Clinical utility of early postoperative cardiac multidetector computed tomography after coronary artery bypass grafting
| العنوان: | Clinical utility of early postoperative cardiac multidetector computed tomography after coronary artery bypass grafting |
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| المؤلفون: | Taeyang Ha, Joo Sung Sun, Doo Kyoung Kang, Jin-Sun Park, Tae Hee Kim, Sang Hyun Lim |
| المصدر: | Scientific Reports, Vol 10, Iss 1, Pp 1-10 (2020) Scientific Reports |
| بيانات النشر: | Nature Publishing Group, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Bypass grafting, Wall motion score index, lcsh:Medicine, Coronary Artery Disease, 030204 cardiovascular system & hematology, Article, Ventricular Function, Left, Ventricular Dysfunction, Left, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Multidetector Computed Tomography, Multidetector computed tomography, medicine, Humans, Coronary artery disease and stable angina, In patient, Postoperative Period, 030212 general & internal medicine, cardiovascular diseases, Coronary Artery Bypass, lcsh:Science, Multidisciplinary, Ejection fraction, business.industry, lcsh:R, Heart, Stroke Volume, Odds ratio, Middle Aged, Prognosis, medicine.anatomical_structure, Outcomes research, Echocardiography, Cardiology, Female, lcsh:Q, business, Mace, Follow-Up Studies, Artery |
| الوصف: | We evaluated the clinical utility of early postoperative cardiac computed tomography (CT) for evaluating left ventricular (LV) function and predicting prognosis in patients who had undergone coronary artery bypass grafting (CABG). Of the 205 patients who underwent CABG from March 2011 to December 2014, 136 underwent early postoperative cardiac CT (within 30 days after CABG) and were enrolled as the study population. The baseline and postoperative follow-up echocardiographic findings, major adverse cardiac events (MACE), and death were recorded for a follow-up period (mean, 5.9 ± 1.1 years). Functional cardiac CT parameters were compared to echocardiographic measurements. The associations between cardiac CT findings and functional recovery and prognosis were evaluated by logistic regression analyses. The LVEF measured via cardiac CT was significantly higher (56.2 ± 11.5% vs. 61.9 ± 12.9%; p = 0.0002) compared to those via early postoperative echocardiography, but the wall motion score index (WMSI) was not significantly different (1.23 ± 0.33 vs. 1.21 ± 0.28, p = 0.5041) between the two methods. During the follow-up period, 17 patients (12.5%) died and 40 (29.4%) developed MACE. Both the LVEF and WMSI measured with early postoperative echocardiography (p = 0.0202 and odds ratio [OR] = 5.0171, p = 0.0039, respectively), and cardiac CT (OR = 0.9625, p = 0.0091 and OR = 14.3605, p = 0.0001, respectively) predicted MACE OR = 0.9630, but only the WMSI, measured using cardiac CT, predicted all-cause death (OR = 10.6017, p = 0.0035). In CABG patients, LVEF and the WMSI measured with early postoperative cardiac CT were comparable with echocardiography and predicted the development of MACE and all-cause death. |
| اللغة: | English |
| تدمد: | 2045-2322 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1fe98a8ff1bdd7b6488970c0670c2f6d http://link.springer.com/article/10.1038/s41598-020-66176-6 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....1fe98a8ff1bdd7b6488970c0670c2f6d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20452322 |
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