Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/3898 |
Resumo: | The ventricular dysfunction is one of the most common complications and one of the greatest challenges in conducting of the patient undergoing pediatric cardiac surgery. Understanding the factors that trigger the development of ventricular function and dysfunction postoperatively is critical to the proper management. The aim of this study was to evaluate ventricular systolic function by echocardiography over the first 48 hours of patients undergoing cardiac surgery for biventricular correction. We evaluated 34 patients with a mean age of 18.6 ± 15.6 months, undergoing cardiac surgery with cardiopulmonary bypass. Clinical analysis performed over the 48 hours, incluinding the measurement of NT-pro-BNP, troponin and serum lactate in the first 2 hours, were beyond the quantification of inotropic score and CPB time. Echocardiography was performed at 2 hours, 12 hours, 24 hours and 48 hours after admission to the ICU and the pediatric parameters analyzed were LV ejection fraction, the myocardial performance index of LV and RV tissue Doppler systolic velocity of the lateral wall LV and RV (S wave) and cardiac index. The sequential evaluation of left ventricular systolic function in the first 48 hours after surgery showed no variation, was observed only increase in ejection fraction of the left ventricle (P = 0.008), and variation is limited to the comparison between measures at 24 and 48 hours (P Bonferroni = 0.04). Analysis of right ventricular function did not vary over the 48 hours. Despite the failure to detect the change in the trend function has been observed that the MPI`s RV and LV remained changed along the 48hs.There was no correlation between the myocardial performance index of the right ventricle and the left ventricle with a time of extracorporeal circulation. There was no correlation between the measures of surgical stress and echocardiographic parameters measured two hours after surgery. The echocardiographic variables that assessed right and left ventricular function were within the normal range and showed no significant variation over the first 48 hours after cardiac surgery. |
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Rassi, Salvadorhttp://lattes.cnpq.br/7236834842677715Afiune, Jorge YussefRassi, SalvadorAfiune Neto, AbrahãoSucasas, Paulohttp://lattes.cnpq.br/3322170720008058Oliveira Júnior, Francisco Sávio de2015-01-16T17:37:12Z2013-03-22OLIVEIRA JÚNIOR, Francisco Sávio de. Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica. 2013. 74 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2013.http://repositorio.bc.ufg.br/tede/handle/tede/3898ark:/38995/0013000002khdThe ventricular dysfunction is one of the most common complications and one of the greatest challenges in conducting of the patient undergoing pediatric cardiac surgery. Understanding the factors that trigger the development of ventricular function and dysfunction postoperatively is critical to the proper management. The aim of this study was to evaluate ventricular systolic function by echocardiography over the first 48 hours of patients undergoing cardiac surgery for biventricular correction. We evaluated 34 patients with a mean age of 18.6 ± 15.6 months, undergoing cardiac surgery with cardiopulmonary bypass. Clinical analysis performed over the 48 hours, incluinding the measurement of NT-pro-BNP, troponin and serum lactate in the first 2 hours, were beyond the quantification of inotropic score and CPB time. Echocardiography was performed at 2 hours, 12 hours, 24 hours and 48 hours after admission to the ICU and the pediatric parameters analyzed were LV ejection fraction, the myocardial performance index of LV and RV tissue Doppler systolic velocity of the lateral wall LV and RV (S wave) and cardiac index. The sequential evaluation of left ventricular systolic function in the first 48 hours after surgery showed no variation, was observed only increase in ejection fraction of the left ventricle (P = 0.008), and variation is limited to the comparison between measures at 24 and 48 hours (P Bonferroni = 0.04). Analysis of right ventricular function did not vary over the 48 hours. Despite the failure to detect the change in the trend function has been observed that the MPI`s RV and LV remained changed along the 48hs.There was no correlation between the myocardial performance index of the right ventricle and the left ventricle with a time of extracorporeal circulation. There was no correlation between the measures of surgical stress and echocardiographic parameters measured two hours after surgery. The echocardiographic variables that assessed right and left ventricular function were within the normal range and showed no significant variation over the first 48 hours after cardiac surgery.A disfunção ventricular é uma das complicações mais frequentes e um dos maiores desafios na condução do paciente submetido a cirurgia cardíaca pediátrica. Identificar os fatores desencadeantes da disfunção ventricular e a evolução da função ventricular no pós-operatório é fundamental para o manejo adequado. O objetivo desse estudo foi avaliar a função ventricular através do ecocardiograma dos pacientes submetidos a cirurgia cardíaca para correção biventricular ao longo das primeiras 48hs. Foram avaliados 34 pacientes, com a idade média de 18,6 ± 15,6 meses, submetidos à cirurgia cardíaca com circulação extra-corpórea. Realizada análise clínica ao longo das 48hs, dosagem do NT-pro-BNP, troponina e lactato séricos nas primeiras 2hs, além da quantificação do score inotrópico e do tempo de CEC. O ecocardiograma seriado foi realizado com 2hs, 12hs, 24hs e 48hs após a admissão na UTI-pediátrica e os parâmetros analisados foram a fração de ejeção de VE, o índice de performance miocárdica do VE e VD, a velocidade sistólica ao Doppler tecidual da parede lateral do VE e do VD (onda S) e o índice cardíaco. A avaliação sequencial da função sistólica do ventrículo esquerdo nas primeiras 48hs após a cirurgia não mostrou variação, observado apenas aumento da fração de ejeção do ventrículo esquerdo (P = 0,008), variação esta limitada à comparação entre as medidas de 24 horas e 48 horas (P de Bonferroni = 0,04). A análise da função ventricular direita não mostrou variação ao longo das 48hs. Apesar da não detecção da alteração da tendência da função, foi observado que o IPM do VD e VE permaneceu alterado ao longo das 48hs. Não houve correlação entre o índice de performance miocárdica do ventrículo direito e do ventrículo esquerdo com o tempo de circulação extra-corpórea. Não houve correlação entre as medidas de estresse cirúrgico e os parâmetros ecocardiográficos medidos duas horas após cirurgia. As variáveis ecocardiográficas que avaliaram a função ventricular direita e esquerda ficaram dentro do limite de normalidade e não apresentaram variação significativa ao longo das primeiras 48hs após cirurgia cardíaca.Submitted by Erika Demachki (erikademachki@gmail.com) on 2015-01-16T17:12:32Z No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Dissertação - Francisco Sávio de Oliveira Júnior - 2013.pdf: 1465890 bytes, checksum: 171795d1e90b4a8d89f6483685414ca1 (MD5)Approved for entry into archive by Erika Demachki (erikademachki@gmail.com) on 2015-01-16T17:37:12Z (GMT) No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Dissertação - Francisco Sávio de Oliveira Júnior - 2013.pdf: 1465890 bytes, checksum: 171795d1e90b4a8d89f6483685414ca1 (MD5)Made available in DSpace on 2015-01-16T17:37:12Z (GMT). No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Dissertação - Francisco Sávio de Oliveira Júnior - 2013.pdf: 1465890 bytes, checksum: 171795d1e90b4a8d89f6483685414ca1 (MD5) Previous issue date: 2013-03-22application/pdfhttp://repositorio.bc.ufg.br/tede/retrieve/14718/Disserta%c3%a7%c3%a3o%20-%20Francisco%20S%c3%a1vio%20de%20Oliveira%20J%c3%banior%20-%202013.pdf.jpgporUniversidade Federal de GoiásPrograma de Pós-graduação em Ciências da Saúde (FM)UFGBrasilFaculdade de Medicina - FM (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessCirurgia cardíaca pediátricaEcocardiogramaFunção ventricularPediatric cardiac surgeryEchocardiographyVentricular functionCIENCIAS DA SAUDEAvaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátricainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-100686431261774531060060060015457724759504863388765449414823306929reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALDissertação - Francisco Sávio de Oliveira Júnior - 2013.pdfDissertação - Francisco Sávio de Oliveira Júnior - 2013.pdfapplication/pdf1465890http://repositorio.bc.ufg.br/tede/bitstreams/9fd73d8a-a26e-4f48-b62b-1b2e94ea77f4/download171795d1e90b4a8d89f6483685414ca1MD52LICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica |
title |
Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica |
spellingShingle |
Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica Oliveira Júnior, Francisco Sávio de Cirurgia cardíaca pediátrica Ecocardiograma Função ventricular Pediatric cardiac surgery Echocardiography Ventricular function CIENCIAS DA SAUDE |
title_short |
Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica |
title_full |
Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica |
title_fullStr |
Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica |
title_full_unstemmed |
Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica |
title_sort |
Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica |
author |
Oliveira Júnior, Francisco Sávio de |
author_facet |
Oliveira Júnior, Francisco Sávio de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Rassi, Salvador |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7236834842677715 |
dc.contributor.advisor-co1.fl_str_mv |
Afiune, Jorge Yussef |
dc.contributor.referee1.fl_str_mv |
Rassi, Salvador |
dc.contributor.referee2.fl_str_mv |
Afiune Neto, Abrahão |
dc.contributor.referee3.fl_str_mv |
Sucasas, Paulo |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3322170720008058 |
dc.contributor.author.fl_str_mv |
Oliveira Júnior, Francisco Sávio de |
contributor_str_mv |
Rassi, Salvador Afiune, Jorge Yussef Rassi, Salvador Afiune Neto, Abrahão Sucasas, Paulo |
dc.subject.por.fl_str_mv |
Cirurgia cardíaca pediátrica Ecocardiograma Função ventricular |
topic |
Cirurgia cardíaca pediátrica Ecocardiograma Função ventricular Pediatric cardiac surgery Echocardiography Ventricular function CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Pediatric cardiac surgery Echocardiography Ventricular function |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
The ventricular dysfunction is one of the most common complications and one of the greatest challenges in conducting of the patient undergoing pediatric cardiac surgery. Understanding the factors that trigger the development of ventricular function and dysfunction postoperatively is critical to the proper management. The aim of this study was to evaluate ventricular systolic function by echocardiography over the first 48 hours of patients undergoing cardiac surgery for biventricular correction. We evaluated 34 patients with a mean age of 18.6 ± 15.6 months, undergoing cardiac surgery with cardiopulmonary bypass. Clinical analysis performed over the 48 hours, incluinding the measurement of NT-pro-BNP, troponin and serum lactate in the first 2 hours, were beyond the quantification of inotropic score and CPB time. Echocardiography was performed at 2 hours, 12 hours, 24 hours and 48 hours after admission to the ICU and the pediatric parameters analyzed were LV ejection fraction, the myocardial performance index of LV and RV tissue Doppler systolic velocity of the lateral wall LV and RV (S wave) and cardiac index. The sequential evaluation of left ventricular systolic function in the first 48 hours after surgery showed no variation, was observed only increase in ejection fraction of the left ventricle (P = 0.008), and variation is limited to the comparison between measures at 24 and 48 hours (P Bonferroni = 0.04). Analysis of right ventricular function did not vary over the 48 hours. Despite the failure to detect the change in the trend function has been observed that the MPI`s RV and LV remained changed along the 48hs.There was no correlation between the myocardial performance index of the right ventricle and the left ventricle with a time of extracorporeal circulation. There was no correlation between the measures of surgical stress and echocardiographic parameters measured two hours after surgery. The echocardiographic variables that assessed right and left ventricular function were within the normal range and showed no significant variation over the first 48 hours after cardiac surgery. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-03-22 |
dc.date.accessioned.fl_str_mv |
2015-01-16T17:37:12Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
OLIVEIRA JÚNIOR, Francisco Sávio de. Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica. 2013. 74 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/3898 |
dc.identifier.dark.fl_str_mv |
ark:/38995/0013000002khd |
identifier_str_mv |
OLIVEIRA JÚNIOR, Francisco Sávio de. Avaliação da função ventricular pelo ecocardiograma no pós operatório imediato de pacientes submetidos a cirurgia cardíaca pediátrica. 2013. 74 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2013. ark:/38995/0013000002khd |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/3898 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
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dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
1545772475950486338 |
dc.relation.cnpq.fl_str_mv |
8765449414823306929 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Ciências da Saúde (FM) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Medicina - FM (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
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Universidade Federal de Goiás (UFG) |
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UFG |
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UFG |
reponame_str |
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Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/9fd73d8a-a26e-4f48-b62b-1b2e94ea77f4/download http://repositorio.bc.ufg.br/tede/bitstreams/5cda2509-ab46-4715-81f1-3f09cbd33435/download http://repositorio.bc.ufg.br/tede/bitstreams/d22ea05d-9dca-4223-9d90-40d40bf436fa/download http://repositorio.bc.ufg.br/tede/bitstreams/74853ad6-943c-4fda-817f-44638d656e5e/download http://repositorio.bc.ufg.br/tede/bitstreams/eb39ba28-8f25-4fa7-9f19-fd12197530dd/download http://repositorio.bc.ufg.br/tede/bitstreams/29be383d-bc86-4243-b06d-c99af7ec8c83/download http://repositorio.bc.ufg.br/tede/bitstreams/ec553454-b099-4ecf-87a2-c42eee798bee/download |
bitstream.checksum.fl_str_mv |
171795d1e90b4a8d89f6483685414ca1 bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f 29b9d5e95be03707f9d4a2e110421c11 9da0b6dfac957114c6a7714714b86306 3c54ba52edb91abce4a6d98312b32c4a 727ccf844db02a581d9f0c7cb46804a8 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1811721354190258176 |