Echocardiographic predictor of acute heart failure after spine surgery: a novel tissue Doppler index associated with a potentially fatal complication of the operation
DC Field | Value | Language |
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dc.contributor.author | Kim, Tae-Hoon | - |
dc.contributor.author | Mun, Jeong-Beom | - |
dc.contributor.author | Jung, Eunjung | - |
dc.contributor.author | Jeong, In-Kyong | - |
dc.contributor.author | Choi, Sungwoo | - |
dc.contributor.author | Lee, Sang-Ho | - |
dc.contributor.author | Chung, Wook-Jin | - |
dc.contributor.author | Ahn, Taehoon | - |
dc.contributor.author | Moon, Jeonggeun | - |
dc.date.available | 2020-02-28T17:43:53Z | - |
dc.date.created | 2020-02-06 | - |
dc.date.issued | 2014-05 | - |
dc.identifier.issn | 1529-9430 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/12660 | - |
dc.description.abstract | BACKGROUND CONTEXT: Acute heart failure (HF) is a potentially fatal complication after spine surgery. PURPOSE: We sought to identify clinical and echocardiographic predictors of postoperative HF in spine surgery patients. STUDY DESIGN: Retrospective observational study. PATIENT SAMPLE: A total of 305 patients (128 men; age, 65 +/- 9 years) who underwent spine surgery were consecutively enrolled. A transthoracic echocardiography was performed to all patients before the index operation. Patients with a history of HF or with left ventricular (LV) systolic dysfunction (LV ejection fraction <50%) were excluded. OUTCOME MEASURES: Heart failure was defined according to the Framingham criteria. The presence of postoperative dyspneic symptom and the sign of bilateral ankle edema were recorded by the physicians. Chest X-ray was mandatory for all patients and interpreted by the two physicians, including at least one radiologist. METHODS: Clinical, operative, and echocardiographic parameters were compared between patents with and without acute HF during the postoperative period (duration, 11 +/- 9 days). This study was supported by Boryung Pharmaceutical Company (Seoul, Republic of Korea; 13,440 USD). RESULTS: Postoperative HF occurred in 31 patients (10%). Compared with those without postoperative HF, these patients were older (73 +/- 7 vs. 64 +/- 9 years), had longer anesthesia time (7.4 +/- 4.2 vs. 3.6 +/- 2.1 hours), and were treated with a greater volume of fluid replacement during the operation (3.8 +/- 0.7 vs. 1.3 +/- 0.1 L) (p<.05 for all). On echocardiographic evaluation, the ratio of early diastolic mitral inflow velocity to early diastolic mitral annular velocity (E/E') was higher (11 vs. 8) and left atrial volume index was larger (20 +/- 6 vs. 17 +/- 6 mL/m(2)) in patients with HF than in the control group (p<.05 for all), whereas the differences in LV ejection fraction and LV size were not significant. In multivariate analysis, E/E' (odds ratio, 1.399; 95% confidence interval, 1.169-1.674; p<.0001), age, and quantity of replaced volume during surgery were independent predictors of postoperative HF. CONCLUSIONS: Acute HF after spine surgery was rather common even in previously healthy patients. E/E' reflecting LV filling pressure predicted postoperative HF in patients who underwent spine surgery. (C) 2014 Elsevier Inc. All rights reserved. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.relation.isPartOf | SPINE JOURNAL | - |
dc.subject | LEFT ATRIAL SIZE | - |
dc.subject | NATRIURETIC PEPTIDE | - |
dc.subject | VENTRICULAR DYSFUNCTION | - |
dc.subject | DIASTOLIC DYSFUNCTION | - |
dc.subject | CARDIAC RISK | - |
dc.subject | MORTALITY | - |
dc.subject | GUIDELINES | - |
dc.subject | MANAGEMENT | - |
dc.subject | PROGNOSIS | - |
dc.subject | STROKE | - |
dc.title | Echocardiographic predictor of acute heart failure after spine surgery: a novel tissue Doppler index associated with a potentially fatal complication of the operation | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000334770700010 | - |
dc.identifier.doi | 10.1016/j.spinee.2013.07.429 | - |
dc.identifier.bibliographicCitation | SPINE JOURNAL, v.14, no.5, pp.782 - 788 | - |
dc.identifier.scopusid | 2-s2.0-84899429213 | - |
dc.citation.endPage | 788 | - |
dc.citation.startPage | 782 | - |
dc.citation.title | SPINE JOURNAL | - |
dc.citation.volume | 14 | - |
dc.citation.number | 5 | - |
dc.contributor.affiliatedAuthor | Chung, Wook-Jin | - |
dc.contributor.affiliatedAuthor | Ahn, Taehoon | - |
dc.contributor.affiliatedAuthor | Moon, Jeonggeun | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Spine surgery | - |
dc.subject.keywordAuthor | Prognosis | - |
dc.subject.keywordAuthor | Congestive heart failure | - |
dc.subject.keywordAuthor | Echocardiography | - |
dc.subject.keywordAuthor | Diastolic function | - |
dc.subject.keywordPlus | LEFT ATRIAL SIZE | - |
dc.subject.keywordPlus | NATRIURETIC PEPTIDE | - |
dc.subject.keywordPlus | VENTRICULAR DYSFUNCTION | - |
dc.subject.keywordPlus | DIASTOLIC DYSFUNCTION | - |
dc.subject.keywordPlus | CARDIAC RISK | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | PROGNOSIS | - |
dc.subject.keywordPlus | STROKE | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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