PREVENTION OF HEART FAILURE PATIENTS WITH DECREASED EJECTION FRACTION IN NON-CARDIAC SURGERY: LEVOSIMENDAN OR ANESTHETIC CARDIOPROTECTION?.
V V LikhvantsevD N MarchenkoO A GrebenshchikovYu V UbasevT S ZabelinaS S TimoshinYu V SkripkinA M OvezovR N Lar'kovZh S PhilippovskayaV A SungurovPublished in: Anesteziologiia i reanimatologiia (2018)
Preoperative preparation with levosimendan in patients with reduced fraction left ventricle ejection when performing reconstructive operations on the descending aorta reduces the incidence of episodes of decompensation of heart failure compared with the control group to 39,8% (p < 0,05). The use of this technique improves the composite outcome of operations on the infrarenal aorta. The study has not shown the influence of anesthetic cardioprotection in terms of hospitalization and composite outcome of surgical treatment.
Keyphrases
- ejection fraction
- cardiac surgery
- pulmonary artery
- aortic stenosis
- acute kidney injury
- heart failure
- aortic valve
- pulmonary hypertension
- coronary artery
- risk factors
- patients undergoing
- mitral valve
- pulmonary arterial hypertension
- transcatheter aortic valve replacement
- atrial fibrillation
- aortic dissection
- cardiac resynchronization therapy
- aortic aneurysm