Perioperative changes of ventricular function and three indicators of myocardial injury during orthotopic liver transplantation

被引:5
作者
Hei, ZQ [1 ]
Liu, DZ [1 ]
Luo, CF [1 ]
Li, SR [1 ]
Ma, WH [1 ]
Luo, GJ [1 ]
机构
[1] Sun Yat Sen Univ, Affiliated HOsp 3, Dept Anesthesiol, Guangzhou 510630, Peoples R China
关键词
ventricular function; orthotopic liver transplantation; creatine kinase; cardiac troponin I;
D O I
10.1097/00029330-200606010-00010
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
In summary, the patients undergoing OLT had a high cardiac output and low resistance obstacle before and during the operation, which recovered gradually after operation. These data support the assumption that myocardial function is influenced by OLT. The changes of CK, CK-MB and cTnl perioperatively indicated that there was also myocardial damage during OLT. As CO and EF did not correlate with CK, CK-MB and cTnl, it looked like myocardial damage during OLT played only a minor role in the occurrence of haemodynamic instability, which could mainly be attributed to circulating volume fluctuations. In spite of this, one should still pay more attention to perioperative myocardial protection. ©2005-2008 Chinese Medical Journal, All Rights Reserved.
引用
收藏
页码:939 / 943
页数:5
相关论文
共 14 条
[1]
Cardiac troponin and creatine kinase MB monitoring during in-hospital myocardial reinfarction [J].
Apple, FS ;
Murakami, MM .
CLINICAL CHEMISTRY, 2005, 51 (02) :460-463
[2]
Effect of proinflammatory cytokines (IL-6, TNF-α, IL-1β) on hemodynamic performance during orthotopic liver transplantation [J].
Arranz, J ;
Soriano, A ;
Garcia, I ;
García, I ;
Concepción, MT ;
Navarro, J ;
Arteaga, A ;
Filella, X ;
Bravo, P ;
Barrera, M ;
Escribano, S ;
Jiménez, A ;
Moneva, E ;
Fernandez, J ;
Varona, A ;
Herrero, E ;
Dominguez, D .
TRANSPLANTATION PROCEEDINGS, 2003, 35 (05) :1884-1887
[3]
BIONDI JW, 1988, ANESTH ANALG, V67, P144
[4]
[陈规划 Chen Guihua], 2002, [中国实用外科杂志, Chinese Journal of Practical Surgery], V22, P405
[5]
Collins JN, 2001, AM SURGEON, V67, P821
[6]
DEWOLF AM, 1991, TRANSPLANT P, V23, P1922
[7]
Liver cirrhosis: evaluation of haernodynamic changes using an ultrasound contrast agent [J].
Giuseppetti, GM ;
Argalia, G ;
Abbattista, T .
EUROPEAN JOURNAL OF RADIOLOGY, 2004, 51 (01) :27-33
[8]
Markers of myocardial ischemia after minimally invasive and conventional coronary operation [J].
Kilger, E ;
Pichler, B ;
Weis, F ;
Goetz, A ;
Lamm, P ;
Schütz, A ;
Muehlbayer, D ;
Frey, L .
ANNALS OF THORACIC SURGERY, 2000, 70 (06) :2023-2028
[9]
Endotoxins and cytokines during liver transplantation: Changes in plasma levels and effects on clinical outcome [J].
Maring, JK ;
Klompmaker, IJ ;
Zwaveling, JH ;
van der Meer, J ;
Limburg, PC ;
Slooff, MJH .
LIVER TRANSPLANTATION, 2000, 6 (04) :480-488
[10]
Troponins in acute coronary syndromes [J].
Scirica, BM ;
Morrow, DA .
PROGRESS IN CARDIOVASCULAR DISEASES, 2004, 47 (03) :177-188