The usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery

AIM: The aim of the study was to assess the usefulness of lactate blood levels in the perioperative period in patients undergoing heart valve surgery. MATERIAL AND METHODS: A prospective study was conducted on a group of consecutive patients with significant valvular heart disease who underwent elec...

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Autores principales: Duchnowski, Piotr, Hryniewiecki, Tomasz, Kuśmierczyk, Mariusz, Szymański, Piotr
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2019
Materias:
Original Paper
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836636/
https://www.ncbi.nlm.nih.gov/pubmed/31708983
http://dx.doi.org/10.5114/kitp.2019.88599
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author Duchnowski, Piotr
Hryniewiecki, Tomasz
Kuśmierczyk, Mariusz
Szymański, Piotr
author_facet Duchnowski, Piotr
Hryniewiecki, Tomasz
Kuśmierczyk, Mariusz
Szymański, Piotr
author_sort Duchnowski, Piotr
collection PubMed
description AIM: The aim of the study was to assess the usefulness of lactate blood levels in the perioperative period in patients undergoing heart valve surgery. MATERIAL AND METHODS: A prospective study was conducted on a group of consecutive patients with significant valvular heart disease who underwent elective valve surgery. The primary endpoint was total mortality in a 30-day follow-up. Univariate analysis, followed by multivariate regression analysis, was performed. RESULTS: The study included 801 patients. The primary end point occurred in 36 patients. At multivariate analysis lactate blood level measured one day after surgery and pH measured one day after surgery remained independent predictors of the primary end-point. CONCLUSIONS: Elevated postoperative lactate blood level was associated with a higher risk of postoperative death.
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spelling pubmed-68366362019-11-08 The usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery Duchnowski, Piotr Hryniewiecki, Tomasz Kuśmierczyk, Mariusz Szymański, Piotr Kardiochir Torakochirurgia Pol Original Paper AIM: The aim of the study was to assess the usefulness of lactate blood levels in the perioperative period in patients undergoing heart valve surgery. MATERIAL AND METHODS: A prospective study was conducted on a group of consecutive patients with significant valvular heart disease who underwent elective valve surgery. The primary endpoint was total mortality in a 30-day follow-up. Univariate analysis, followed by multivariate regression analysis, was performed. RESULTS: The study included 801 patients. The primary end point occurred in 36 patients. At multivariate analysis lactate blood level measured one day after surgery and pH measured one day after surgery remained independent predictors of the primary end-point. CONCLUSIONS: Elevated postoperative lactate blood level was associated with a higher risk of postoperative death. Termedia Publishing House 2019-10-28 2019-10 /pmc/articles/PMC6836636/ /pubmed/31708983 http://dx.doi.org/10.5114/kitp.2019.88599 Text en Copyright: © 2019 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska) http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Duchnowski, Piotr
Hryniewiecki, Tomasz
Kuśmierczyk, Mariusz
Szymański, Piotr
The usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery
title The usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery
title_full The usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery
title_fullStr The usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery
title_full_unstemmed The usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery
title_short The usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery
title_sort usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836636/
https://www.ncbi.nlm.nih.gov/pubmed/31708983
http://dx.doi.org/10.5114/kitp.2019.88599
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