Cargando…

Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist

BACKGROUND: Left ventricular diastolic dysfunction (DD) is defined as the inability of the ventricle to fill to a normal end-diastolic volume, both during exercise as well as at rest, while left atrial pressure does not exceed 12 mm Hg. We examined the concept of left ventricular diastolic dysfuncti...

Descripción completa

Detalles Bibliográficos
Autores principales: Apostolakis, Efstratios E, Baikoussis, Nikolaos G, Parissis, Haralabos, Siminelakis, Stavros N, Papadopoulos, Georgios S
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2788544/
https://www.ncbi.nlm.nih.gov/pubmed/19930694
http://dx.doi.org/10.1186/1749-8090-4-67
_version_ 1782174991661400064
author Apostolakis, Efstratios E
Baikoussis, Nikolaos G
Parissis, Haralabos
Siminelakis, Stavros N
Papadopoulos, Georgios S
author_facet Apostolakis, Efstratios E
Baikoussis, Nikolaos G
Parissis, Haralabos
Siminelakis, Stavros N
Papadopoulos, Georgios S
author_sort Apostolakis, Efstratios E
collection PubMed
description BACKGROUND: Left ventricular diastolic dysfunction (DD) is defined as the inability of the ventricle to fill to a normal end-diastolic volume, both during exercise as well as at rest, while left atrial pressure does not exceed 12 mm Hg. We examined the concept of left ventricular diastolic dysfunction in a cardiac surgery setting. MATERIALS AND METHODS: Literature review was carried out in order to identify the overall experience of an important and highly underestimated issue: the unexpected adverse outcome due to ventricular stiffness, following cardiac surgery. RESULTS: Although diverse group of patients for cardiac surgery could potentially affected from diastolic dysfunction, there are only few studies looking in to the impact of DD on the postoperative outcome; Trans-thoracic echo-cardiography (TTE) is the main stay for the diagnosis of DD. Intraoperative trans-oesophageal (TOE) adds to the management. Subgroups of DD can be defined with prognostic significance. CONCLUSION: DD with elevated left ventricular end-diastolic pressure can predispose to increased perioperative mortality and morbidity. Furthermore, DD is often associated with systolic dysfunction, left ventricular hypertrophy or indeed pulmonary hypertension. When the diagnosis of DD is made, peri-operative attention to this group of patients becomes mandatory.
format Text
id pubmed-2788544
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-27885442009-12-04 Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist Apostolakis, Efstratios E Baikoussis, Nikolaos G Parissis, Haralabos Siminelakis, Stavros N Papadopoulos, Georgios S J Cardiothorac Surg Review BACKGROUND: Left ventricular diastolic dysfunction (DD) is defined as the inability of the ventricle to fill to a normal end-diastolic volume, both during exercise as well as at rest, while left atrial pressure does not exceed 12 mm Hg. We examined the concept of left ventricular diastolic dysfunction in a cardiac surgery setting. MATERIALS AND METHODS: Literature review was carried out in order to identify the overall experience of an important and highly underestimated issue: the unexpected adverse outcome due to ventricular stiffness, following cardiac surgery. RESULTS: Although diverse group of patients for cardiac surgery could potentially affected from diastolic dysfunction, there are only few studies looking in to the impact of DD on the postoperative outcome; Trans-thoracic echo-cardiography (TTE) is the main stay for the diagnosis of DD. Intraoperative trans-oesophageal (TOE) adds to the management. Subgroups of DD can be defined with prognostic significance. CONCLUSION: DD with elevated left ventricular end-diastolic pressure can predispose to increased perioperative mortality and morbidity. Furthermore, DD is often associated with systolic dysfunction, left ventricular hypertrophy or indeed pulmonary hypertension. When the diagnosis of DD is made, peri-operative attention to this group of patients becomes mandatory. BioMed Central 2009-11-24 /pmc/articles/PMC2788544/ /pubmed/19930694 http://dx.doi.org/10.1186/1749-8090-4-67 Text en Copyright ©2009 Apostolakis et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Apostolakis, Efstratios E
Baikoussis, Nikolaos G
Parissis, Haralabos
Siminelakis, Stavros N
Papadopoulos, Georgios S
Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist
title Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist
title_full Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist
title_fullStr Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist
title_full_unstemmed Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist
title_short Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist
title_sort left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2788544/
https://www.ncbi.nlm.nih.gov/pubmed/19930694
http://dx.doi.org/10.1186/1749-8090-4-67
work_keys_str_mv AT apostolakisefstratiose leftventriculardiastolicdysfunctionofthecardiacsurgerypatientapointofviewforthecardiacsurgeonandcardioanesthesiologist
AT baikoussisnikolaosg leftventriculardiastolicdysfunctionofthecardiacsurgerypatientapointofviewforthecardiacsurgeonandcardioanesthesiologist
AT parissisharalabos leftventriculardiastolicdysfunctionofthecardiacsurgerypatientapointofviewforthecardiacsurgeonandcardioanesthesiologist
AT siminelakisstavrosn leftventriculardiastolicdysfunctionofthecardiacsurgerypatientapointofviewforthecardiacsurgeonandcardioanesthesiologist
AT papadopoulosgeorgioss leftventriculardiastolicdysfunctionofthecardiacsurgerypatientapointofviewforthecardiacsurgeonandcardioanesthesiologist