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主动脉冠状动脉搭桥手术中的死亡率与术前左心室功能(作者译)

[Mortality and preoperative left ventricular function in aortocoronary bypass surgery (author's transl)].

作者信息

Niessen H W, Bornikoel K, Neuhaus K L, Kreuzer H

出版信息

Thoraxchir Vask Chir. 1975 Aug;23(4):407-10. doi: 10.1055/s-0028-1096994.

Abstract

Left ventricular function in 8 patients with coronary heart disease, who died during or immediately after surgery, was compared with the corresponding data of 25 survivors. Both groups were similar in age and had about the same number of myocardial infarctions preoperatively. For LVEDP, EDV, EF and VCF critical values could be defined, which were found in none of the survivors. These values were: LVDEP approximately 20 mm Hg, EDV approximately 150 ml/m2, EF less than 30% and VCF less than 0,4 circ/s. The least prognostic significance was found for LVEDP; EDV and VCF correlated best with the surgical risk.

摘要

对8例在手术期间或术后即刻死亡的冠心病患者的左心室功能,与25例存活者的相应数据进行了比较。两组患者年龄相似,术前心肌梗死的数量也大致相同。对于左心室舒张末压(LVEDP)、舒张末期容积(EDV)、射血分数(EF)和心室周长缩短分数(VCF),可以定义临界值,而这些临界值在所有存活者中均未发现。这些值分别为:LVDEP约20mmHg,EDV约150ml/m²,EF小于30%,VCF小于0.4次/秒。LVEDP的预后意义最小;EDV和VCF与手术风险的相关性最佳。

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