ArticleAnesthesiology2010
Prognostic implications of asymptomatic left ventricular dysfunction in patients undergoing vascular surgery.
Article in Anesthesiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04836702 (Vascular Surgery Outcomes), which is not on this map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Vascular Surgery Outcomes: Echocardiography as Risk-Assessment for Major Adverse Cardiac Events in Major Vascular Surgery Patients
Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 160 citations in OpenAlex.
- Diastolic dysfunction and mortality in septic patients: a systematic review and meta-analysis.Intensive care medicine · 2015Pooled it
- Trial
- [Training and clinical use of focused echocardiography : Evaluation of the state of training and clinical application of perioperative focused echocardiography by anesthesiologists in Germany].Die Anaesthesiologie · 2026Article
- Monitoring systemic ventriculoarterial coupling after cardiac surgery using continuous transoesophageal echocardiography and deep learning.Journal of clinical monitoring and computing · 2026Article
- Use of the impella system in high-risk patients undergoing non-cardiac surgery: a pilot study.BMC anesthesiology · 2025Article
- Continuous three-dimensional transesophageal echocardiography and deep learning for perioperative monitoring of left ventricular longitudinal function.European heart journal. Imaging methods and practice · 2025Article
- Continuous monitoring of left ventricular function in postoperative intensive care patients using artificial intelligence and transesophageal echocardiography.Intensive care medicine experimental · 2024Article
- Case Report: Abdominal surgery with the support of Impella (SURGELLA), a new frontier to be explored.Frontiers in cardiovascular medicine · 2024Article
- Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery.Medicina (Kaunas, Lithuania) · 2023Review
- Quantification of left ventricular ejection fraction and cardiac output using a novel semi-automated echocardiographic method: a prospective observational study in coronary artery bypass patients.BMC anesthesiology · 2023Observational
- Echocardiography as a Tool to Assess Cardiac Function in Critical Care-A Review.Diagnostics (Basel, Switzerland) · 2023Review
- Observational
- Article
- Pre-operative point-of-care assessment of left ventricular diastolic dysfunction, an observational study.BMC anesthesiology · 2022Observational
- Extracorporeal membrane oxygenation support in oncological thoracic surgery.Frontiers in oncology · 2022Review
- Preoperative Transthoracic Echocardiography Predicts Cardiac Complications in Elderly Patients with Coronary Artery Disease Undergoing Noncardiac Surgery.Clinical interventions in aging · 2022Article
- Association between heart failure and perioperative outcomes in patients undergoing non-cardiac surgery.European heart journal. Quality of care & clinical outcomes · 2021Article
- Myocardial injury after aortoiliac revascularization for extensive disease: A survival analysis.Turk gogus kalp damar cerrahisi dergisi · 2020Article
- Defining the relationship and impact of left ventricular ejection fraction on the incidence of postoperative adverse events after noncardiac surgery: A retrospective cohort study.Journal of clinical anesthesia · 2020Article
- Preoperative elevated E/e' (≥ 15) with preserved ejection fraction is associated with the development of postoperative heart failure in intermediate-risk non-cardiac surgical patients.Journal of anesthesia · 2020Article
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prognostic value of heart failure symptoms on postoperative outcome is well acknowledged in perioperative guidelines. The prognostic value of asymptomatic left ventricular (LV) dysfunction remains unknown. This study evaluated the prognostic implications of asymptomatic LV dysfunction in vascular surgery patients assessed with routine echocardiography.
methodsEchocardiography was performed preoperatively in 1,005 consecutive vascular surgery patients. Systolic LV dysfunction was defined as LV ejection fraction less than 50%. Ratio of mitral-peak velocity during early and late filling, pulmonary vein flow, and deceleration time was used to diagnose diastolic LV dysfunction. Troponin-T measurements and electrocardiograms were performed routinely perioperatively. Multivariate regression analyses evaluated the relation between LV function and the study endpoints, 30-day cardiovascular events, and long-term cardiovascular mortality.
resultsLeft ventricular dysfunction was diagnosed in 506 (50%) patients of which 80% were asymptomatic. In open vascular surgery (n = 649), both asymptomatic systolic and isolated diastolic LV dysfunctions were associated with 30-day cardiovascular events (odds ratios 2.3, 95% confidence interval [CI] 1.4-3.6 and 1.8, 95% CI 1.1-2.9, respectively) and long-term cardiovascular mortality (hazard ratios 4.6, 95% CI 2.4-8.5 and 3.0, 95% CI 1.5-6.0, respectively). In endovascular surgery (n = 356), only symptomatic heart failure was associated with 30-day cardiovascular events (odds ratio 1.8, 95% CI 1.1-2.9) and long-term cardiovascular mortality (hazard ratio 10.3, 95% CI 5.4-19.3).
conclusionsThis study demonstrated that asymptomatic LV dysfunction is predictive for 30-day and long-term cardiovascular outcome in open vascular surgery patients. These data suggest that preoperative risk stratification should include not only solely heart failure symptoms but also routine preoperative echocardiography to risk stratify open vascular surgery patients.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.