Invasive Hemodynamic Assessment of Cardiac Output State after MitraClip Therapy in Nonanaesthetized Patients with Functional Mitral Regurgitation
Identifikátory výsledku
Kód výsledku v IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F16%3A43912752" target="_blank" >RIV/00216208:11120/16:43912752 - isvavai.cz</a>
Výsledek na webu
<a href="http://dx.doi.org/10.1155/2016/6296972" target="_blank" >http://dx.doi.org/10.1155/2016/6296972</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1155/2016/6296972" target="_blank" >10.1155/2016/6296972</a>
Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
Invasive Hemodynamic Assessment of Cardiac Output State after MitraClip Therapy in Nonanaesthetized Patients with Functional Mitral Regurgitation
Popis výsledku v původním jazyce
Background. Surgical correction of mitral regurgitation (MR) can lead to postoperative low cardiac output state. We aimed to assess the acute hemodynamic changes after percutaneous MitraClip therapy (a unique model without influence of factors linked to surgical procedure) in patients with functional MR without the influence of general anaesthesia. Methods. We studied invasive hemodynamic parameters in 23 patients before procedure (conscious, nonsedated patients), during procedure (intubated patients), and the first day after MitraClip implantation (conscious, extubated patients). Results. Mitral valve clipping significantly increased cardiac index (CI) (from 2.0 +- 0.5 to 3.3 +- 0.6 L/min/m(2); p < 0.01). Conversely, there was significant reduction in the mean pulmonary capillary wedge pressure (PCWP) (from 18.6 +- 5.7 to 10.5 +- 3.8 mmHg; p < 0.01), mean pulmonary artery pressure (from 29.8 +- 10.9 to 25.2 +- 10.3 mmHg; p = 0.03), and pulmonary vascular resistance index (from 531 +- 359 to 365 +- 193 dyn.s.cm(-5)/m(2); p = 0.03). Conclusions. The functional MR therapy with percutaneous MitraClip device results in significant increase in CI (+66%) and concomitant decrease in PCWP (-42%). None of our patients developed low cardiac output state. Our results support the idea that significant part of low cardiac output state after cardiac surgery is due to surgery related factors rather than due to increase in afterload after MR elimination.
Název v anglickém jazyce
Invasive Hemodynamic Assessment of Cardiac Output State after MitraClip Therapy in Nonanaesthetized Patients with Functional Mitral Regurgitation
Popis výsledku anglicky
Background. Surgical correction of mitral regurgitation (MR) can lead to postoperative low cardiac output state. We aimed to assess the acute hemodynamic changes after percutaneous MitraClip therapy (a unique model without influence of factors linked to surgical procedure) in patients with functional MR without the influence of general anaesthesia. Methods. We studied invasive hemodynamic parameters in 23 patients before procedure (conscious, nonsedated patients), during procedure (intubated patients), and the first day after MitraClip implantation (conscious, extubated patients). Results. Mitral valve clipping significantly increased cardiac index (CI) (from 2.0 +- 0.5 to 3.3 +- 0.6 L/min/m(2); p < 0.01). Conversely, there was significant reduction in the mean pulmonary capillary wedge pressure (PCWP) (from 18.6 +- 5.7 to 10.5 +- 3.8 mmHg; p < 0.01), mean pulmonary artery pressure (from 29.8 +- 10.9 to 25.2 +- 10.3 mmHg; p = 0.03), and pulmonary vascular resistance index (from 531 +- 359 to 365 +- 193 dyn.s.cm(-5)/m(2); p = 0.03). Conclusions. The functional MR therapy with percutaneous MitraClip device results in significant increase in CI (+66%) and concomitant decrease in PCWP (-42%). None of our patients developed low cardiac output state. Our results support the idea that significant part of low cardiac output state after cardiac surgery is due to surgery related factors rather than due to increase in afterload after MR elimination.
Klasifikace
Druh
J<sub>x</sub> - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)
CEP obor
EI - Biotechnologie a bionika
OECD FORD obor
—
Návaznosti výsledku
Projekt
—
Návaznosti
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Ostatní
Rok uplatnění
2016
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
BioMed Research International
ISSN
2314-6133
e-ISSN
—
Svazek periodika
2016
Číslo periodika v rámci svazku
November
Stát vydavatele periodika
US - Spojené státy americké
Počet stran výsledku
7
Strana od-do
"Article 6296972"
Kód UT WoS článku
000390533100001
EID výsledku v databázi Scopus
2-s2.0-85008958256