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Titolo:
The impact of hypertension on the operative and early postoperative outcome of aortic valve surgery
Autore:
Tosson, R; Buchwald, D; Klak, K; Laczkovics, A;
Indirizzi:
Ruhr Univ Bochum, Univ Hosp, Dept Cardiac & Thorac Surg, Berufsgenossenschaftl Klin, D-44789 Bochum, Germany Ruhr Univ Bochum Bochum Germany D-44789 tl Klin, D-44789 Bochum, Germany
Titolo Testata:
CARDIOVASCULAR SURGERY
fascicolo: 5, volume: 9, anno: 2001,
pagine: 504 - 509
SICI:
0967-2109(200110)9:5<504:TIOHOT>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
RETROGRADE CARDIOPLEGIA; CORONARY-ARTERY; BYPASS-SURGERY; REPLACEMENT; STENOSIS; ANTEGRADE; MORBIDITY;
Keywords:
hypertension; aortic valve replacement; retrograde cardioplegia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Tosson, R Ruhr Univ Bochum, Univ Hosp, Dept Cardiac & Thorac Surg, Berufsgenossenschaftl Klin, Buerkle Camp Pl 1, D-44789 Bochum, Germany Ruhr Univ Bochum Buerkle Camp Pl 1 Bochum Germany D-44789 rmany
Citazione:
R. Tosson et al., "The impact of hypertension on the operative and early postoperative outcome of aortic valve surgery", CARDIOV SUR, 9(5), 2001, pp. 504-509

Abstract

Hypertension is a known risk factor in heart disease. It can lead to pressure overload and hypertrophy of the left ventricle. The aim of this study is to examine the effect of hypertension on the operative and early postoperative outcome after aortic valve surgery using the retrograde cardioplegia. All the data of all the patients who had aortic valve surgery in our department were retrospectively examined during the period from January 1994 until April 1996 and received retrograde blood cardioplegia. 397 patients wereincluded in this study. 213 of them had arterial hypertension, as preoperatively diagnosed by the referring cardiologist. There were 163 females and 234 males. 142 were above 70 yr of age. 22 patients had an ejection fraction (EF) less than or equal to 0.4 and in 168 patients the LVEDP was > 15 mmHg. Hypertension alone proved to be no risk factor. Decreased EF in hypertensive patients leads to an increase in the occurrence of prolonged ICU-stay,low cardiac output and neurological complications. Hypertension alone doesnot increase the risk of operative and early postoperative aortic valve surgery. (C) 2001 The International Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 12:20:55