keyword
https://read.qxmd.com/read/37648079/utility-of-growth-differentiation-factor-15-as-a-predictor-of-cardiovascular-surgery-outcomes-current-research-and-future-directions
#21
REVIEW
Ikuko Shibasaki, Naoyuki Otani, Motoshi Ouchi, Taira Fukuda, Taiki Matsuoka, Shotaro Hirota, Shohei Yokoyama, Yuta Kanazawa, Takashi Kato, Riha Shimizu, Masahiro Tezuka, Yusuke Takei, Go Tsuchiya, Shunsuke Saito, Taisuke Konishi, Koji Ogata, Shigeru Toyoda, Hirotsugu Fukuda, Toshiaki Nakajima
In a world increasingly confronted by cardiovascular diseases (CVDs) and an aging population, accurate risk assessment prior to cardiac surgery is critical. Although effective, traditional risk calculators such as the Japan SCORE, Society of Thoracic Surgeons score, and EuroSCORE II may not completely capture contemporary risks, particularly due to emerging factors such as frailty and sarcopenia. These calculators often focus on regional and ethnic specificity and rely heavily on evaluations based on age and underlying diseases...
August 28, 2023: Journal of Cardiology
https://read.qxmd.com/read/37619965/comparison-of-cardiac-biomarkers-on-risk-assessment-of-contrast-associated-acute-kidney-injury-in-patients-undergoing-cardiac-catheterization-a-multicenter-retrospective-study
#22
JOURNAL ARTICLE
Sijia Yu, Qiang Li, Yibo He, CongZhuo Jia, Guoxiao Liang, Hongyu Lu, Wanying Wu, Jin Liu, Yong Liu, Jiyan Chen
AIM: Cardiac biomarkers' predictive value of contrast-associated acute kidney injury (CA-AKI) remains unclear. We analysed whether creatine kinase isoenzyme-MB (CKMB), cardiac troponin I (cTnI) and preoperative N-terminal pro-brain natriuretic peptide (NT-proBNP) are tied to CA-AKI patients undergoing cardiac catheterization. METHODS: In the multi-center study, we included 3553 people underwent cardiac catheterization for analysis. CA-AKI was defined as the absolute increase of over 0...
August 24, 2023: Nephrology
https://read.qxmd.com/read/37609609/long-term-outcomes-of-left-ventricular-posterior-wall-plication-for-ischemic-mitral-regurgitation
#23
JOURNAL ARTICLE
Kosuke Nakamae, Takashi Oshitomi, Hideyuki Uesugi, Ichiro Ideta, Kentaro Takaji, Toshiharu Sassa, Hidetaka Murata, Masataka Hirota
PURPOSE: To evaluate the early and long-term outcomes of left ventricular posterior wall plication for ischemic mitral regurgitation. METHODS: Patients with ischemic mitral regurgitation who underwent left ventricular posterior wall plication via right-sided left atriotomy at our institution between 2010 and 2020 were retrospectively reviewed. Cases with normal cardiac function, left ventricular end-systolic diameter < 50 mm, and left ventriculotomy approach were excluded...
September 2023: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37534800/association-between-regional-oxygen-saturation-and-central-venous-saturation-in-pediatric-patients-undergoing-cardiac-surgery-a-prospective-observational-study
#24
JOURNAL ARTICLE
Naoki Hirai, Junichi Saito, Kishiko Nakai, Satoko Noguchi, Eiji Hashiba, Kazuyoshi Hirota
BACKGROUND: We evaluated the correlation between regional oxygen saturation (rSO2 ) in the frontal and right renal dorsum (cerebral rSO2 and somatic rSO2 ) measured by near-infrared spectroscopy (INVOS™ 5100C, Medtronic) and central venous oxygen saturation (ScvO2 ) measured with a fiber-optic oximetry catheter (PediaSat™, Edwards Lifesciences) during surgery in order to determine whether noninvasive rSO2 could be used as an alternative to ScvO2 in pediatric cardiac surgery patients...
November 2023: Paediatric Anaesthesia
https://read.qxmd.com/read/37522977/ninety-day-mortality-of-extremely-elderly-patients-undergoing-hip-fracture-surgery-and-its-association-with-preoperative-cardiac-function-a-single-center-retrospective-study
#25
JOURNAL ARTICLE
Sari Shimizu, Satoshi Tanaka, Takashi Ishida, Mariko Ito, Mikito Kawamata, Kazufumi Okamoto
PURPOSE: We investigated the 90-day mortality rate in elderly patients who underwent hip fracture surgery and the association of preoperative cardiac function with mortality. METHODS: We retrospectively enrolled 133 consecutive patients aged 80 years or older who underwent hip fracture surgery. We obtained information for patient sex, age, comorbidities, medications, anesthesia method, left ventricular systolic and diastolic functions assessed by echocardiography, and preoperative brain natriuretic peptide (BNP) levels...
July 31, 2023: Journal of Anesthesia
https://read.qxmd.com/read/37470523/effect-of-preoperative-ivabradine-on-hemodynamics-during-elective-off-pump-cabg
#26
RANDOMIZED CONTROLLED TRIAL
Sanjula Virmani, Indira Mallik, Vishwanath B Mohire, Muhammad Abid Geelani, Harpreet Singh Minhas
BACKGROUND: Ivabradine is a specific heart rate (HR)-lowering agent which blocks the cardiac pacemaker If channels. It reduces the HR without causing a negative inotropic or lusitropic effect, thus preserving ventricular contractility. The authors hypothesized that its usefulness in lowering HR can be utilized in patients undergoing off-pump coronary artery bypass (OPCAB) surgery. OBJECTIVE: To study the effects of preoperative ivabradine on hemodynamics (during surgery) in patients undergoing elective OPCAB surgery...
2023: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/37460802/the-serum-nt-probnp-is-associated-with-all-cause-mortality-in-geriatric-hip-fracture-a-cohort-of-1354-patients
#27
JOURNAL ARTICLE
Bin-Fei Zhang, Dong-Yang Li, Dong-Xing Lu, Ming-Xu Wang
UNLABELLED: Geriatric hip fracture patients often have increased N-terminal prohormone of brain natriuretic peptide (NT-proBNP) levels. This study found a curved association between preoperative NT-proBNP level and all-cause mortality. There was an inflection point of NT-proBNP 781 ng/L in the saturation effect. Thus, NT-proBNP was a valuable indicator of all-cause mortality. PURPOSE: To explore the relationship between N-terminal prohormone of brain natriuretic peptide (NT-proBNP) level and all-cause mortality in geriatric hip fractures and evaluate the possible predictive role of NT-proBNP level...
July 17, 2023: Archives of Osteoporosis
https://read.qxmd.com/read/37419802/risk-factors-associated-with-postoperative-atrial-fibrillation-following-lung-cancer-surgery-a-multi-centre-case-control-study
#28
JOURNAL ARTICLE
Lifu Zhang, Xinv Li, Haifeng Wu, Jie Luo
BACKGROUND: Postoperative atrial fibrillation (POAF) is a common complication after major thoracic operations. The objective of this case-control study was to identify the risk factors for POAF following lung cancer surgery. METHODS: In total, 216 patients with lung cancer who were selected from three different hospitals were followed up between May 2020 and May 2022. They were divided into two groups: case group, patients with POAF and control group, patients without POAF (case-control)...
July 5, 2023: Asian Journal of Surgery
https://read.qxmd.com/read/37401429/perioperative-levels-of-troponin-and-bnp-and-the-outcome-after-coronary-artery-bypass-grafting
#29
JOURNAL ARTICLE
Ayman R Abdelrehim, Faisal A Alnasser, Fareed A Alnozaha, Mohammadnizam S H Uddin, Hasan I Sandogji, Hussain R Aynusah, Asim S S Alluhaybi, Refal A Alahmadi, Hussam M Alahmadi, Wafaa M Alharbi, Ahmed M Shabaan
BACKGROUND: The independent predictive values of troponin I (cTnI) and B-type natriuretic peptide (BNP) after coronary artery bypass grafting (CABG) have been reported in several studies. However, adjustment only has been limited to preoperative risk factors. AIM: This study was conducted to assess the independent values of postoperative cTnI and BNP to predict the outcome after CABG with adjustment for preoperative risk estimates and postoperative complications and to report risk stratification gains, when considering the European System for Cardiac Operative Risk Evaluation (EuroSCORE) combined with postoperative biomarkers...
May 31, 2023: Heart Surgery Forum
https://read.qxmd.com/read/37355592/different-hydration-methods-for-the-prevention-of-contrast-induced-nephropathy-in-patients-with-elective-percutaneous-coronary-intervention-a-retrospective-study
#30
JOURNAL ARTICLE
Fei Chen, Jingchao Lu, Xiuchun Yang, Demin Liu, Qian Wang, Xue Geng, Bing Xiao, Jie Zhang, Fan Liu, Guoqiang Gu, Wei Cui
BACKGROUND: Hydration is currently the main measure to prevent contrast-induced nephropathy (CIN). We aimed to compare the preventive effect of preprocedure and postprocedure hydration on CIN in patients with coronary heart disease undergoing elective percutaneous coronary intervention (PCI). METHODS: A retrospective study included 198 cases of postprocedure hydration and 396 cases of preprocedure hydration using propensity score matching. The incidence of CIN 48 h after PCI and adverse events within 30 days after contrast media exposure were compared between the two groups...
June 24, 2023: BMC Cardiovascular Disorders
https://read.qxmd.com/read/37324339/feasibility-study-of-intraoperative-pericardial-fluid-biomarkers-and-length-of-stay-after-cardiac-surgery
#31
JOURNAL ARTICLE
Lee A Goeddel, Ahmed Zaky, Inmaculada Aban, Chad Steele, James F George, Spencer J Melby, Louis J Dell'Italia
OBJECTIVE: Pericardial fluid biomarkers reflect the physiologic state of the myocardium. Previously, we showed a sustained increase in pericardial fluid biomarkers compared with blood in the 48 hours after cardiac surgery. We assess the feasibility of analyzing 9 common cardiac biomarkers from pericardial fluid collected during cardiac surgery and test a preliminary hypothesis of association between the most common biomarkers, troponin and brain natriuretic peptide, and length of stay after surgery...
June 2023: JTCVS techniques
https://read.qxmd.com/read/37250551/influencing-factors-of-dexmedetomidine-on-postoperative-myocardial-protection-in-patients-with-video-assisted-thoracoscopic-surgery-lobectomy-a-retrospective-cohort-study
#32
JOURNAL ARTICLE
Hua Li, Ji Liu, Chun Li, Hong Shi
OBJECTIVE: To investigate factors affecting the cardioprotective proprieties of dexmedetomidine in patients after pulmonary lobectomy. METHODS: The data of 504 patients who received dexmedetomidine combined with general anesthesia and video-assisted thoracoscopic surgery (VATS) lobectomy in Shanghai Lung Hospital from April 2018 to April 2019 were analyzed retrospectively. Patients were divided into normal troponin group (LTG) and high troponin group (HTG) according to whether the postoperative troponin level was greater than 13...
2023: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/37210323/use-of-preoperative-natriuretic-peptide-in-predicting-mortality-after-coronary-artery-bypass-grafting-a-systematic-review-and-meta-analysis
#33
REVIEW
Maria Comanici, Dharsicka Nadarajah, Eve Katumalla, Shabnam Cyclewala, Shahzad G Raja
The objective of this systematic review was to evaluate the current evidence on the utility of preoperative B-type natriuretic peptide (BNP) and N-terminal-pro B-type natriuretic peptide (NT-proBNP) in predicting short-term and long-term mortality after coronary artery bypass grafting (CABG). OVID MEDLINE, EMBASE, SCOPUS, and PUBMED were searched from 1946 to August 2022 using the following terms: "coronary artery bypass grafting" and "BNP" and "outcomes." Eligible studies included observational studies reporting the association between preoperative BNP and NT-proBNP levels and short- and long-term mortality after CABG...
April 20, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/37208131/conversion-between-b-type-natriuretic-peptide-and-n-terminal-pro-b-type-natriuretic-peptide-in-perioperative-risk-assessment-protocol-for-a-prospective-cohort-study
#34
JOURNAL ARTICLE
Taryn Davidson, Joel Parlow, Ben King, Deborah DuMerton, Pavel S Roshanov, P J Devereaux, Jordan Leitch
INTRODUCTION: Both B-type natriuretic peptide (BNP) and N-terminal pro-BNP (NT-pro-BNP) are used to identify patients at risk of perioperative vascular events, but prognostic thresholds have been established in a large prospective cohort for NT-pro-BNP only. We designed this study to inform perioperative risk interpretation of BNP values. Our primary objective is to validate a formula to convert BNP to NT-pro-BNP concentrations before non-cardiac surgery. The secondary objective is to determine the association between BNP categories (established based on conversion from NT-pro-BNP categories) and a composite outcome of myocardial injury after non-cardiac surgery (MINS) and vascular death...
May 19, 2023: BMJ Open
https://read.qxmd.com/read/37148775/the-remit-scale-a-novel-prediction-scale-for-embolism-in-hyperacute-stroke-with-large-vessel-occlusion
#35
MULTICENTER STUDY
Kenichi Sakuta, Takeo Sato, Ryoji Nakada, Tomomichi Kitagawa, Hiroki Takatsu, Michiyasu Fuga, Shinji Miyagawa, Teppei Komatsu, Kenichiro Sakai, Hidetaka Mitsumura, Hiroshi Yaguchi, Kenji Okuno, Toshihiro Ishibashi, Yuichi Murayama, Yasuyuki Iguchi
BACKGROUND AND PURPOSE: Large vessel occlusion (LVO) in hyperacute ischemic stroke occurs mainly by one of two mechanisms, embolism or atherosclerosis. However, the mechanism is difficult to identify prior to treatment. We aimed to investigate the factors associated with embolic LVO in hyperacute ischemic stroke, and to develop a preoperative predictive scale for the event. MATERIALS AND METHODS: This retrospective multicenter study was conducted with consecutive ischemic stroke patients with LVO who underwent thrombectomy, thrombolysis, or both...
June 15, 2023: Journal of the Neurological Sciences
https://read.qxmd.com/read/37057326/-long-term-outcome-of-evaheart-i-implantable-ventricular-assist-device-for-the-treatment-of-end-stage-heart-failure-clinical-3-year-follow-up-results-of-15-cases
#36
JOURNAL ARTICLE
H B Chen, X Q Wang, J Du, J Shi, B Y Ji, L Shi, Y S Shi, X T Zhou, X H Yang, S S Hu
Objective: To evaluate the long-term efficacy and safety of the implantable ventricular assist system EVAHEART I in clinical use. Methods: Fifteen consecutive patients with end-stage heart failure who received left ventricular assist device therapy in Fuwai Hospital from January 2018 to December 2021 were enrolled in this study, their clinical data were retrospectively analyzed. Cardiac function, liver and kidney function, New York Heart Association (NYHA) classification, 6-minute walk distance and quality of life were evaluated before implantation and at 1, 6, 12, 24 and 36 months after device implantation...
April 24, 2023: Zhonghua Xin Xue Guan Bing za Zhi
https://read.qxmd.com/read/37039711/association-of-preoperative-growth-differentiation-factor-15-concentrations-and-postoperative-cardiovascular-events-after-major-noncardiac-surgery
#37
JOURNAL ARTICLE
Emmanuelle Duceppe, Flavia K Borges, David Conen, Maria Tiboni, Matthew T V Chan, Ameen Patel, Daniel I Sessler, Peter A Kavsak, Sandra Ofori, Sadeesh Srinathan, Rupert Pearse, Allan S Jaffe, Diane Heels-Ansdell, Amit X Garg, Shirley Pettit, Robert Sapsford, P J Devereaux
BACKGROUND: The association between growth differentiation factor-15 concentrations and cardiovascular disease has been well described. The study hypothesis was that growth differentiation factor-15 may help cardiac risk stratification in noncardiac surgical patients, in addition to clinical evaluation. METHODS: The objective of the study was to determine whether preoperative serum growth differentiation factor-15 is associated with the composite primary outcome of myocardial injury after noncardiac surgery and vascular death at 30 days and can improve cardiac risk prediction in noncardiac surgery...
May 1, 2023: Anesthesiology
https://read.qxmd.com/read/37025185/association-of-brain-natriuretic-peptide-levels-at-time-of-injury-with-morbidity-and-mortality-in-patients-with-surgically-treated-hip-fractures
#38
JOURNAL ARTICLE
Brian Joseph Page, Jessica Lahre Hughes, Jon Martin Walsh, Lauren Nicole Stimson, Kendall Pye Hammonds, Kindyle Losey Brennan, Daniel Lee Stahl, Michael Lee Brennan
UNLABELLED: An elevated brain natriuretic peptide (BNP) level has been shown to be associated with mortality and cardiac events in cardiac surgery, but its utility in the prediction of morbidity and mortality in hip fracture surgery is unknown. The primary aim of this study was to determine if there is a difference in BNP level at the time of injury between patients who do and do not develop complications after hip fracture surgery. The secondary aim was to determine if there is a predictive relationship between complications associated with the initial BNP level and mortality...
2023: JB & JS Open Access
https://read.qxmd.com/read/36997419/distribution-of-thrombus-predicts-severe-reperfusion-pulmonary-edema-after-pulmonary-endarterectomy
#39
JOURNAL ARTICLE
Junyu Ma, Chen Li, Zhenguo Zhai, Yanan Zhen, Dingyi Wang, Min Liu, Xiaopeng Liu, Jun Duan
OBJECTIVES: Patients underwent pulmonary endarterectomy (PEA) for chronic thromboembolic pulmonary hypertension (CTEPH). This study aimed to investigate the effect of thrombus distribution on the occurrence of severe reperfusion pulmonary edema (RPE) and identify specific parameters for predicting severe RPE. METHODS: Patients with CTEPH who underwent PEA surgery were retrospectively analyzed. The thrombus in pulmonary arteries were evaluated through computed tomography pulmonary angiography...
September 2023: Asian Journal of Surgery
https://read.qxmd.com/read/36930846/correlation-of-n-terminal-pro-brain-natriuretic-peptide-nt-pro-bnp-with-postoperative-outcomes-of-older-patients-undergoing-transcatheter-aortic-valve-replacement
#40
JOURNAL ARTICLE
Ying-Ching Huang, Hsiao-Huang Chang, Po-Lin Chen, Chi-Ming Chu, Jen-Chen Tsai, Kwua-Yun Wang
BACKGROUND: Patients undergoing transcatheter aortic valve replacement surgery (TAVR) are typically older adults with multiple chronic diseases and therefore have a high surgical risk. The N-terminal of brain natriuretic peptide (BNP) and pro-BNP, referred to as NT-pro-BNP, is an easily measurable biomarker of heart failure. Studies on correlation between higher NT-pro-BNP levels and adverse prognoses after TAVR have yielded inconsistent results. Here, we investigated whether preoperative NT-pro-BNP levels are correlated with outcomes among older adults undergoing TAVR...
March 17, 2023: Journal of the Chinese Medical Association: JCMA
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