVSP) =36 mmHg (pulmonary hypertension) (1.6 (1.03-2.38), P = 0.04) and right ventricle myocardial performance index (RVMPI) > 0.55 (1.58 (1.01-2.46), P = 0.04) were found to be associated with increased 30-day POAO. On 3.5-year follow-up, cumulative survival was decreased in patients with myocardial performance index (MPI) ≥ 0.55 (log rank: 4.5, P = 0.034) and in patients with mitral valve E/e′ ≥ 14 (log rank: 4.9, P = 0.026). Conclusion: Pre-operative right ventricle dysfunction (RVD) is associated with increased perioperative complications. Furthermore, pre-operative RVD and increased left atrial pressures are associated with long-term mortality post CABG. | ||
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10.1530/ERP-18-0041 doi (DE-627)SPR050506641 (SPR)ERP-18-0041-e DE-627 ger DE-627 rakwb eng Chowdhury, Mohammed Andaleeb verfasserin aut Pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after CABG 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2018 Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohort. Pre-operative echocardiographic data, perioperative adverse outcomes (POAO) and long-term mortality were retrospectively analyzed in 491 patients who underwent isolated CABG at a single academic center between 2006 and 2014. Results: Average age of enrolled subjects was 66 ± 11.5 years with majority being male (69%). 227/491 patients had 30 days POAO (46%); most common being post-operative atrial fibrillation (27.3%) followed by prolonged ventilation duration (12.7%). On multivariate analysis, left atrial volume index ≥ 42 mL/$ m^{2} $ (LAVI) (OR (95% CI): 1.98 (1.03-3.82), P = 0.04), mitral E/A > 2 (1.97 (1.02-3.78), P = 0.04), right atrial size >18 $ cm^{2} $ (1.86 (1.14-3.05), P = 0.01), tricuspid annular plane systolic excursion (TAPSE) <16 mm (1.8 (1.03-3.17), P = 0.04), right ventricular systolic pressure (RVSP) =36 mmHg (pulmonary hypertension) (1.6 (1.03-2.38), P = 0.04) and right ventricle myocardial performance index (RVMPI) > 0.55 (1.58 (1.01-2.46), P = 0.04) were found to be associated with increased 30-day POAO. On 3.5-year follow-up, cumulative survival was decreased in patients with myocardial performance index (MPI) ≥ 0.55 (log rank: 4.5, P = 0.034) and in patients with mitral valve E/e′ ≥ 14 (log rank: 4.9, P = 0.026). Conclusion: Pre-operative right ventricle dysfunction (RVD) is associated with increased perioperative complications. Furthermore, pre-operative RVD and increased left atrial pressures are associated with long-term mortality post CABG. Cook, Jered M. aut Moukarbel, George V. aut Ashtiani, Sana aut Schwann, Thomas A. aut Bonnell, Mark R. aut Cooper, Christopher J. aut Khouri, Samer J. aut Enthalten in Echo Research & Practice BioMed Central 5(2018), 4 vom: 01. Dez., Seite 155-166 (SID)44156 volume:5 year:2018 number:4 day:01 month:12 pages:155-166 https://dx.doi.org/10.1530/ERP-18-0041 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 5 2018 4 01 12 155-166 |
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10.1530/ERP-18-0041 doi (DE-627)SPR050506641 (SPR)ERP-18-0041-e DE-627 ger DE-627 rakwb eng Chowdhury, Mohammed Andaleeb verfasserin aut Pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after CABG 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2018 Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohort. Pre-operative echocardiographic data, perioperative adverse outcomes (POAO) and long-term mortality were retrospectively analyzed in 491 patients who underwent isolated CABG at a single academic center between 2006 and 2014. Results: Average age of enrolled subjects was 66 ± 11.5 years with majority being male (69%). 227/491 patients had 30 days POAO (46%); most common being post-operative atrial fibrillation (27.3%) followed by prolonged ventilation duration (12.7%). On multivariate analysis, left atrial volume index ≥ 42 mL/$ m^{2} $ (LAVI) (OR (95% CI): 1.98 (1.03-3.82), P = 0.04), mitral E/A > 2 (1.97 (1.02-3.78), P = 0.04), right atrial size >18 $ cm^{2} $ (1.86 (1.14-3.05), P = 0.01), tricuspid annular plane systolic excursion (TAPSE) <16 mm (1.8 (1.03-3.17), P = 0.04), right ventricular systolic pressure (RVSP) =36 mmHg (pulmonary hypertension) (1.6 (1.03-2.38), P = 0.04) and right ventricle myocardial performance index (RVMPI) > 0.55 (1.58 (1.01-2.46), P = 0.04) were found to be associated with increased 30-day POAO. On 3.5-year follow-up, cumulative survival was decreased in patients with myocardial performance index (MPI) ≥ 0.55 (log rank: 4.5, P = 0.034) and in patients with mitral valve E/e′ ≥ 14 (log rank: 4.9, P = 0.026). Conclusion: Pre-operative right ventricle dysfunction (RVD) is associated with increased perioperative complications. Furthermore, pre-operative RVD and increased left atrial pressures are associated with long-term mortality post CABG. Cook, Jered M. aut Moukarbel, George V. aut Ashtiani, Sana aut Schwann, Thomas A. aut Bonnell, Mark R. aut Cooper, Christopher J. aut Khouri, Samer J. aut Enthalten in Echo Research & Practice BioMed Central 5(2018), 4 vom: 01. Dez., Seite 155-166 (SID)44156 volume:5 year:2018 number:4 day:01 month:12 pages:155-166 https://dx.doi.org/10.1530/ERP-18-0041 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 5 2018 4 01 12 155-166 |
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10.1530/ERP-18-0041 doi (DE-627)SPR050506641 (SPR)ERP-18-0041-e DE-627 ger DE-627 rakwb eng Chowdhury, Mohammed Andaleeb verfasserin aut Pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after CABG 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2018 Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohort. Pre-operative echocardiographic data, perioperative adverse outcomes (POAO) and long-term mortality were retrospectively analyzed in 491 patients who underwent isolated CABG at a single academic center between 2006 and 2014. Results: Average age of enrolled subjects was 66 ± 11.5 years with majority being male (69%). 227/491 patients had 30 days POAO (46%); most common being post-operative atrial fibrillation (27.3%) followed by prolonged ventilation duration (12.7%). On multivariate analysis, left atrial volume index ≥ 42 mL/$ m^{2} $ (LAVI) (OR (95% CI): 1.98 (1.03-3.82), P = 0.04), mitral E/A > 2 (1.97 (1.02-3.78), P = 0.04), right atrial size >18 $ cm^{2} $ (1.86 (1.14-3.05), P = 0.01), tricuspid annular plane systolic excursion (TAPSE) <16 mm (1.8 (1.03-3.17), P = 0.04), right ventricular systolic pressure (RVSP) =36 mmHg (pulmonary hypertension) (1.6 (1.03-2.38), P = 0.04) and right ventricle myocardial performance index (RVMPI) > 0.55 (1.58 (1.01-2.46), P = 0.04) were found to be associated with increased 30-day POAO. On 3.5-year follow-up, cumulative survival was decreased in patients with myocardial performance index (MPI) ≥ 0.55 (log rank: 4.5, P = 0.034) and in patients with mitral valve E/e′ ≥ 14 (log rank: 4.9, P = 0.026). Conclusion: Pre-operative right ventricle dysfunction (RVD) is associated with increased perioperative complications. Furthermore, pre-operative RVD and increased left atrial pressures are associated with long-term mortality post CABG. Cook, Jered M. aut Moukarbel, George V. aut Ashtiani, Sana aut Schwann, Thomas A. aut Bonnell, Mark R. aut Cooper, Christopher J. aut Khouri, Samer J. aut Enthalten in Echo Research & Practice BioMed Central 5(2018), 4 vom: 01. Dez., Seite 155-166 (SID)44156 volume:5 year:2018 number:4 day:01 month:12 pages:155-166 https://dx.doi.org/10.1530/ERP-18-0041 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 5 2018 4 01 12 155-166 |
allfieldsGer |
10.1530/ERP-18-0041 doi (DE-627)SPR050506641 (SPR)ERP-18-0041-e DE-627 ger DE-627 rakwb eng Chowdhury, Mohammed Andaleeb verfasserin aut Pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after CABG 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2018 Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohort. Pre-operative echocardiographic data, perioperative adverse outcomes (POAO) and long-term mortality were retrospectively analyzed in 491 patients who underwent isolated CABG at a single academic center between 2006 and 2014. Results: Average age of enrolled subjects was 66 ± 11.5 years with majority being male (69%). 227/491 patients had 30 days POAO (46%); most common being post-operative atrial fibrillation (27.3%) followed by prolonged ventilation duration (12.7%). On multivariate analysis, left atrial volume index ≥ 42 mL/$ m^{2} $ (LAVI) (OR (95% CI): 1.98 (1.03-3.82), P = 0.04), mitral E/A > 2 (1.97 (1.02-3.78), P = 0.04), right atrial size >18 $ cm^{2} $ (1.86 (1.14-3.05), P = 0.01), tricuspid annular plane systolic excursion (TAPSE) <16 mm (1.8 (1.03-3.17), P = 0.04), right ventricular systolic pressure (RVSP) =36 mmHg (pulmonary hypertension) (1.6 (1.03-2.38), P = 0.04) and right ventricle myocardial performance index (RVMPI) > 0.55 (1.58 (1.01-2.46), P = 0.04) were found to be associated with increased 30-day POAO. On 3.5-year follow-up, cumulative survival was decreased in patients with myocardial performance index (MPI) ≥ 0.55 (log rank: 4.5, P = 0.034) and in patients with mitral valve E/e′ ≥ 14 (log rank: 4.9, P = 0.026). Conclusion: Pre-operative right ventricle dysfunction (RVD) is associated with increased perioperative complications. Furthermore, pre-operative RVD and increased left atrial pressures are associated with long-term mortality post CABG. Cook, Jered M. aut Moukarbel, George V. aut Ashtiani, Sana aut Schwann, Thomas A. aut Bonnell, Mark R. aut Cooper, Christopher J. aut Khouri, Samer J. aut Enthalten in Echo Research & Practice BioMed Central 5(2018), 4 vom: 01. Dez., Seite 155-166 (SID)44156 volume:5 year:2018 number:4 day:01 month:12 pages:155-166 https://dx.doi.org/10.1530/ERP-18-0041 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 5 2018 4 01 12 155-166 |
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10.1530/ERP-18-0041 doi (DE-627)SPR050506641 (SPR)ERP-18-0041-e DE-627 ger DE-627 rakwb eng Chowdhury, Mohammed Andaleeb verfasserin aut Pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after CABG 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2018 Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohort. Pre-operative echocardiographic data, perioperative adverse outcomes (POAO) and long-term mortality were retrospectively analyzed in 491 patients who underwent isolated CABG at a single academic center between 2006 and 2014. Results: Average age of enrolled subjects was 66 ± 11.5 years with majority being male (69%). 227/491 patients had 30 days POAO (46%); most common being post-operative atrial fibrillation (27.3%) followed by prolonged ventilation duration (12.7%). On multivariate analysis, left atrial volume index ≥ 42 mL/$ m^{2} $ (LAVI) (OR (95% CI): 1.98 (1.03-3.82), P = 0.04), mitral E/A > 2 (1.97 (1.02-3.78), P = 0.04), right atrial size >18 $ cm^{2} $ (1.86 (1.14-3.05), P = 0.01), tricuspid annular plane systolic excursion (TAPSE) <16 mm (1.8 (1.03-3.17), P = 0.04), right ventricular systolic pressure (RVSP) =36 mmHg (pulmonary hypertension) (1.6 (1.03-2.38), P = 0.04) and right ventricle myocardial performance index (RVMPI) > 0.55 (1.58 (1.01-2.46), P = 0.04) were found to be associated with increased 30-day POAO. On 3.5-year follow-up, cumulative survival was decreased in patients with myocardial performance index (MPI) ≥ 0.55 (log rank: 4.5, P = 0.034) and in patients with mitral valve E/e′ ≥ 14 (log rank: 4.9, P = 0.026). Conclusion: Pre-operative right ventricle dysfunction (RVD) is associated with increased perioperative complications. Furthermore, pre-operative RVD and increased left atrial pressures are associated with long-term mortality post CABG. Cook, Jered M. aut Moukarbel, George V. aut Ashtiani, Sana aut Schwann, Thomas A. aut Bonnell, Mark R. aut Cooper, Christopher J. aut Khouri, Samer J. aut Enthalten in Echo Research & Practice BioMed Central 5(2018), 4 vom: 01. Dez., Seite 155-166 (SID)44156 volume:5 year:2018 number:4 day:01 month:12 pages:155-166 https://dx.doi.org/10.1530/ERP-18-0041 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 5 2018 4 01 12 155-166 |
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Pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after CABG |
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Chowdhury, Mohammed Andaleeb |
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Echo Research & Practice |
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2018 |
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Chowdhury, Mohammed Andaleeb Cook, Jered M. Moukarbel, George V. Ashtiani, Sana Schwann, Thomas A. Bonnell, Mark R. Cooper, Christopher J. Khouri, Samer J. |
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Elektronische Aufsätze |
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Chowdhury, Mohammed Andaleeb |
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10.1530/ERP-18-0041 |
title_sort |
pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after cabg |
title_auth |
Pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after CABG |
abstract |
Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohort. Pre-operative echocardiographic data, perioperative adverse outcomes (POAO) and long-term mortality were retrospectively analyzed in 491 patients who underwent isolated CABG at a single academic center between 2006 and 2014. Results: Average age of enrolled subjects was 66 ± 11.5 years with majority being male (69%). 227/491 patients had 30 days POAO (46%); most common being post-operative atrial fibrillation (27.3%) followed by prolonged ventilation duration (12.7%). On multivariate analysis, left atrial volume index ≥ 42 mL/$ m^{2} $ (LAVI) (OR (95% CI): 1.98 (1.03-3.82), P = 0.04), mitral E/A > 2 (1.97 (1.02-3.78), P = 0.04), right atrial size >18 $ cm^{2} $ (1.86 (1.14-3.05), P = 0.01), tricuspid annular plane systolic excursion (TAPSE) <16 mm (1.8 (1.03-3.17), P = 0.04), right ventricular systolic pressure (RVSP) =36 mmHg (pulmonary hypertension) (1.6 (1.03-2.38), P = 0.04) and right ventricle myocardial performance index (RVMPI) > 0.55 (1.58 (1.01-2.46), P = 0.04) were found to be associated with increased 30-day POAO. On 3.5-year follow-up, cumulative survival was decreased in patients with myocardial performance index (MPI) ≥ 0.55 (log rank: 4.5, P = 0.034) and in patients with mitral valve E/e′ ≥ 14 (log rank: 4.9, P = 0.026). Conclusion: Pre-operative right ventricle dysfunction (RVD) is associated with increased perioperative complications. Furthermore, pre-operative RVD and increased left atrial pressures are associated with long-term mortality post CABG. © The Author(s) 2018 |
abstractGer |
Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohort. Pre-operative echocardiographic data, perioperative adverse outcomes (POAO) and long-term mortality were retrospectively analyzed in 491 patients who underwent isolated CABG at a single academic center between 2006 and 2014. Results: Average age of enrolled subjects was 66 ± 11.5 years with majority being male (69%). 227/491 patients had 30 days POAO (46%); most common being post-operative atrial fibrillation (27.3%) followed by prolonged ventilation duration (12.7%). On multivariate analysis, left atrial volume index ≥ 42 mL/$ m^{2} $ (LAVI) (OR (95% CI): 1.98 (1.03-3.82), P = 0.04), mitral E/A > 2 (1.97 (1.02-3.78), P = 0.04), right atrial size >18 $ cm^{2} $ (1.86 (1.14-3.05), P = 0.01), tricuspid annular plane systolic excursion (TAPSE) <16 mm (1.8 (1.03-3.17), P = 0.04), right ventricular systolic pressure (RVSP) =36 mmHg (pulmonary hypertension) (1.6 (1.03-2.38), P = 0.04) and right ventricle myocardial performance index (RVMPI) > 0.55 (1.58 (1.01-2.46), P = 0.04) were found to be associated with increased 30-day POAO. On 3.5-year follow-up, cumulative survival was decreased in patients with myocardial performance index (MPI) ≥ 0.55 (log rank: 4.5, P = 0.034) and in patients with mitral valve E/e′ ≥ 14 (log rank: 4.9, P = 0.026). Conclusion: Pre-operative right ventricle dysfunction (RVD) is associated with increased perioperative complications. Furthermore, pre-operative RVD and increased left atrial pressures are associated with long-term mortality post CABG. © The Author(s) 2018 |
abstract_unstemmed |
Abstract Background: This analysis aims to assess the prognostic value of pre-operative right ventricular echocardiographic parameters in predicting short-term adverse outcomes and long-term mortality after coronary artery bypass graft (CABG). Methods: Study design: Observational retrospective cohort. Pre-operative echocardiographic data, perioperative adverse outcomes (POAO) and long-term mortality were retrospectively analyzed in 491 patients who underwent isolated CABG at a single academic center between 2006 and 2014. Results: Average age of enrolled subjects was 66 ± 11.5 years with majority being male (69%). 227/491 patients had 30 days POAO (46%); most common being post-operative atrial fibrillation (27.3%) followed by prolonged ventilation duration (12.7%). On multivariate analysis, left atrial volume index ≥ 42 mL/$ m^{2} $ (LAVI) (OR (95% CI): 1.98 (1.03-3.82), P = 0.04), mitral E/A > 2 (1.97 (1.02-3.78), P = 0.04), right atrial size >18 $ cm^{2} $ (1.86 (1.14-3.05), P = 0.01), tricuspid annular plane systolic excursion (TAPSE) <16 mm (1.8 (1.03-3.17), P = 0.04), right ventricular systolic pressure (RVSP) =36 mmHg (pulmonary hypertension) (1.6 (1.03-2.38), P = 0.04) and right ventricle myocardial performance index (RVMPI) > 0.55 (1.58 (1.01-2.46), P = 0.04) were found to be associated with increased 30-day POAO. On 3.5-year follow-up, cumulative survival was decreased in patients with myocardial performance index (MPI) ≥ 0.55 (log rank: 4.5, P = 0.034) and in patients with mitral valve E/e′ ≥ 14 (log rank: 4.9, P = 0.026). Conclusion: Pre-operative right ventricle dysfunction (RVD) is associated with increased perioperative complications. Furthermore, pre-operative RVD and increased left atrial pressures are associated with long-term mortality post CABG. © The Author(s) 2018 |
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Pre-operative right ventricular echocardiographic parameters associated with short-term outcomes and long-term mortality after CABG |
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https://dx.doi.org/10.1530/ERP-18-0041 |
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Cook, Jered M. Moukarbel, George V. Ashtiani, Sana Schwann, Thomas A. Bonnell, Mark R. Cooper, Christopher J. Khouri, Samer J. |
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