Abstract | BACKGROUND: METHODS: DESIGN: a prospective, observational study. SETTING: a general intensive care unit in a university hospital. PARTICIPANTS: INTERVENTIONS: RESULTS: ECG episodes of myocardial ischemia were defined as reversible ST-segment changes of either >1 mm of depression or >2 mm of elevation at the J point. All patients survived operation. Eleven patients ( ischemia group) developed myocardial ischemia, and 9 patients did not (non- ischemia group). These episodes were transient in 8 cases, but lasted longer than 3 days in 3 cases. In univariate analysis of perioperative factors between the two groups, the use of total cardiopulmonary bypass (p<0.01), the cardiac index at ICU admission (p<0.05), and the incidence of pre-existent hypertension (p<0.05) were significantly different. Multiple regression analysis identified the use of total cardiopulmonary bypass as the only predictor of myocardial ischemia. CONCLUSIONS:
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Authors | S Sasaki, K Yasuda, S Nanzaki, S Kobayashi, Y Morimoto, S Gando, O Kemmotsu |
Journal | The Journal of cardiovascular surgery
(J Cardiovasc Surg (Torino))
Vol. 42
Issue 3
Pg. 333-8
(Jun 2001)
ISSN: 0021-9509 [Print] Italy |
PMID | 11398028
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Aortic Aneurysm, Thoracic
(surgery)
- Blood Vessel Prosthesis Implantation
- Cardiopulmonary Bypass
- Critical Care
- Female
- Humans
- Male
- Middle Aged
- Myocardial Ischemia
(etiology)
- Postoperative Complications
(etiology)
- Prospective Studies
- Risk Factors
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