Evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?

Background: Diastolic function can be evaluated intraoperatively using transesoptiageal echocardiography. Aim: To study if intraoperative diastolic dysfunction is associated to a greater number of hemodynamic events during surgery and during the postoperative period. Material and methods: Patients w...

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Autores principales:	Cabrera S,María Carolina, Schmied P,Silvia, Vega S,Raúl, Semertzakis P,Irini, De La Maza C,Jaime
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Cardiac output Echocardiography, transesophageal Hemodynamic phenomena Myocardial contraction
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001000007
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spelling	oai:scielo:S0034-988720070010000072007-12-20Evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?Cabrera S,María CarolinaSchmied P,SilviaVega S,RaúlSemertzakis P,IriniDe La Maza C,Jaime Cardiac output Echocardiography, transesophageal Hemodynamic phenomena Myocardial contraction Background: Diastolic function can be evaluated intraoperatively using transesoptiageal echocardiography. Aim: To study if intraoperative diastolic dysfunction is associated to a greater number of hemodynamic events during surgery and during the postoperative period. Material and methods: Patients with indication of intraoperative transesophageal echocardiography due to cardiovascular diseases were included in the study. Diastolic function was assessed measuring transmitral intraventricular filling delay and pulmonary vein now. Patients were divided, according to diastolic dysfunction, in those with derangements in relaxation, pseudonormalization and restrictive patterns. Hypertension, hypotension, ST segment depression, alterations in myocardial contractility, pulmonary congestion and postoperative oliguria were recorded. Results: Fifty eight patients aged 68± 12 years (39 males), were studied. Forty four had diastolic dysfunction. Intraoperative hypotension occurred in 82% of patients with diastolic dysfunction and 16% of patients without it. Likewise, hypotension and oliguria during the postoperative period were more common in patients with diastolic dysfunction. Conclusions: In this group of patients with cardiovascular disease, intraoperative diastolic dysfunction is a risk factor for hemodynamic instabilityinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.10 20072007-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001000007es10.4067/S0034-98872007001000007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiac output Echocardiography, transesophageal Hemodynamic phenomena Myocardial contraction
spellingShingle	Cardiac output Echocardiography, transesophageal Hemodynamic phenomena Myocardial contraction Cabrera S,María Carolina Schmied P,Silvia Vega S,Raúl Semertzakis P,Irini De La Maza C,Jaime Evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?
description	Background: Diastolic function can be evaluated intraoperatively using transesoptiageal echocardiography. Aim: To study if intraoperative diastolic dysfunction is associated to a greater number of hemodynamic events during surgery and during the postoperative period. Material and methods: Patients with indication of intraoperative transesophageal echocardiography due to cardiovascular diseases were included in the study. Diastolic function was assessed measuring transmitral intraventricular filling delay and pulmonary vein now. Patients were divided, according to diastolic dysfunction, in those with derangements in relaxation, pseudonormalization and restrictive patterns. Hypertension, hypotension, ST segment depression, alterations in myocardial contractility, pulmonary congestion and postoperative oliguria were recorded. Results: Fifty eight patients aged 68± 12 years (39 males), were studied. Forty four had diastolic dysfunction. Intraoperative hypotension occurred in 82% of patients with diastolic dysfunction and 16% of patients without it. Likewise, hypotension and oliguria during the postoperative period were more common in patients with diastolic dysfunction. Conclusions: In this group of patients with cardiovascular disease, intraoperative diastolic dysfunction is a risk factor for hemodynamic instability
author	Cabrera S,María Carolina Schmied P,Silvia Vega S,Raúl Semertzakis P,Irini De La Maza C,Jaime
author_facet	Cabrera S,María Carolina Schmied P,Silvia Vega S,Raúl Semertzakis P,Irini De La Maza C,Jaime
author_sort	Cabrera S,María Carolina
title	Evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?
title_short	Evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?
title_full	Evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?
title_fullStr	Evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?
title_full_unstemmed	Evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?
title_sort	evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001000007
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Evaluación de función diastólica intraoperatoria con ecocardiografía transesofágica: ¿es útil?

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