Preoperative preparation for cardiac surgery facilitates recovery, reduces psychological distress, and reduces the incidence of acute postoperative hypertension.

AbstractAimsWe sought to assess the level of psychological distress, and the styles of coping of, parents of children with congenital heart disease. The study was based on questionnaires, which were completed, on average, four weeks, with a range from 0.1 to 22.1 weeks, prior to elective cardiac surgery or elective catheter intervention.MethodsWe used the General Health Questionnaire, and the Utrecht Coping List, to compare scores from parents of those undergoing surgery, with scores of reference groups, and with scores of the parents of those undergoing intervention.ResultsOverall, in comparison with our reference groups, the parents of the 75 children un dergoing surgery showed elevated levels of psychological distress, manifested as anxiety, sleeplessness, and social dysfunctioning. They also demonstrated less adequate styles of coping, being, for example, less active in solving problems. With only one exception, no differences were demonstrated in parental reactions to whether cardiac surgery or catheter intervention had been planned. The mothers of the 68 patients who were to undergo cardiac surgery, however, reported greater psychological distress and manifested greater problems with coping than did the fathers.ConclusionElevated levels of psychological distress, and less adequate styles of coping, were found in the parents of patients about to undergo cardiac surgery, especially the mothers, when compared to reference groups. Future research should investigate whether these difficulties persist, and whether this will influence the emotional development of their children with congenital cardiac malformations.

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Open-labeled, Dose-ranging Study on the Efficacy of Intravenous Enalaprilat for the Control of Postoperative Hypertension after Cardiac Surgery

Anesthesiology ◽

10.1097/00000542-199409001-00096 ◽

1994 ◽

Vol 81 (SUPPLEMENT) ◽

pp. A97 ◽

Cited By ~ 1

Author(s):

J. Jobin ◽

N. R. Searle ◽

J. Taillefer ◽

M. Carrier ◽

L. C. Pelletier ◽

...

Keyword(s):

Cardiac Surgery ◽

Postoperative Hypertension ◽

Dose Ranging

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Treatment of Acute Postoperative Hypertension in Cardiac Surgery Patients: An Efficacy Study of Clevidipine Assessing Its Postoperative Antihypertensive Effect in Cardiac Surgery-2 (ESCAPE-2), a Randomized, Double-Blind, Placebo-Controlled Trial

Anesthesia & Analgesia ◽

10.1213/ane.0b013e3181732e53 ◽

2008 ◽

Vol 107 (1) ◽

pp. 59-67 ◽

Cited By ~ 66

Author(s):

Neil Singla ◽

David C. Warltier ◽

Sweeta D. Gandhi ◽

Philip D. Lumb ◽

Robert N. Sladen ◽

...

Keyword(s):

Cardiac Surgery ◽

Antihypertensive Effect ◽

Controlled Trial ◽

Efficacy Study ◽

Double Blind ◽

Double Blind Placebo ◽

Postoperative Hypertension

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PREOPERATIVE PREPARATION OF PATIENTS WITH CARDIAC ARRHYTHMIAS AND CONDUCTION DISORDERS FOR PLANNED NON-CARDIAC SURGERY

Bulletin of Pirogov National Medical & Surgical Center ◽

10.25881/bpnmsc.2020.37.58.017 ◽

2019 ◽

Vol 14 (4) ◽

pp. 84-89

Author(s):

M.A. Goncharov

Keyword(s):

Cardiac Surgery ◽

Cardiac Arrhythmias ◽

Preoperative Preparation ◽

Conduction Disorders

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Predictors of psychological distress in patients at home following cardiac surgery: an explorative panel study

European Journal of Cardiovascular Nursing ◽

10.1016/j.ejcnurse.2011.06.004 ◽

2011 ◽

Vol 11 (3) ◽

pp. 339-348 ◽

Cited By ~ 7

Author(s):

Herdís Sveinsdóttir ◽

Brynja Ingadóttir

Keyword(s):

Cardiac Surgery ◽

Psychological Distress ◽

Panel Study ◽

At Home

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Predicting Postoperative Hypertension Among Patients With Ventricular Septal Defect in Infants

10.21203/rs.3.rs-776171/v1 ◽

2021 ◽

Author(s):

Junpei Kawamura ◽

Kentaro Ueno ◽

Tsubasa Shimozono ◽

Yoshihiro Takahashi ◽

Koji Nakae ◽

...

Keyword(s):

Cardiac Surgery ◽

Ventricular Septal Defect ◽

Septal Defect ◽

Multivariate Logistic Regression Analysis ◽

Area Under The Curve ◽

Right Atrial ◽

General Function ◽

Echocardiographic Parameters ◽

Postoperative Hypertension ◽

Rv Function

Abstract Purpose: Patients with strong pulmonary vascular occlusive lesions are at risk of developing postoperative pulmonary hypertension (PH). We aimed to evaluate preoperative right ventricular (RV) function in patients with ventricular septal defect (VSD) who required cardiac surgery during infancy and consequently developed postoperative PH and to determine whether we could preliminarily evaluate postoperative PH in these patients.Methods: We retrospectively analyzed 55 infants with VSD who underwent cardiac surgery between March 2014 and April 2020. We evaluated the measurements of preoperative atrial/ventricular general function and 2D atrial/ventricular strain between these two groups: a group with postoperative PH (post-PH) and a group without postoperative PH (post-NPH). Results: Post-PH patients had a significantly lower tricuspid annular plane systolic excursion (TAPSE) (11.2 mm) and TAPSERA (the proportion of TAPSE due to RA contraction alone) (6.6 mm) than the post-NPH patients (14.1 mm, 8.5 mm). Furthermore, the post-PH group had a significantly lower peak right atrial (RA) longitudinal strain (PRALS) (31.0%) than the post-NPH group (43.0%). Multivariate logistic regression analysis identified that PRALS and TAPSERA were independent echocardiographic parameters for the presence of post-PH. The sensitivity and specificity of predicting post-PH for ≤38% of the PRALS were 83.0% and 100.0%, respectively, with an area under the curve of 0.94 (p < 0.01).Conclusion: Preoperative RA function and RV diastolic function decreased in the post-PH group. The RA strain and TAPSERA could be useful factors for predicting postoperative PH.

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Does age at the time of elective cardiac surgery or catheter intervention in children influence the longitudinal development of psychological distress and styles of coping of parents?

Cardiology in the Young ◽

10.1017/s1047951102000951 ◽

2002 ◽

Vol 12 (6) ◽

pp. 524-530 ◽

Cited By ~ 23

Author(s):

Elisabeth M. Utens ◽

Herma J. Versluis-Den Bieman ◽

Maarten Witsenburg ◽

Ad J.J.C. Bogers ◽

John Hess ◽

...

Keyword(s):

Cardiac Surgery ◽

Psychological Distress ◽

General Health Questionnaire ◽

Future Research ◽

Catheter Intervention ◽

Longitudinal Development ◽

Congenital Cardiac Defects ◽

Elective Cardiac Surgery ◽

Cardiac Procedures ◽

Cardiac Procedure

Aims: To assess the influence of age at a cardiac procedure of children, who underwent elective cardiac surgery or interventional cardiac catheterisation for treatment of congenital cardiac defects between 3 months and 7 years of age, on the longitudinal development of psychological distress and styles of coping of their parents. Methods: We used the General Health Questionnaire to measure psychological distress, and the Utrecht Coping List to measure styles of coping. Parents completed questionnaires on average respectively 5 weeks prior to, and 18.7 months after, cardiac surgery or catheter intervention for their child. Results: Apart from one exception, no significant influence was found of the age at which children underwent elective cardiac surgery or catheter intervention on the pre- to postprocedural course of psychological distress and the styles of coping of their parents. Across time, parents of children undergoing surgery reported, on average, significantly higher levels of psychological distress than parents of children who underwent catheter intervention. After the procedure, parents of children who underwent either procedure reported significantly lower levels of psychological distress, and showed a weaker tendency to use several styles of coping, than did their reference groups. Conclusion: Age of the children at the time of elective cardiac surgery or catheter intervention did not influence the course of psychological distress of their parents, nor the styles of coping used by the parents. Future research should investigate in what way the age at which these cardiac procedures are performed influences the emotional and cognitive development of the children.

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