[The role of an objective assessment of the heart right vientricle function for the anesthesiological maintenance and intensive therapy of surgical patients].
| Title: | [The role of an objective assessment of the heart right vientricle function for the anesthesiological maintenance and intensive therapy of surgical patients]. |
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| Authors: | Khorokhordin NE; Leosko VA; Prokof'eva EV; Obolenskiĭ SV; Iablonskiĭ PK; Zorin AB; Ignashov AM; Dubikaĭtis AIu; Boiarkin AA; Karmanov IV |
| Source: | Vestnik khirurgii imeni I. I. Grekova [Vestn Khir Im I I Grek] 2005; Vol. 164 (4), pp. 75-80. |
| Publication Type: | English Abstract; Journal Article |
| Language: | Russian |
| Journal Info: | Publisher: Izdatelstvo Meditsina Country of Publication: Russia (Federation) NLM ID: 0411377 Publication Model: Print Cited Medium: Print ISSN: 0042-4625 (Print) Linking ISSN: 00424625 NLM ISO Abbreviation: Vestn Khir Im I I Grek Subsets: MEDLINE |
| Imprint Name(s): | Publication: St Petersburg : Izdatelstvo Meditsina; Original Publication: Leningrad, Meditsina [etc.] |
| MeSH Terms: | Postoperative Care*; Anesthesia/*methods ; Critical Care/*methods ; Ventricular Dysfunction, Right/*diagnosis ; Ventricular Dysfunction, Right/*prevention & control; Aortic Valve Insufficiency/surgery ; Blood Pressure/physiology ; Cardiac Catheterization/methods ; Hemodynamics/physiology ; Hypertension, Pulmonary/physiopathology ; Mitral Valve Insufficiency/surgery ; Echocardiography ; Female ; Humans ; Male ; Middle Aged |
| Abstract: | Latent dysfunction of the heart right ventricle and hypovolemia were assessed in 50 patients divided into 4 groups, operated on the heart, abdominal aorta and lungs. It was found that after revascularization of the myocardium the diastolic disorders prevailed. In patients operated for the heart valve (mitral and aortal) diseases prevailing were the systolic and pump dysfunction of the right ventricle. Insufficiency of the right ventricle in these groups was 13% and 22% respectively. After operations on the abdominal aorta a combination of the systolic and diastolic impairments of the right ventricle were observed. After extended resections of the lungs there was a characteristic combination of systolic, diastolic and pump dysfunctions. When the operation was followed by a decreased minute volume of circulation, its cause was hypovolemia in 29% of cases in the examined surgical patients. The investigation of the right ventricle functions with the help of pulmonary arterial volumetry can reveal their latent dysfunctions as well as hypovolemia in a considerable part of surgical patients. |
| Entry Date(s): | Date Created: 20060608 Date Completed: 20060707 Latest Revision: 20151119 |
| Update Code: | 20260130 |
| PMID: | 16755743 |
| Database: | MEDLINE |
English Abstract; Journal Article