Which echocardiographic parameters improve the risk prediction for peri-operative outcomes in patients undergoing coronary bypass surgery: a prospective study

Magné, Julien; Serena, Claire; Salerno, Baptiste; Mohty, Dania; Marsaud, Jean-Philippe; Blossier, Jean-David; Piccardo, Alessandro; Cornu, Élisabeth; Guyader, Alexandre Le; Aboyans, Victor

doi:10.1177/2048872618768004

Cited by 2 publications

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“…Follow up was performed after 18 months by an outpatient visit with 166 (83%) patients, of which 160 participants in the study underwent repeated echocardiography with an assessment of the right ventricular systolic and diastolic function (Figure 1). studies, the parameters of the RV systolic function were mainly assessed [10][11][12][13]. At the same time, there is evidence that RV diastolic dysfunction can evolve before the identification of RV systolic dysfunction [14,15] and is associated with the development of perioperative complications [16].…”

Section: Study Populationmentioning

confidence: 99%

“…Accordingly, the diagnosis and treatment of RV dysfunction after CABG are important for prognosis improvement, both in the early postoperative period and in the more distant periods [ 6 , 7 , 8 , 9 ]. It should be noted that in previous studies, the parameters of the RV systolic function were mainly assessed [ 10 , 11 , 12 , 13 ]. At the same time, there is evidence that RV diastolic dysfunction can evolve before the identification of RV systolic dysfunction [ 14 , 15 ] and is associated with the development of perioperative complications [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Indicators of the Right Ventricle Systolic and Diastolic Function 18 Months after Coronary Bypass Surgery

Sumin

Щеглова

Корок

et al. 2022

JCM

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Objective. Right ventricular (RV) dysfunction after coronary artery bypass grafting (CABG) is associated with increased mortality and morbidity. In previous studies, the parameters of RV systolic function were mainly assessed, while the dynamics of RV diastolic function after surgery was practically not studied. The aim of this study was to study the dynamics of indicators of systolic and diastolic RV function after CABG as well as to identify factors associated with their presence. Methods. The study included 160 patients who underwent CABG and 36 volunteers with no history of coronary artery disease (CAD) as a control group. Echocardiographic examination of patients was performed to assess systolic and diastolic RV dysfunction before surgery and 18 months after CABG. A level of s’t < 10 cm/sec or TAPSE < 16 mm was considered as a sign of existing RV systolic dysfunction. RV diastolic dysfunction was defined as an Et/At ratio < 0.8 or >2.1 and/or an Et/et’ ratio > 6. Results. In CAD patients 18 months after CABG, there was an increase in the frequency of the right ventricular systolic (from 7.5% to 30%, p < 0.001) and diastolic (from 41.8% to 57.5%, p < 0.001) dysfunction. An increase in TAPSE (p = 0.007), a decrease in e’t (p = 0.005), and the presence of RV systolic dysfunction before surgery (p = 0.023) was associated with a significant increase in the likelihood of detecting RV systolic dysfunction 18 months after CABG (χ2(3) = 17.4, p = 0.001). High values of At before surgery (p = 0.021) and old myocardial infarction (p = 0.023) were significantly associated with an increased likelihood of detection of RV diastolic dysfunction 18 months after CABG (χ2(2) = 10.78, p = 0.005). Conclusions. This study demonstrated that in CAD patients 18 months after CABG, there was an increase in the frequency of right ventricular systolic and diastolic dysfunction. We also established the initial clinical, echocardiographic parameters, and perioperative complications associated with the presence of these changes in the postoperative period. The clinical and prognostic significance of the presence of systolic and/or diastolic RV dysfunction in patients 18 months after CABG remains to be explored.

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Section: Study Populationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Indicators of the Right Ventricle Systolic and Diastolic Function 18 Months after Coronary Bypass Surgery

Sumin

Щеглова

Корок

et al. 2022

JCM

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Prognostic role of moderate functional tricuspid regurgitation in length of hospitalization in patients undergoing isolated coronary artery bypass grafting

Zoroufian

Sahebjam

Forouzannia

et al. 2020

Int J Cardiovasc Imaging

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Which echocardiographic parameters improve the risk prediction for peri-operative outcomes in patients undergoing coronary bypass surgery: a prospective study

Abstract: In patients undergoing coronary artery bypass grafting, preoperative assessment of left atrial size and tricuspid annular plane systolic excursion should be performed systematically, as it provides additional prognostic information to the STS score.

Cited by 2 publications

References 22 publications

Indicators of the Right Ventricle Systolic and Diastolic Function 18 Months after Coronary Bypass Surgery

Indicators of the Right Ventricle Systolic and Diastolic Function 18 Months after Coronary Bypass Surgery

Prognostic role of moderate functional tricuspid regurgitation in length of hospitalization in patients undergoing isolated coronary artery bypass grafting

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