scholarly journals PREDICTORS OF LONGITUDINAL CARDIAC IMPLANTABLE ELECTRONIC DEVICE (CIED) DEPENDENCY AFTER OPEN HEART SURGERY (AN AUSTRALIAN SINGLE CENTRE ANALYSIS AND PRACTICE)

2019 ◽  
Vol 49 (S3) ◽  
pp. 10-11
Author(s):  
Mārtiņš Kalējs ◽  
Edgars Prozorovskis ◽  
Kaspars Kupics ◽  
Ivars Brečs ◽  
Uldis Strazdiņš ◽  
...  

Abstract Permanent pacemaker implantation (PPI) after open heart surgery is required in 0.4–8.5% of patients. The aim of our study was to determine the incidence of PPI after cardiac surgery at Pauls Stradiņš Clinical University Hospital and to assess its influence on intrahospital outcomes. This was a single-centre retrospective study. We reviewed all patients who underwent either open heart surgery or transcatheter aortic valve implantation (TAVI) between the years 2015 and 2017. Included were all patients with PPI postoperatively before discharge. We compared the patient demographics, and perioperative state, incidence of PPI and intrahospital stay among groups. After cardiac surgery a total of 135 (4.2%) patients received a PPI. The PPI incidence was highest in the tricuspid valve intervention group — 8.8% followed by aortic valve replacement (AVR) patients with 3.3%. After TAVI incidence of PPI was 4.0% after Sapien valve and 8% after CoreValve implantations, respectively. Incidence of PPI after TAVI with the Sapien valve was not significantly higher when compared to conventional AVR, but it was significantly higher after TAVI with CoreValve. Regardless of the initial procedure a need for PPI significantly increased the total length of hospital stay.


2009 ◽  
Vol 36 (6) ◽  
pp. 986-991 ◽  
Author(s):  
Evelyn Lechner ◽  
Gabriele Wiesinger-Eidenberger ◽  
Martin Weissensteiner ◽  
Anna Hofer ◽  
Gerald Tulzer ◽  
...  

2017 ◽  
Vol 3 ◽  
pp. 164-169
Author(s):  
Andrzej Juraszek ◽  
Piotr Kołsut ◽  
Jarosław Szymański ◽  
Jarosław Kuriata ◽  
Krzysztof Kuśmierski ◽  
...  

1978 ◽  
Vol 39 (02) ◽  
pp. 474-487 ◽  
Author(s):  
E R Cole ◽  
F Bachmann ◽  
C A Curry ◽  
D Roby

SummaryA prospective study in 13 patients undergoing open-heart surgery with extracorporeal circulation revealed a marked decrease of the mean one-stage prothrombin time activity from 88% to 54% (p <0.005) but lesser decreases of factors I, II, V, VII and X. This apparent discrepancy was due to the appearance of an inhibitor of the extrinsic coagulation system, termed PEC (Protein after Extracorporeal Circulation). The mean plasma PEC level rose from 0.05 U/ml pre-surgery to 0.65 U/ml post-surgery (p <0.0005), and was accompanied by the appearance of additional proteins as evidenced by disc polyacrylamide gel electrophoresis of plasma fractions (p <0.0005). The observed increases of PEC, appearance of abnormal protein bands and concomitant increases of LDH and SGOT suggest that the release of an inhibitor of the coagulation system (similar or identical to PIVKA) may be due to hypoxic liver damage during extracorporeal circulation.


1967 ◽  
Vol 18 (03/04) ◽  
pp. 634-646 ◽  
Author(s):  
N Thurnherr

SummaryBlood clotting investigations have been executed in 25 patients who have undergone open heart surgery with extracorporeal circulation. A description of alterations in the activity of blood clotting factors, the fibrinolytic system, prothrombin consumption and platelets during several phases of the operation is given.


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