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Combination evaluat...
Combination evaluation of preoperative risk indices predicts requirement of biventricular assist device
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- Shiga, Taro (författare)
- Tokyo University Hospital, Japan
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- Kinugawa, Koichiro (författare)
- Tokyo University Hospital, Japan
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- Imamura, Teruhiko (författare)
- Tokyo University Hospital, Japan
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- Kato, Naoko (författare)
- Tokyo University Hospital, Japan
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- Endo, Miyoko (författare)
- Tokyo University Hospital, Japan
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- Inaba, Toshiro (författare)
- Tokyo University Hospital, Japan
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- Maki, Hisataka (författare)
- Tokyo University Hospital, Japan
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- Hatano, Masaru (författare)
- Tokyo University Hospital, Japan
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- Yao, Atsushi (författare)
- Tokyo University Hospital, Japan
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- Nishimura, Takashi (författare)
- University of Tokyo, Japan
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- Hirata, Yasunobu (författare)
- Tokyo University Hospital, Japan
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- Kyo, Shunei (författare)
- University of Tokyo, Japan
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- Ono, Minoru (författare)
- Tokyo University Hospital, Japan
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- Nagai, Ryozo (författare)
- Tokyo University Hospital, Japan
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(creator_code:org_t)
- Japanese Circulation Society, 2012
- 2012
- Engelska.
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Ingår i: Circulation Journal. - : Japanese Circulation Society. - 1346-9843 .- 1347-4820. ; 76:12, s. 2785-2791
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- BACKGROUND:Patients with biventricular assist device (BiVAD) placement have a poor prognosis, but preoperative risk factors for the necessity of BiVAD have not been fully elucidated.METHODS AND RESULTS:Data from 79 patients who received left ventricular assist device (LVAD) between November 2002 and December 2011 were retrospectively reviewed. Overall, 9 patients (11.4%) required BiVAD, and the survival rate of BiVAD patients was significantly lower than that of LVAD patients (P<0.001). Multivariate analysis for BiVAD requirement showed left ventricular diastolic diameter (LVDd) ≤62 mm (odds ratio [OR], 10.97; P=0.009) to be significantly associated with BiVAD requirement. Preoperative central venous pressure (CVP)/pulmonary capillary wedge pressure (PCWP) ratio ≥0.5 (OR, 13.09; P=0.028) was also significantly associated with BiVAD requirement. A new scoring system for predicting BiVAD requirement was created from the combination of CVP/PCWP ratio (≥0.5), body surface area (≤1.4 m(2)), preoperative continuous hemodiafiltration use, B-type natriuretic peptide (≥1,200 pg/ml) and LVDd (≤62 mm), and this had a significantly larger area under the curve (0.909; P=0.003) than right ventricular stroke work index on receiver operating characteristic analysis. A score >20 using the new scoring method indicated significantly high probability of BiVAD requirement (OR, 16.00; P=0.019).CONCLUSIONS:The new scoring method, which includes CVP/PCWP ratio, is a novel risk stratification tool for BiVAD therapy.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Nyckelord
- Heart failure; Right ventricular dysfunction; Stage D; Transplantation
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- Av författaren/redakt...
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Shiga, Taro
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Kinugawa, Koichi ...
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Imamura, Teruhik ...
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Kato, Naoko
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Endo, Miyoko
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Inaba, Toshiro
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visa fler...
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Maki, Hisataka
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Hatano, Masaru
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Yao, Atsushi
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Nishimura, Takas ...
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Hirata, Yasunobu
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Kyo, Shunei
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Ono, Minoru
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Nagai, Ryozo
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