Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Epidemiologia e Controle de Infecção |
Texto Completo: | https://online.unisc.br/seer/index.php/epidemiologia/article/view/9380 |
Resumo: | Background and Objectives: Cardiovascular diseases (CVD) are considered one of the main causes of death in developed countries and coronary artery bypass grafting (CABG) is an accurate indication for coronary artery disease (CAD). It is known that peripheral arterial disease (PAD) is associated with the presence of CAD and, therefore, the objective of the study was to analyze peripheral arterial flow and the presence of intermittent claudication (CI) in patients submitted to cardiac surgery (CC) with extracorporeal circulation (ECC). Methods: A cross-sectional study evaluating the presence of IC through the Edinburgh Claudication Questionnaire and the peripheral arterial flow by the Ankle-Brachial Index (ABI), measured in the upper and lower limbs by sphygmomanometer and portable vascular Doppler in the preoperative period, postoperative period (PO i ) and in the pre-discharge of patients submitted to CC. Results: Seven patients (5 males)with aged 55.3 ± 10.0 years and BMI of 28.9 ± 5.2 kg/m 2 were evaluated, of whom three presented IC. The ABI increased significantly in the PO i in relation to the preoperative period (p=0.023). In pre-discharge, the values showed a tendency to return to those obtained in the preoperative period (p=0.544). There were inverse and strong association between the general ABI and CPB in the PO i (r=-0.866, p=0.038) and in the pre-discharge (r=-0.884, p=0.027). Conclusion: The peripheral arterial flow increased in the PO i with evidence of inverse and strong association between the CPB time and the ABI. |
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Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot studyEl comportamiento del flujo de sangre periférica en pacientes sometidos a cirugía cardíaca: un estudio pilotoComportamento do fluxo arterial periférico em pacientes submetidos a cirurgia cardíaca: Um estudo pilotoBackground and Objectives: Cardiovascular diseases (CVD) are considered one of the main causes of death in developed countries and coronary artery bypass grafting (CABG) is an accurate indication for coronary artery disease (CAD). It is known that peripheral arterial disease (PAD) is associated with the presence of CAD and, therefore, the objective of the study was to analyze peripheral arterial flow and the presence of intermittent claudication (CI) in patients submitted to cardiac surgery (CC) with extracorporeal circulation (ECC). Methods: A cross-sectional study evaluating the presence of IC through the Edinburgh Claudication Questionnaire and the peripheral arterial flow by the Ankle-Brachial Index (ABI), measured in the upper and lower limbs by sphygmomanometer and portable vascular Doppler in the preoperative period, postoperative period (PO i ) and in the pre-discharge of patients submitted to CC. Results: Seven patients (5 males)with aged 55.3 ± 10.0 years and BMI of 28.9 ± 5.2 kg/m 2 were evaluated, of whom three presented IC. The ABI increased significantly in the PO i in relation to the preoperative period (p=0.023). In pre-discharge, the values showed a tendency to return to those obtained in the preoperative period (p=0.544). There were inverse and strong association between the general ABI and CPB in the PO i (r=-0.866, p=0.038) and in the pre-discharge (r=-0.884, p=0.027). Conclusion: The peripheral arterial flow increased in the PO i with evidence of inverse and strong association between the CPB time and the ABI.Justificación y objetivos: Las enfermedades cardiovasculares (ECV) son considerados una de las principales causas de muerte en los países desarrollados y de derivación de arteria coronaria (CABG) es una indicación precisa del tratamiento de la enfermedad arterial coronaria (CAD). Se sabe que la enfermedad arterial periférica (PAD) se asocia con la presencia de CAD y por lo tanto el propósito del estudio fue analizar el flujo periférico de sangre y la presencia de la claudicación intermitente (IC) en pacientes sometidos a cirugía cardíaca (CC) con circulación extracorpórea (CEC). Métodos: Estudio transversal que evaluó la presencia de CI a través del Cuestionario de Claudicación de Edimburgo y el flujo de sangre periférica mediante el índice tobillo-brazo (ITB) en el período preoperatorio, postoperatorio inmediato (PDI) y pre-alta a los pacientes presentado a DC. Resultados: Siete pacientes (5 hombres) con edades de 55,3 ± 10,0 años y el IMC 28,9±5,2 kg/m2 fueron evaluados, y la AAI aumentó significativamente en el período postoperatorio inmediato respecto al preoperatorio (p=0,023). En el pre-descarga valores tendieron a volver a los valores obtenidos antes de la cirugía (p=0,544). Hubo inversa y la estrecha relación entre la ABI general y CCA en Poi (r=-0,866, p=0,038) y en la pre-alta (r=-0,884, p=0,027). El CI estaba presente en tres individuos. Conclusiones: El flujo de sangre periférica aumentó en el período postoperatorio inmediato con evidencia de relación inversa fuerte entre el tiempo de CEC y la ITB.Justificativa e objetivos: As doenças cardiovasculares (DCV) são consideradas umas das principais causas de morte em países desenvolvidos e a cirurgia de revascularização do miocárdio (CRM) se constitui em indicação precisa para a doença arterial coronariana (DAC). Sabe-se que a doença arterial periférica (DAP) está associada à presença de DAC e, dessa forma, o objetivo do estudo foi analisar o fluxo arterial periférico e a presença de claudicação intermitente (CI) em pacientes submetidos à cirurgia cardíaca (CC) com circulação extracorpórea (CEC). Métodos: Estudo transversal que avaliou a presença de CI através do Questionário de Claudicação de Edimburgo e o fluxo arterial periférico pelo Índice Tornozelo-Braquial (ITB), mensurado em membros superiores e inferiores através de esfigmomanômetro e doppler vascular portátil no período pré-operatório, pós-operatório imediato (POi) e na pré-alta de pacientes submetidos a CC. Resultados: Avaliados sete pacientes (5 homens) com idade de 55,3±10,0 anos e IMC de 28,9±5,2 Kg/m2, dos quais três apresentaram CI. O ITB aumentou significativamente no POi em relação ao pré-operatório (p=0,023). Na pré-alta, os valores apresentaram tendência de retornar aos obtidos no pré-operatório (p=0,544). Houve associação inversa e forte entre o ITB geral e CEC no POi (r=-0,866, p=0,038) e na pré-alta (r=-0,884, p=0,027). Conclusão: O fluxo arterial periférico aumentou no POi com evidência de associação inversa e forte entre o tempo de CEC e o ITB.Unisc2018-01-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/938010.17058/reci.v1i1.9380Revista de Epidemiologia e Controle de Infecção; Vol. 8 No. 1 (2018); 73-77Revista de Epidemiologia e Controle de Infecção; v. 8 n. 1 (2018); 73-772238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/9380/7091Copyright (c) 2018 Revista de Epidemiologia e Controle de Infecçãoinfo:eu-repo/semantics/openAccessSchroeder, ElisaHopp, Marciele SilveiraWagner, Litiele EvelinFlores, Bárbara da CostaPaiva, Dulciane NunesCardoso, Dannuey Machado2019-01-23T12:37:36Zoai:ojs.online.unisc.br:article/9380Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-01-23T12:37:36Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot study El comportamiento del flujo de sangre periférica en pacientes sometidos a cirugía cardíaca: un estudio piloto Comportamento do fluxo arterial periférico em pacientes submetidos a cirurgia cardíaca: Um estudo piloto |
title |
Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot study |
spellingShingle |
Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot study Schroeder, Elisa |
title_short |
Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot study |
title_full |
Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot study |
title_fullStr |
Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot study |
title_full_unstemmed |
Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot study |
title_sort |
Behavior of peripheral arterial flow in patients undergoing cardiac surgery: A pilot study |
author |
Schroeder, Elisa |
author_facet |
Schroeder, Elisa Hopp, Marciele Silveira Wagner, Litiele Evelin Flores, Bárbara da Costa Paiva, Dulciane Nunes Cardoso, Dannuey Machado |
author_role |
author |
author2 |
Hopp, Marciele Silveira Wagner, Litiele Evelin Flores, Bárbara da Costa Paiva, Dulciane Nunes Cardoso, Dannuey Machado |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Schroeder, Elisa Hopp, Marciele Silveira Wagner, Litiele Evelin Flores, Bárbara da Costa Paiva, Dulciane Nunes Cardoso, Dannuey Machado |
description |
Background and Objectives: Cardiovascular diseases (CVD) are considered one of the main causes of death in developed countries and coronary artery bypass grafting (CABG) is an accurate indication for coronary artery disease (CAD). It is known that peripheral arterial disease (PAD) is associated with the presence of CAD and, therefore, the objective of the study was to analyze peripheral arterial flow and the presence of intermittent claudication (CI) in patients submitted to cardiac surgery (CC) with extracorporeal circulation (ECC). Methods: A cross-sectional study evaluating the presence of IC through the Edinburgh Claudication Questionnaire and the peripheral arterial flow by the Ankle-Brachial Index (ABI), measured in the upper and lower limbs by sphygmomanometer and portable vascular Doppler in the preoperative period, postoperative period (PO i ) and in the pre-discharge of patients submitted to CC. Results: Seven patients (5 males)with aged 55.3 ± 10.0 years and BMI of 28.9 ± 5.2 kg/m 2 were evaluated, of whom three presented IC. The ABI increased significantly in the PO i in relation to the preoperative period (p=0.023). In pre-discharge, the values showed a tendency to return to those obtained in the preoperative period (p=0.544). There were inverse and strong association between the general ABI and CPB in the PO i (r=-0.866, p=0.038) and in the pre-discharge (r=-0.884, p=0.027). Conclusion: The peripheral arterial flow increased in the PO i with evidence of inverse and strong association between the CPB time and the ABI. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-02 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/9380 10.17058/reci.v1i1.9380 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/9380 |
identifier_str_mv |
10.17058/reci.v1i1.9380 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/9380/7091 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista de Epidemiologia e Controle de Infecção info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista de Epidemiologia e Controle de Infecção |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Unisc |
publisher.none.fl_str_mv |
Unisc |
dc.source.none.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção; Vol. 8 No. 1 (2018); 73-77 Revista de Epidemiologia e Controle de Infecção; v. 8 n. 1 (2018); 73-77 2238-3360 reponame:Revista de Epidemiologia e Controle de Infecção instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
reponame_str |
Revista de Epidemiologia e Controle de Infecção |
collection |
Revista de Epidemiologia e Controle de Infecção |
repository.name.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC) |
repository.mail.fl_str_mv |
||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com |
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1800218810734608384 |