Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research
Yıl: 2022 Cilt: 34 Sayı: 1 Sayfa Aralığı: 1 - 6 Metin Dili: İngilizce DOI: 10.5336/cardiosci.2021-83584 İndeks Tarihi: 09-06-2022
Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research
Öz: Objective: To investigate the perioperative and postoperative effects of preoperative levosimendan use in coronary artery patients with low ejection fraction (EF) (<40%). Material and Methods:
A total of 6,571 coronary bypass patients who were treated at Kartal
Koşuyolu High Specialization Training and Research Hospital between
2016 and 2019 were scanned, and 132 patients with preoperative EF
below 40% were retrospectively analyzed. The patients were divided
into 2 groups as those who received preoperative levosimendan (Group
1: 90 patients) and the control group, who did not receive it at all
(Group 2: 42 patients). All of the patients included in the study were onpump coronary bypass patients and excluded off-pump bypass, emergency bypass, and other concomitant procedures. Results: In terms of
EF values, improvements over time were significantly different in favor
of Group 1 (p<0.043). The duration of the intensive care unit stay in
Group 1 was longer (p<0.047). The changes in patients in terms of postoperative venous oxygen saturation over time were found to be statistically positive in favor of Group 1 (p<0.042). Mortality was observed
in 5 patients in the postoperative early period (first 30 days), all of
whom were from Group 1. However, no statistical difference was observed. Conclusion: Preoperative use of levosimendan in coronary
artery patients with low EF improved some hemodynamic parameters;
however, it did not make a significant hemodynamic and clinical contribution to surgery success in high-risk patients.
Anahtar Kelime: Yüksek Riskli Koroner Arter HastalarındaProfilaktik Levosimendan Kullanımı: Retrospektif Klinik Araştırma
Öz: Amaç: Ejeksiyon fraksiyonu (EF) düşük (<%40) olan koroner
arter hastalarında preoperatif levosimendan kullanımının perioperatif
ve postoperatif etkilerinin incelenmesi. Gereç ve Yöntemler: Kartal
Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesinde 2016 ile
2019 arasında koroner baypas yapılmış olan toplam 6.571 hasta tarandı
ve preoperatif EF’si %40’ın altında olan 132 hasta geriye dönük olarak
incelendi. Hastalar preoperatif levosimendan alanlar (Grup 1:90 hasta)
ve hiç almayan kontroller (Grup 2: 42 hasta) olmak üzere 2 gruba ayrıldı. Çalışmaya On-pump bypass hastaları dahil edildi ve Off-pump
baypas, acil baypas ve diğer eşzamanlı işlemler yapılan hastalar alınmadı. Bulgular: EF değerleri açısından, zaman içindeki düzelmeler
Grup 1 lehine anlamlı olarak farklıydı (p<0,043). Grup 1’de yoğun bakımda kalış süresi daha uzundu (p<0,047). Hastalarda zaman içinde postoperatif venöz oksijen saturasyonundaki değişmeler Grup 1 lehine
istatistiksel olarak pozitifti (p<0,042). Postoperatif erken dönemde (ilk
30 gün) tamamı Grup 1’de olan 5 hastada mortalite gerçekleşti. Fakat
istatistiksel anlam bulunmadı. Sonuç: Ejeksiyon fraksiyonu düşük koroner arter hastalarında preoperatif levosimendan kullanımı bazı hemodinamik parametreleri düzeltti fakat yüksek riskli hastalarda cerrahi
başarısına anlamlı hemodinamik ve klinik katkısı olmadı.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | Başar V, Öztürk F, YİĞİT F, Zengin A, Çiçekçioğlu F, HANCER H, Yanartas M, FEDAKAR A (2022). Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. , 1 - 6. 10.5336/cardiosci.2021-83584 |
Chicago | Başar Veysel,Öztürk Fatih,YİĞİT FATİH,Zengin Ahmet,Çiçekçioğlu Ferit,HANCER Hakan,Yanartas Mehmed,FEDAKAR ALİ Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. (2022): 1 - 6. 10.5336/cardiosci.2021-83584 |
MLA | Başar Veysel,Öztürk Fatih,YİĞİT FATİH,Zengin Ahmet,Çiçekçioğlu Ferit,HANCER Hakan,Yanartas Mehmed,FEDAKAR ALİ Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. , 2022, ss.1 - 6. 10.5336/cardiosci.2021-83584 |
AMA | Başar V,Öztürk F,YİĞİT F,Zengin A,Çiçekçioğlu F,HANCER H,Yanartas M,FEDAKAR A Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. . 2022; 1 - 6. 10.5336/cardiosci.2021-83584 |
Vancouver | Başar V,Öztürk F,YİĞİT F,Zengin A,Çiçekçioğlu F,HANCER H,Yanartas M,FEDAKAR A Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. . 2022; 1 - 6. 10.5336/cardiosci.2021-83584 |
IEEE | Başar V,Öztürk F,YİĞİT F,Zengin A,Çiçekçioğlu F,HANCER H,Yanartas M,FEDAKAR A "Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research." , ss.1 - 6, 2022. 10.5336/cardiosci.2021-83584 |
ISNAD | Başar, Veysel vd. "Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research". (2022), 1-6. https://doi.org/10.5336/cardiosci.2021-83584 |
APA | Başar V, Öztürk F, YİĞİT F, Zengin A, Çiçekçioğlu F, HANCER H, Yanartas M, FEDAKAR A (2022). Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. Türkiye Klinikleri Cardiovascular Sciences, 34(1), 1 - 6. 10.5336/cardiosci.2021-83584 |
Chicago | Başar Veysel,Öztürk Fatih,YİĞİT FATİH,Zengin Ahmet,Çiçekçioğlu Ferit,HANCER Hakan,Yanartas Mehmed,FEDAKAR ALİ Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. Türkiye Klinikleri Cardiovascular Sciences 34, no.1 (2022): 1 - 6. 10.5336/cardiosci.2021-83584 |
MLA | Başar Veysel,Öztürk Fatih,YİĞİT FATİH,Zengin Ahmet,Çiçekçioğlu Ferit,HANCER Hakan,Yanartas Mehmed,FEDAKAR ALİ Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. Türkiye Klinikleri Cardiovascular Sciences, vol.34, no.1, 2022, ss.1 - 6. 10.5336/cardiosci.2021-83584 |
AMA | Başar V,Öztürk F,YİĞİT F,Zengin A,Çiçekçioğlu F,HANCER H,Yanartas M,FEDAKAR A Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. Türkiye Klinikleri Cardiovascular Sciences. 2022; 34(1): 1 - 6. 10.5336/cardiosci.2021-83584 |
Vancouver | Başar V,Öztürk F,YİĞİT F,Zengin A,Çiçekçioğlu F,HANCER H,Yanartas M,FEDAKAR A Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research. Türkiye Klinikleri Cardiovascular Sciences. 2022; 34(1): 1 - 6. 10.5336/cardiosci.2021-83584 |
IEEE | Başar V,Öztürk F,YİĞİT F,Zengin A,Çiçekçioğlu F,HANCER H,Yanartas M,FEDAKAR A "Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research." Türkiye Klinikleri Cardiovascular Sciences, 34, ss.1 - 6, 2022. 10.5336/cardiosci.2021-83584 |
ISNAD | Başar, Veysel vd. "Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research". Türkiye Klinikleri Cardiovascular Sciences 34/1 (2022), 1-6. https://doi.org/10.5336/cardiosci.2021-83584 |