mdlinx mdlinx
Latest (38) Full Text Articles (3243) Focus on Vascular Disorders-Stroke Article Summary

Intraoperative Changes in Regional Wall Motion: Can Postoperative Coronary Artery Bypass Graft Failure Be Predicted
Journal of Cardiothoracic and Vascular Anesthesia,

De Mey N et al. – In this retrospective study, regional wall motions abnormalities (RWMAs) detected with transesophageal echocardiography (TEE) were of limited value to predict early postoperative coronary artery bypass graft (CABG) failure.

Methods
  • Five thousand nine hundred ninety-eight patients who underwent coronary artery bypass graft (CABG) surgery.
  • An evaluation of RWMAs recorded with intraoperative TEE before and after cardiopulmonary bypass (CPB) in patients who had coronary angiography for suspected postoperative myocardial ischemia based on electrocardiogram (ECG), CK-MB, troponin T, hemodynamic compromise, low cardiac output, and malignant ventricular arrhythmia.
  • Sensitivity, specificity, positive and negative predictive values, odds ratio, 95% confidence interval, and chi-square analysis were used.

Results
  • Thirty-nine patients (0.7%) underwent early coronary angiography for the suspicion of early graft dysfunction.
  • Of the 32 patients with diagnosed early graft dysfunction, 5 patients (15.6%) had shown new intraoperative RWMAs as detected by TEE, 21 patients (65.6%) had no new RWMAs, no report was available in 5 patients (15.6%), and 1 examination (3.1%) was excluded because of poor imaging quality.
  • The sensitivity of TEE to predict graft failure was 15.6%, the specificity was 57.1%, and the positive predictive and negative values were 62.5% and 12.9%, respectively.
  • The odds ratio and 95% confidence interval was 0.1190 (0.0099-1.4257) when TEE was positive compared with coronary angiography.
  • No association was found between new RWMAs detected with TEE and graft failure as documented with coronary angiography (p=0.106).

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access PubMed, Publisher and related articles...

Your Unread Messages in Cardiology

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Cardiology Articles

Last month's top read Top Articles of 2013

1 Vitamin D deficiency and coronary artery disease: A review of the evidence American Heart Journal, March 5, 2014    Review Article

2 Medical therapy versus implantable cardioverter -defibrillator in preventing sudden cardiac death in patients with left ventricular systolic dysfunction and heart failure: A meta-analysis of >35,000 patients International Journal of Cardiology, March 17, 2014    Clinical Article

3 Atenolol versus non-atenolol beta-blockers for the treatment of hypertension: a meta analysis Canadian Journal of Cardiology, February 10, 2014    Evidence Based Medicine    Review Article    Clinical Article

4 Beta blockers in hypertension: studies and meta-analyses over the years Canadian Journal of Cardiology, March 21, 2014    Evidence Based Medicine    Review Article    Clinical Article

5 Serum levels of fetuin-A, osteoprotegerin and osteopontin in patients with coronary artery disease: Effects of Statin (HMGCoA-Reductase Inhibitor) Therapy Clinical Drug Investigation, March 3, 2014    Clinical Article

6 Efficacy and safety of high dose versus low dose furosemide with or without dopamine infusion: The Dopamine in Acute Decompensated Heart Failure II (DAD-HF II) Trial International Journal of Cardiology, February 18, 2014    Clinical Article

7 Comparative coronary risks of apixaban, rivaroxaban and dabigatran: A meta-analysis and adjusted indirect comparison British Journal of Clinical Pharmacology, March 13, 2014    Evidence Based Medicine

8 Rivaroxaban and dabigatran in patients undergoing catheter ablation of atrial fibrillation EP Europace, March 4, 2014    Clinical Article

9 Aspirin use in heart failure Circulation: Heart Failure, March 20, 2014    Clinical Article

10 Effects of coenzyme Q10 supplementation (300 mg/day) on antioxidation and anti-inflammation in coronary artery disease patients during statins therapy: A randomized, placebo-controlled trial Full Text Nutrition Journal, November 15, 2013    Free full text    Clinical Article

11 Meta-analysis comparing carvedilol versus metoprolol for the prevention of postoperative atrial fibrillation following coronary artery bypass grafting The American Journal of Cardiology, January 30, 2014    Evidence Based Medicine    Review Article    Clinical Article

12 What proportion of symptomatic side effects in patients taking statins are genuinely caused by the drug? Systematic review of randomized placebo-controlled trials to aid individual patient choice European Journal of Preventive Cardiology, March 18, 2014    Evidence Based Medicine    Review Article    Clinical Article

13 An unusual cause of dyspnoea in a young man European Heart Journal, March 3, 2014

14 Update on the efficacy of statin treatment in Acute Coronary Syndromes European Journal of Clinical Investigation, March 14, 2014    Review Article    Clinical Article

15 Application of new cholesterol guidelines to a population-based sample New England Journal of Medicine, March 24, 2014    Evidence Based Medicine    Clinical Guideline    Clinical Article

16 Long-term coffee consumption and risk of cardiovascular disease Circulation, February 11, 2014    Evidence Based Medicine    Review Article    Clinical Article

17 Efficacy and safety of apixaban compared with warfarin according to age for stroke prevention in atrial fibrillation: Observations from the ARISTOTLE trial European Heart Journal, February 28, 2014    Clinical Article

18 High diet quality is associated with a lower risk of cardiovascular disease and all-cause mortality in older men The Journal of Nutrition, March 3, 2014    Clinical Article

19 Effect of switch to the highest dose of rosuvastatin versus add-on-statin fenofibrate versus add-on-statin nicotinic acid/laropiprant on oxidative stress markers in patients with mixed dyslipidemia Cardiovascular Therapeutics, March 26, 2014    Clinical Article

20 Dietary patterns, Mediterranean diet, and cardiovascular disease Current Opinion in Lipidology, March 7, 2014    Review Article

Indexed Journals in Cardiology: American Heart Journal, American Journal of Cardiology, Circulationn, Heartmore

Other Topics in Cardiology

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Stay current - Media Tool

Newsletter
RSS
Follow
Like

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More

Close