Evidence map›Paper›PMID 37568361›Full record

ArticleJournal of clinical medicine2023

The Impact of Left Ventricular Diastolic Dysfunction on Respiratory Adverse Events in Cardiac Surgery Patients-An Observational Prospective Single-Center Study.

Marta Braksator, Magdalena Jachymek, Karina Witkiewicz, Wojciech Witkiewicz, Małgorzata Peregud-Pogorzelska, Katarzyna Kotfis, Jarosław Kaźmierczak, Mirosław Brykczyński

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In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Marta BraksatorDepartment of Cardiology, Pomeranian Medical University, 70-111 Szczecin, Poland.
Magdalena JachymekDepartment of Cardiology, Pomeranian Medical University, 70-111 Szczecin, Poland.
Karina WitkiewiczDepartment of Pulmonology, Pomeranian Medical University, 70-204 Szczecin, Poland.
Wojciech WitkiewiczDepartment of Cardiology, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0001-9027-6999
Małgorzata Peregud-PogorzelskaDepartment of Cardiology, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0002-3474-9795
Katarzyna KotfisDepartment of Anaesthesiology, Intensive Therapy and Acute Intoxications, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0001-8430-1369
Jarosław KaźmierczakDepartment of Cardiology, Pomeranian Medical University, 70-111 Szczecin, Poland.
Mirosław BrykczyńskiDepartment of Cardiac Surgery, University of Zielona Góra, 65-417 Zielona Góra, Poland.
Pomeranian Medical University · PLUniversity of Zielona Góra · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft ventricular diastolic dysfunction (LV DD) is the most dominant cause of heart failure with preserved ejection fraction (HFpEF) worldwide. This pathological condition may contribute to postcapillary pulmonary hypertension (pcPH) development. Hypoxemia, often observed in pcPH, may significantly negatively impact the course of hospitalization in patients after cardiac surgery. The aim of our study was to investigate the impact of LV DD on the frequency of postoperative respiratory adverse events (RAE) in patients undergoing Coronary Artery Bypass Grafting (CABG).

methodsThe left ventricular (LV) diastolic function was assessed in 56 consecutive patients admitted for CABG. We investigated the relationship between LV DD and postoperative respiratory adverse events (RAE) in groups with normal LV diastolic function and LV DD stage I, II, and III.

resultsLeft ventricular diastolic dysfunction stage I was observed in 11 patients (19.6%) and LV DD stage II or III in 19 patients (33.9%). Arterial blood partial pressure of oxygen (PaO2) to the fraction of inspired oxygen (FiO2) index during postoperative mechanical ventilation was significantly lower in LV DD stage II or III than in the group with normal LV diastolic function. Patients with DD stage II or III had a higher occurrence of postoperative pneumonia than the group with normal LV diastolic function.

conclusionsLeft ventricular diastolic dysfunction is widespread in cardiac surgery patients and is an independent risk factor for lower minimal PaO2/FiO2 index during mechanical ventilation and higher occurrence of pneumonia.

Indexed as

LV diastolic dysfunctionpneumoniapostoperative respiratory adverse events

Identifiers

PMID37568361
PMCPMC10419440
OpenAlexW4385349202

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Registered trials

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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.