Abstract
26 infants aged 2 months — 1 year (mean age — 7 months) and weighting less than 10 kg (6,6±1,3 in average) with congenital heart diseases (left-to-right shunts) operated under hypothermic perfusion were investigated. Hemodynamics was studied using PiCCO-plus device. Level of atrial natriuretic peptide (BNP) and standard clinical indices were measured as well. It is ascertained that condition of main factors impacting the cardiac output in postoperative period is subjected to rapid dynamic changes. The most critical period of decreased cardiac function is from 12 to 24 hours after the operation. Combination of indices reflecting left ventricular contractility (dPmax), cardiac function (CFI) and extravascular pulmonary water (ELWI) that has been measured in the period of maximal intension of compensatory mechanisms (12 hours after the operation) has the highest prognostic value.
Original language | English (US) |
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Pages (from-to) | 98-103 |
Number of pages | 6 |
Journal | Kardiologiya i Serdechno-Sosudistaya Khirurgiya |
Volume | 5 |
Issue number | 2 |
State | Published - 2012 |
All Science Journal Classification (ASJC) codes
- Surgery
- Cardiology and Cardiovascular Medicine