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INCIDENCE, RISK FACTORS AND EFFECTS ON POST-OPERATIVE PROGRESSION IN ADULTS UNDERGOING OPEN HEART SURGERY
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Abstract
Objectives: Investigating the incidence, risk factors and predictive values right ventricular systolic dysfunction (RVSD) in adult patients undergoing open heart surgery. Method: Retrospective observational was conducted in adult patients undergoing open heart surgery at the Cardiovascular Center, University Medical Center Ho Chi Minh City from August 2019 to May 2021. Results: The study recruited 105 patients. Patients with 3 criteria of RVSD was of 29.5%, whereas 87.6% of patients showed reduced tricuspid annular plane systolic excursion. The independent risk factors of postoperative RVSD included preoperative RVSD, atrial fibrillation, anticoagulation therapy, tricuspid regurgitation severity, preoperative right ventricular end diastolic area. RVSD increased the severity indicators in postoperative intensive care period such as prolonged vasoactive and inotropic support time, mechanical ventilation time, intensive care and hospital stay. Conclusion: RVSD was commonly encountered in adult patients undergoing open heart surgery and indicated higher severity in postoperative period.
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Keywords
Right ventricle, right ventricular systolic dysfunction, heart surgery, intensive care.
References
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