共 14 条
Prognostic value of pre- and postoperative cardiac troponin I measurement in children having cardiac surgery
被引:46
作者:

Montgomery, VL
论文数: 0 引用数: 0
h-index: 0
机构: Univ Louisville, Sch Med, Dept Pediat, Louisville, KY 40202 USA

Sullivan, JE
论文数: 0 引用数: 0
h-index: 0
机构: Univ Louisville, Sch Med, Dept Pediat, Louisville, KY 40202 USA

Buchino, JJ
论文数: 0 引用数: 0
h-index: 0
机构: Univ Louisville, Sch Med, Dept Pediat, Louisville, KY 40202 USA
机构:
[1] Univ Louisville, Sch Med, Dept Pediat, Louisville, KY 40202 USA
[2] Univ Louisville, Sch Med, Dept Pathol, Louisville, KY 40202 USA
关键词:
troponin;
children;
cardiopulmonary bypass;
congenital heart disease;
myocardial ischemia;
mortality;
D O I:
10.1007/s100240050007
中图分类号:
R36 [病理学];
学科分类号:
100104 ;
摘要:
The objective of this study was to determine if perioperative elevation of cardiac troponin I (cTnI) predicts mortality in infants and children after surgical correction of congenital heart defects. One hundred infants and children having open heart surgery were studied. Blood samples for cTnI analysis were collected before cardiopulmonary bypass (CPB) and at 4, 8, 12, and 24 h after initiation of CPB. Demographic information, cardiac defect, repair performed, duration of CPB, complications, and outcome were recorded. Cardiac defects were categorized as atrial septal defect (ASD), ventricular septal defect (VSD), hypoplastic left heart syndrome (HLHS), complex, and "other." Baseline cTnI was significantly lower in survivors (mean 0.42 ng/ml, median 0.35 ng/ml) than in nonsurvivors (mean 1.89, median 1.30), p = 0.0001. Baseline cTnI was significantly higher in the HLHS group (mean 1.47, median 1.10) than in all other subgroups(mean 0.62, median 0.35), p less than or equal to 0.009. There were no significant differences between survivors and nonsurvivors at the remaining sampling times. Children who died from cardiac failure (n = 2) were more likely to have 4 h cTnI >125 ng/ml compared to survivors (2 of 90). Within cardiac defect subgroups, 4 h cTnI was significantly higher in the complex group (mean = 53.51, median = 32.30) than in the ASD (mean = 23.84, median = 19.85) and other (mean = 21.59, median 21.50) subgroups. Perioperative measurement of cTnI identifies children within specific cardiac defect subgroups at risk of mortality after cardiac surgery. We speculate that detection of myocardial injury may decrease mortality and morbidity in children with complicated congenital cardiac lesions by leading to improvements in perioperative management.
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页码:53 / 60
页数:8
相关论文
共 14 条
[1]
DIAGNOSIS OF PERIOPERATIVE MYOCARDIAL-INFARCTION WITH MEASUREMENT OF CARDIAC TROPONIN-I
[J].
ADAMS, JE
;
SICARD, GA
;
ALLEN, BT
;
BRIDWELL, KH
;
LENKE, LG
;
DAVILAROMAN, VG
;
BODOR, GS
;
LADENSON, JH
;
JAFFE, AS
.
NEW ENGLAND JOURNAL OF MEDICINE,
1994, 330 (10)
:670-674

ADAMS, JE
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DIV CARDIOVASC,ST LOUIS,MO 63110

SICARD, GA
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DIV CARDIOVASC,ST LOUIS,MO 63110

ALLEN, BT
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DIV CARDIOVASC,ST LOUIS,MO 63110

BRIDWELL, KH
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DIV CARDIOVASC,ST LOUIS,MO 63110

LENKE, LG
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DIV CARDIOVASC,ST LOUIS,MO 63110

DAVILAROMAN, VG
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DIV CARDIOVASC,ST LOUIS,MO 63110

BODOR, GS
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DIV CARDIOVASC,ST LOUIS,MO 63110

LADENSON, JH
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DIV CARDIOVASC,ST LOUIS,MO 63110

JAFFE, AS
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DIV CARDIOVASC,ST LOUIS,MO 63110
[2]
Improved detection of cardiac contusion with cardiac troponin l
[J].
Adams, JE
;
DavilaRoman, VG
;
Bessey, PQ
;
Blake, DP
;
Ladenson, JH
;
Jaffe, AS
.
AMERICAN HEART JOURNAL,
1996, 131 (02)
:308-312

Adams, JE
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DEPT SURG,DIV CARDIOVASC,ST LOUIS,MO 63110

DavilaRoman, VG
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DEPT SURG,DIV CARDIOVASC,ST LOUIS,MO 63110

Bessey, PQ
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DEPT SURG,DIV CARDIOVASC,ST LOUIS,MO 63110

Blake, DP
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DEPT SURG,DIV CARDIOVASC,ST LOUIS,MO 63110

Ladenson, JH
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DEPT SURG,DIV CARDIOVASC,ST LOUIS,MO 63110

Jaffe, AS
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV,SCH MED,DEPT SURG,DIV CARDIOVASC,ST LOUIS,MO 63110
[3]
Release kinetics of serum cardiac troponin I in ischemic myocardial injury
[J].
Bertinchant, JP
;
Larue, C
;
Pernel, I
;
Ledermann, B
;
FabbroPeray, P
;
Beck, L
;
Calzolari, C
;
Trinquier, S
;
Nigond, J
;
Pau, B
.
CLINICAL BIOCHEMISTRY,
1996, 29 (06)
:587-594

Bertinchant, JP
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE

Larue, C
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE

Pernel, I
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE

Ledermann, B
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE

FabbroPeray, P
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE

Beck, L
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE

Calzolari, C
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE

Trinquier, S
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE

Nigond, J
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE

Pau, B
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NIMES HOSP,DEPT EPIDEMIOL,F-30000 NIMES,FRANCE
[4]
Cardiac Troponin T and Troponin I release during coronary artery surgery using cold crystalloid and cold blood cardioplegia
[J].
Caputo, M
;
Dihmis, W
;
Birdi, I
;
Reeves, B
;
Suleiman, MS
;
Angelini, GD
;
Bryan, AJ
.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY,
1997, 12 (02)
:254-260

Caputo, M
论文数: 0 引用数: 0
h-index: 0
机构:
BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND

Dihmis, W
论文数: 0 引用数: 0
h-index: 0
机构:
BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND

Birdi, I
论文数: 0 引用数: 0
h-index: 0
机构:
BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND

论文数: 引用数:
h-index:
机构:

Suleiman, MS
论文数: 0 引用数: 0
h-index: 0
机构:
BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND

Angelini, GD
论文数: 0 引用数: 0
h-index: 0
机构:
BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND

Bryan, AJ
论文数: 0 引用数: 0
h-index: 0
机构:
BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND BRISTOL ROYAL INFIRM & GEN HOSP,BRISTOL HEART INST,BRISTOL BS2 8HW,AVON,ENGLAND
[5]
Crystalloid cardioplegia route of delivery and cardiac troponin I release
[J].
Chocron, S
;
Alwan, K
;
Toubin, G
;
Clement, F
;
Kaili, D
;
Taberlet, C
;
Cordier, A
;
Etievent, JP
.
ANNALS OF THORACIC SURGERY,
1996, 62 (02)
:481-485

Chocron, S
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

Alwan, K
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

Toubin, G
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

Clement, F
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

Kaili, D
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

Taberlet, C
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

Cordier, A
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

Etievent, JP
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE
[6]
USE OF CARDIAC TROPONIN-I AS A MARKER OF PERIOPERATIVE MYOCARDIAL-ISCHEMIA
[J].
ETIEVENT, JP
;
CHOCRON, S
;
TOUBIN, G
;
TABERLET, C
;
ALWAN, K
;
CLEMENT, F
;
CORDIER, A
;
SCHIPMAN, N
;
KANTELIP, JP
.
ANNALS OF THORACIC SURGERY,
1995, 59 (05)
:1192-1194

ETIEVENT, JP
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

CHOCRON, S
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

TOUBIN, G
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

TABERLET, C
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

ALWAN, K
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

CLEMENT, F
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

CORDIER, A
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

SCHIPMAN, N
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE

KANTELIP, JP
论文数: 0 引用数: 0
h-index: 0
机构:
HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE HOP ST JACQUES,DEPT PHARMACOL,F-25030 BESANCON,FRANCE
[7]
Cardiac troponin I in pediatrics: Normal values and potential use in the assessment of cardiac injury
[J].
Hirsch, R
;
Landt, Y
;
Porter, S
;
Canter, CE
;
Jaffe, AS
;
Ladenson, JH
;
Grant, JW
;
Landt, M
.
JOURNAL OF PEDIATRICS,
1997, 130 (06)
:872-877

Hirsch, R
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV, SCH MED, DEPT PEDIAT, ST LOUIS, MO 63110 USA

Landt, Y
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV, SCH MED, DEPT PEDIAT, ST LOUIS, MO 63110 USA

Porter, S
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV, SCH MED, DEPT PEDIAT, ST LOUIS, MO 63110 USA

Canter, CE
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV, SCH MED, DEPT PEDIAT, ST LOUIS, MO 63110 USA

Jaffe, AS
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV, SCH MED, DEPT PEDIAT, ST LOUIS, MO 63110 USA

Ladenson, JH
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV, SCH MED, DEPT PEDIAT, ST LOUIS, MO 63110 USA

Grant, JW
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV, SCH MED, DEPT PEDIAT, ST LOUIS, MO 63110 USA

Landt, M
论文数: 0 引用数: 0
h-index: 0
机构: WASHINGTON UNIV, SCH MED, DEPT PEDIAT, ST LOUIS, MO 63110 USA
[8]
Patterns and potential value of cardiac troponin I elevations after pediatric cardiac operations
[J].
Hirsch, R
;
Dent, CL
;
Wood, MK
;
Huddleston, CB
;
Mendeloff, EN
;
Balzer, DT
;
Landt, Y
;
Parvin, CA
;
Landt, M
;
Ladenson, JH
;
Canter, CE
.
ANNALS OF THORACIC SURGERY,
1998, 65 (05)
:1394-1399

Hirsch, R
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Dent, CL
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Wood, MK
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Huddleston, CB
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Mendeloff, EN
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Balzer, DT
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Landt, Y
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Parvin, CA
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Landt, M
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Ladenson, JH
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

Canter, CE
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA
[9]
Predictive value of cardiac troponin T in pediatric patients at risk for myocardial injury
[J].
Lipshultz, SE
;
Rifai, N
;
Sallan, SE
;
Lipsitz, SR
;
Dalton, V
;
Sacks, DB
;
Ottlinger, ME
.
CIRCULATION,
1997, 96 (08)
:2641-2648

Lipshultz, SE
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP,DEPT CARDIOL,BOSTON,MA 02115

Rifai, N
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP,DEPT CARDIOL,BOSTON,MA 02115

Sallan, SE
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP,DEPT CARDIOL,BOSTON,MA 02115

Lipsitz, SR
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP,DEPT CARDIOL,BOSTON,MA 02115

Dalton, V
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP,DEPT CARDIOL,BOSTON,MA 02115

Sacks, DB
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP,DEPT CARDIOL,BOSTON,MA 02115

Ottlinger, ME
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP,DEPT CARDIOL,BOSTON,MA 02115
[10]
Cardiac troponin T isoform expression correlates with pathophysiological descriptors in patients who underwent corrective surgery for congenital heart disease
[J].
Saba, Z
;
Nassar, R
;
Ungerleider, RM
;
Oakeley, AE
;
Anderson, PAW
.
CIRCULATION,
1996, 94 (03)
:472-476

Saba, Z
论文数: 0 引用数: 0
h-index: 0
机构: DUKE UNIV,MED CTR,DEPT PEDIAT,DIV PEDIAT CARDIOL,DURHAM,NC 27710

Nassar, R
论文数: 0 引用数: 0
h-index: 0
机构: DUKE UNIV,MED CTR,DEPT PEDIAT,DIV PEDIAT CARDIOL,DURHAM,NC 27710

Ungerleider, RM
论文数: 0 引用数: 0
h-index: 0
机构: DUKE UNIV,MED CTR,DEPT PEDIAT,DIV PEDIAT CARDIOL,DURHAM,NC 27710

Oakeley, AE
论文数: 0 引用数: 0
h-index: 0
机构: DUKE UNIV,MED CTR,DEPT PEDIAT,DIV PEDIAT CARDIOL,DURHAM,NC 27710

Anderson, PAW
论文数: 0 引用数: 0
h-index: 0
机构: DUKE UNIV,MED CTR,DEPT PEDIAT,DIV PEDIAT CARDIOL,DURHAM,NC 27710