IMPAIRMENT OF LEFT-VENTRICULAR DIASTOLIC FUNCTION DURING CORONARY-ARTERY BYPASS-GRAFTING

被引:15
作者
WEHLAGE, DR [1 ]
BOHRER, H [1 ]
RUFFMANN, K [1 ]
机构
[1] CITY HOSP,DEPT CARDIOL,W-7500 KARLSRUHE,GERMANY
关键词
Heart; myocardial function; Measurement techniques; echocardiography; transoesophageal Doppler;
D O I
10.1111/j.1365-2044.1990.tb14828.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Twelve patients were studied by transoesophageal Doppler echocardiography to determine diastolic function during coronary artery bypass grafting. Haemodynamic and Doppler‐derived variables were measured after induction of anaesthesia and after closure of the sternum. Early diastolic filling of the left ventricle decreased from 55% to 35% during surgery. The contribution of atrial contraction to left ventricular filling increased from 41% to 62% (p < 0.001). We conclude that coronary artery bypass grafting results in impairment of diastolic function during the operation. Copyright © 1990, Wiley Blackwell. All rights reserved
引用
收藏
页码:549 / 551
页数:3
相关论文
共 12 条
[1]   IMPAIRED LEFT-VENTRICULAR DIASTOLIC FILLING IN PATIENTS WITH CORONARY-ARTERY DISEASE - ASSESSMENT WITH RADIONUCLIDE ANGIOGRAPHY [J].
BONOW, RO ;
BACHARACH, SL ;
GREEN, MV ;
KENT, KM ;
ROSING, DR ;
LIPSON, LC ;
LEON, MB ;
EPSTEIN, SE .
CIRCULATION, 1981, 64 (02) :315-323
[2]   FUNCTIONAL DEFECT IN AMYLOID HEART-DISEASE - STIFF-HEART SYNDROME [J].
CHEW, C ;
ZIADY, GM ;
RAPHAEL, MJ ;
OAKLEY, CM .
AMERICAN JOURNAL OF CARDIOLOGY, 1975, 36 (04) :438-444
[3]  
FRAZIN L, 1976, Circulation, V54, P102
[4]   NONINVASIVE ASSESSMENT OF LEFT AND RIGHT VENTRICULAR FILLING IN MYOCARDIAL-INFARCTION WITH A TWO-DIMENSIONAL DOPPLER ECHOCARDIOGRAPHIC METHOD [J].
FUJII, J ;
YAZAKI, Y ;
SAWADA, H ;
AIZAWA, T ;
WATANABE, H ;
KATO, K .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1985, 5 (05) :1155-1160
[5]   EVALUATION OF LEFT-VENTRICULAR DIASTOLIC FUNCTION - CLINICAL RELEVANCE AND RECENT DOPPLER ECHOCARDIOGRAPHIC INSIGHTS [J].
LABOVITZ, AJ ;
PEARSON, AC .
AMERICAN HEART JOURNAL, 1987, 114 (04) :836-851
[6]   APPLICATION OF TRANS-ESOPHAGEAL ECHOCARDIOGRAPHY TO CONTINUOUS INTRA-OPERATIVE MONITORING OF LEFT-VENTRICULAR PERFORMANCE [J].
MATSUMOTO, M ;
OKA, Y ;
STROM, J ;
FRISHMAN, W ;
KADISH, A ;
BECKER, RM ;
FRATER, RWM ;
SONNENBLICK, EH .
AMERICAN JOURNAL OF CARDIOLOGY, 1980, 46 (01) :95-105
[7]  
Oka Y, 1989, Int J Card Imaging, V4, P19, DOI 10.1007/BF01795113
[8]  
RINDER C S, 1988, Anesthesiology (Hagerstown), V69, pA2, DOI 10.1097/00000542-198809010-00002
[9]   DETERMINATION OF PARAMETERS OF LEFT-VENTRICULAR DIASTOLIC FILLING WITH PULSED DOPPLER ECHOCARDIOGRAPHY - COMPARISON WITH CINEANGIOGRAPHY [J].
ROKEY, R ;
KUO, LC ;
ZOGHBI, WA ;
LIMACHER, MC ;
QUINONES, MA .
CIRCULATION, 1985, 71 (03) :543-550
[10]  
RUFFMANN K, 1987, Z KARDIOL, V76, P78