scholarly journals An Umbrella Review Article on A Correlation of Osborn Waves with Hypothermia Induced Left Ventricular Systolic Dysfunction

Author(s):  
Rajnandini Singha ◽  
Amazing Grace Siangshai

The purpose of this review article is an overall finding from published studies on hypothermic causes of the Osborn waves induced lv systolic dysfunction and related topics are discussed. A systematic literature search was performed in the PubMed and Embase databases and collected 100 articles, out of which 28 were removed after peer review. We found 100 articles, out of which a total of 72 cases were considered. When analyzing only cases with more than one reported ECG, there was a strong inverse correlation between J wave, body temperature and left ventricular dysfunction. Electrocardiographic manifestations of hypothermia may assist in timely diagnosis and management of hypothermic patients. Even though prominent J-waves are the hallmark of hypothermic patient’s ECG, they are not pathognomonic, as they have been associated with other inherited or acquired conditions, many of which are highly arrhythmogenic.

2015 ◽  
Vol 17 (1) ◽  
pp. 5
Author(s):  
A. M. Karaskov ◽  
I. I. Demin ◽  
S. I. Zheleznev ◽  
A. V. Bogachev-prokofev ◽  
R. M. Sharifulin ◽  
...  

The Ross procedure outcomes in patients with left ventricular dysfunction are presented. 20 Ross procedures were performed in patients with aortic disease complicated by severe left ventricular dysfunction. The average left ventricular ejection fraction before surgery was 31,56,57%. Aortic stenosis was found in 60% of cases. Hospital mortality rate was 5%. Heart failure prevailed among complications. It was already in the early postoperative period that significant left ventricular remodeling was observed. The patients with aortic stenosis demonstrated a 56,9 % increase in ejection fraction, while their end-systolic diameter and end-systolic volume decreased by 34,5% and 13,3% respectively. In the group with aortic insufficiency there was a statistically significant reduction in the left ventricular volume indices: left ventricular end-diastolic diameter by 20%, left ventricular end-diastolic volume by 36,5%. No reoperation due to dysfunction of the autograft and conduits in the pulmonary artery area was required. At 12 months after surgery the processes of left ventricular cavity remodeling and normalization of contractility in both groups continued. The results of this study show that the Ross procedure can be used successfully in patients with severe left ventricular systolic dysfunction.


2000 ◽  
Vol 45 (2) ◽  
pp. 43-44 ◽  
Author(s):  
M. M. Lindsay ◽  
N.E.R. Goodfield ◽  
K.J. Hogg ◽  
F.G. Dunn

The objective was to prospectively validate a method of increasing the sensitivity, specificity and negative predictive value of a normal ECG in the exclusion of left ventricular systolic dysfunction by the addition of clinical history. We performed a prospective three year study of all referrals to our direct access ECHO service for assessment of LV function. The ECG was reported blind of the result of the ECHO, history of MI or not was noted, and result of the ECHO predicted. Over three years 416 patients were assessed for the presence or absence of left ventricular systolic dysfunction and consequent changes in clinical management. A total of 320(77%) of patients referred with suspected left ventricular dysfunction were found to have normal left ventricular function. Of the 250(60%) patients treated prior to referral for assessment, 183(73%) were treated inappropriately. The combination of a normal ECG and a negative history of myocardial infarction had a sensitivity of 98% and a negative predictive value of 99% in the assessment of LV function. This was an improvement over a normal ECG alone. Our study shows that diagnosis and treatment of heart failure in the community remains sub-optimal. The combination of a normal ECG and no previous history of myocardial infarction is shown to be a sensitive and accurate predictor of normal left ventricular function. If adopted by general practitioners this would be a valuable method of optimising the use of ECHOCARDIOGRAPHIC in patients with suspected left ventricular dysfunction.


2013 ◽  
pp. 18-24
Author(s):  
Tam Vo ◽  
Viet Thang Hoang

Backgrounds: Cardio-vascular disorders contribute to mortality in patients suffering end stage kidney disease with peritoneal dialysis. Objectives: (1) To determine the rate of left ventricular systolic dysfunction and left ventricular diastolic disfunction in end-stage chronic renal failure patients treated by CAPD; (2) To evaluate the correlation between left ventricular systolic dysfunction and left ventricular diastolic disfunction Patients-Methods: A cross-sectional design on 30 ESRD patients treated by CAPD at Department of Nephrology- Hue central Hospital were selected for this study from 1/2010 to 6/2011. Results: Stydying left ventricular function in 30 hemodialysis patients in Hue central Hospital by Echo - Doppler, we found 53.33% of cases with left ventricular systolic dysfunction and 56.67% of such patients with left ventricular diastolic dysfunction. Most of these cases (88.23%) had mixed dysfunction. Conclusions: There were relations between left ventricular dysfunction and anemia (Hemoglobinemia), between left ventricular dysfunction and the time of treatement by hemodialysis, but it was not related to hypertension. Key words: left ventricular, Echo – doppler, hemodialysis


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