000			nab a22 7a 4500
999			_c17811 _d17811
003			PC17811
005			20240401134417.0
008			240401b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_92654 _aMayordomo Gómez, Sandra _eCardiología
100			_92259 _aMarín Mateos, Helena _eMedicina Intensiva
100			_9874 _aMontejo González, Juan Carlos _eMedicina Intensiva
245	0	0	_aEvaluation of right ventricular function after cardiac surgery: The importance of tricuspid annular plane systolic excursion and right ventricular ejection fraction. _h[artículo]
260			_bThe Journal of thoracic and cardiovascular surgery, _c2016
300			_a152(2):613-20.
500			_aFormato Vancouver: Garcia Gigorro R, Renes Carreño E, Mayordomo S, Marín H, Perez Vela JL, Corres Peiretti MA et al. Evaluation of right ventricular function after cardiac surgery: The importance of tricuspid annular plane systolic excursion and right ventricular ejection fraction. J Thorac Cardiovasc Surg. 2016 Aug;152(2):613-20.
501			_aPMID: 27174515
504			_aContiene 37 referencias
520			_aObjective: The evaluation of right ventricular systolic function is essential to the hemodynamic management of critically ill cardiac patients. Nevertheless, assessment of right ventricular function remains problematic. We sought to analyze the correlation between tricuspid annular plane systolic excursion (TAPSE) and right ventricular ejection fraction (RVEF) in the assessment of global and regional right ventricular function, respectively. Methods: This was a prospective study of 61 cardiac surgical patients. TAPSE was measured with transthoracic echocardiography and RVEF was obtained by a thermodilution pulmonary artery catheter. Both measurements were estimated simultaneously during the early postoperative period. Patients with previously identified severe tricuspid insufficiency were excluded from the study to avoid confounding results. Results: The etiologies for cardiac surgery were surgical pulmonary thromboendarterectomy in 19 patients, valve replacement in 17 patients, heart transplant in 13 patients, and coronary artery bypass graft in 9 patients. Mean RVEF and TAPSE were 26.2% ± 9.7% and 11.4 ± 4 mm, respectively. RVEF and TAPSE showed a significant correlation (r = 0.73, P < .001). Weak reverse relationships between TAPSE or RVEF with afterload hemodynamic parameters, mean pulmonary artery pressure, or pulmonary vascular resistance were elucidated. Conclusions: TAPSE is a robust measure of right ventricular function that correlates with RVEF assessed by pulmonary artery catheter. A noninvasive method such as echocardiography can guide and support invasive monitoring of right ventricular function in cardiac surgical patients.
710			_9119 _aServicio de Cardiología
710			_967 _aServicio de Medicina Intensiva
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17811.pdf _ySolicitar documento
942			_2ddc _cART _n0