Determinants of regional myocardial acidosis during cardiac surgery

Surgery

Volumn 136, Issue 2, 2004, Pages 190-198

  Kumbhani, Dharam J ^a   Healey, Nancy A ^a   Birjiniuk, Vladimir ^a   Crittenden, Michael D ^a   Josa, Miguel ^a   Treanor, Patrick R ^a   Khuri, Shukri F ^a,b  

^a HARVARD MEDICAL SCHOOL   (United States)

^b VA BOSTON HEALTHCARE SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACIDOSIS; ADULT; AORTA CLAMPING; ARTICLE; CARDIOPULMONARY BYPASS; FEMALE; HEART LEFT VENTRICLE WALL; HEART MUSCLE; HEART SURGERY; HUMAN; INTRAOPERATIVE PERIOD; MALE; MEASUREMENT; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; PEROPERATIVE CARE; PH; PREDICTION; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; RISK FACTOR; SCORING SYSTEM; SMOKING; STATISTICAL MODEL; SURVIVAL;

ACIDOSIS; ADULT; AGED; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; CORONARY ARTERY BYPASS; FEMALE; HUMANS; HYDROGEN-ION CONCENTRATION; INTRAOPERATIVE COMPLICATIONS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; MYOCARDIUM;

EID: 3843105723     PISSN: 00396060     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.surg.2004.04.015     Document Type: Article

References (25)

1. Lange R., Kloner R.A., Zeiler M., Carlson N., Seiler M., Khuri S.F. Time course of ischemic alteration during normothermic and hypothermic arrest and its reflection by online monitoring of tissue pH. J Thorac Cardiovasc Surg. 86:1983;418-434
2. Khuri S.F., Kloner R.A., Karaffa S.A., Marston W., Taylor A.D., Lai N.C., et al. The significance of the late fall in myocardial PCO2 and its relationship to myocardial pH after regional occlusion in the dog. Circ Res. 56:1985;537-547
3. Khuri S.F., Josa M., Marston W., Braunwald N.S., Smith B., Tow D., et al. First report of intramyocardial pH in man: II. Assessment of adequacy of myocardial preservation. J Thorac Cardiovasc Surg. 86:1983;667-678
4. Biswas K.S., Hossain M., Healey N., Birjiniuk V., Crittenden M.D., Khuri S.F. Intraoperative myocardial acidosis predicts adverse outcomes following cardiac surgery. Circulation. 100:1999;. I-596
5. Khuri S.F., Warner K.G., Josa M., Butler M.D., Hayes A., Hanson R., et al. The superiority of continuous cold blood cardioplegia in the metabolic protection of the hypertrophied human heart. J Thorac Cardiovasc Surg. 95:1988;442-454
6. Khabbaz K.R., Zankoul F., Warner K.G. Intraoperative metabolic monitoring of the heart II. Online measurement of myocardial tissue pH. Ann Thorac Surg. 72:2001;S2227-S2234
7. Hanley J.A., McNeil B.J. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 143:1982;29-36
8. nd ed. :2000;91-114 Wiley, New York
9. Khuri S.F., Flaherty J.T., O'Riordan J.B., Pitt B., Brawley R.K., Donahoo J.S., et al. Changes in intramyocardial ST segment voltage and gas tensions with regional myocardial ischemia in the dog. Circ Res. 37:1975;455-463
10. 2: a reliable index of the severity of myocardial ischemic injury. Am J Physiol. 237:1979;H253-H259
11. Axford T.C., Dearani J.A., Khait I., Park W.M., Patel M.A., Doursounian M., et al. Electrode-derived myocardial pH measurements reflect intracellular myocardial metabolism assessed by 31P NMR spectroscopy during ischemia. J Thorac Cardiovasc Surg. 103:1992;902-907
12. st ed. :2003;Terumo Cardiovascular Systems Corp, Ann Arbor, Mich
13. Lakier J.B. Smoking and cardiovascular disease. Am J Med. 93:1992;8S-12S
14. Spohr U., Hofmann K., Steck W., Harenberg J., Walter E., Hengen N., et al. Evaluation of smoking-induced effects on sympathetic, hemodynamic and metabolic variables with respect to plasma nicotine and COHb levels. Atherosclerosis. 33:1979;271-283
15. Warner K.G., Khuri S.F., Kloner R.A., Josa M., Dalecki-Chipperfield K.M., Butler M.D., et al. Structural and metabolic correlates of cell injury in the hypertrophied myocardium during valve replacement. J Thorac Cardiovasc Surg. 93:1987;741-754
16. van den Heuvel A.F., Bax J.J., Blanksma P.K., Vaalburg W., Crijns H.J., van Veldhuisen D.J. Abnormalities in myocardial contractility, metabolism and perfusion reserve in non-stenotic coronary segments in heart failure patients. Cardiovasc Res. 55:2002;97-103
17. Khuri S.F., Brawley R.K., O'Riordan J.B., Donahoo J.S., Pitt B., Gott V.L. The effect of cardiopulmonary bypass perfusion pressure on myocardial gas tensions in the presence of coronary stenosis. Ann Thorac Surg. 20:1975;661-670
18. Garlick P.B., Radda G.K., Seeley P.J. Studies on acidosis in the ischemic heart by phosphorus nuclear magnetic resonance. Biochem J. 184:1979;547-554
19. Radda G.K., Gadian D.G., Ross B.D. Energy metabolism and cellular pH in normal and pathological conditions. A new look through 31phosphorus nuclear magnetic resonance. Ciba Found Symp. 87:1982;36-57
20. New classification of physical status. American Society of Anesthesiologists, Inc. Anesthesiology. 24:1963;111
21. Weiland A.P., Walker W.E. Physiologic principles and clinical sequelae of cardiopulmonary bypass. Heart Lung. 15:1986;34-39
22. Harris E.A., Seelye E.R., Barratt-Boyes B.G. Respiratory and metabolic acid-base changes during cardiopulmonary bypass in man. Br J Anaesth. 42:1970;912-921
23. Liu Y., Guo Q., Cai H. Influence of cardiopulmonary bypass time on gastric intramucosal Pco2 and pH. Hunan Yi Ke Da Xue Xue Bao. 23:1998;152-154
24. Kirklin J.K., Westaby S., Blackstone E.H., Kirklin J.W., Chenoweth D.E., Pacifico A.D. Complement and the damaging effects of cardiopulmonary bypass. J Thorac Cardiovasc Surg. 86:1983;845-857
25. Nashef S.A., Roques F., Michel P., Gauducheau E., Lemeshow S., Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg. 16:1999;9-13