Evidence map›Paper›PMID 42441770›Full record

ArticleAnnals of cardiac anaesthesia2026

Another Marker of Inflammation and Oxidative Stress and Its Impact on Myocardial Function, Arterial Elastance, and Vasoactive-Inotropic Score After Coronary Revascularization Surgery: A Prospective Cohort Study.

Teuku A Husain, Johanes N E Putranto, Philia Setiawan, Nancy M Rehatta, Fajar Perdhana, Yos Kowara

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Article in Annals of cardiac anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Teuku A HusainDoctoral Program of Medical Sciences, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia.
Johanes N E PutrantoDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia.
Philia SetiawanDepartment of Anesthesiology and Reanimation, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia.
Nancy M RehattaDepartment of Anesthesiology and Reanimation, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia.
Fajar PerdhanaDepartment of Anesthesiology and Reanimation, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia.
Yos KowaraDepartment of Anesthesiology and Reanimation, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextInflammatory and oxidative stress responses are markedly amplified following cardiopulmonary bypass (CPB), contributing to myocardial injury, vascular dysregulation, and potential multiorgan dysfunction.

aimsThis study aimed to define how inflammatory, oxidative, and cellular stress responses quantified by tumor necrosis factor-alpha (TNF-α), hydroxyl (OH-) radical scavenging capacity, and heat shock protein-70 (HSP-70) relate to early postoperative myocardial contractility, arterial tone, and vasoactive-inotropic requirements after CPB. SETTINGS AND

designA prospective cohort study was conducted in patients undergoing coronary artery bypass grafting (CABG) with preserved preoperative ejection fraction (EF). METHODS AND MATERIALS: Postoperative biomarker levels and perioperative changes in TNF-α, OH- scavenging capacity, and HSP-70 with early myocardial contractility maximum rate of rise of left ventricular pressure (dP/dtmax), arterial elastance, and vasoactive-inotropic score were assessed. STATISTICAL ANALYSIS USED: Correlation analyses were performed using Pearson's or Spearman's correlation coefficients as appropriate.

resultsA total of 52 patients were included in the study. Higher postoperative HSP-70 levels were associated with reduced early myocardial contractility (r = -0.315; P = 0.025) and increased vasoactive-inotropic requirements (ρ =0.341; P = 0.014). No significant associations were observed among postoperative biomarker variables, and changes in TNF-α or OH- scavenging capacity were not related to early postoperative hemodynamic outcomes (all P > 0.05).

conclusionsEarly post-CPB myocardial dysfunction appears more closely associated with cellular stress (HSP-70) than with inflammatory or oxidative responses. Elevated HSP-70 levels in the early postoperative CABG may act as damage-associated molecular patterns associated with transient myocardial depression and higher vasoactive-inotropic requirements, whereas early inflammatory and oxidative changes showed no direct hemodynamic correlation.

Indexed as

Coronary Artery BypassInflammationMyocardial ContractionOxidative StressAgedBiomarkersCardiopulmonary BypassCohort StudiesFemaleHSP70 Heat-Shock ProteinsHumansMaleMiddle AgedProspective StudiesTumor Necrosis Factor-alphaBiomarkersHSP70 Heat-Shock ProteinsTumor Necrosis Factor-alphaCardiopulmonary bypassheat shock protein-70myocardial dysfunctionoxidative stressvasoactive–inotropic score

Identifiers

PMID42441770
PMCPMC13476034

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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.