Postoperative Cardiac Troponin I (cTnI) Level and Its Prognostic Value for Patients Undergoing Mitral Valve Surgery
スポンサーリンク
概要
- 論文の詳細を見る
It has previously been reported that cardiac troponin I (cTnI) is useful in predicting the postoperative course after cardiac surgery, and that elevated serum cTnI levels are associated with increased in-hospital mortality. However, these findings have been reported in heterogeneous groups of cardiac surgical procedures. In the current study, the usefulness of postoperative cTnI measurements for the prediction of patient outcomes in a specific group of cardiac surgical procedures was determined, with the analysis limited to patients undergoing mitral valve surgery. The results of cTnI measurements were compared with postoperative creatine kinase-myocardial band fraction (CK-MB) levels.A total of 24 patients who underwent mitral valve surgery from July 2004 to April 2009 were retrospectively studied. Serum cTnI and CK-MB levels were measured on postoperative day (POD) 0 (immediately after surgery), and on POD 1, 2, and 3. The relationship between serum cTnI and CK-MB levels, cardiopulmonary bypass (CPB) time, aorta cross-clamping (AoC) time, and the length of ICU stay and postoperative hospital stay (POHS) were evaluated.CPB and AoC time influenced postoperative cTnI and CK-MB levels. Values of cTnI on POD 1 and POD 2 were significantly correlated with the length of ICU stay, whereas only the CK-MB level on POD 2 was significantly correlated with the length of ICU stay. In addition, the cTnI levels on POD 1 and POD 2 were significantly correlated with POHS, however, there was no relationship between postoperative CK-MB levels and POHS. Postoperative cTnI measurements are more useful than CK-MB measurements in predicting the postoperative course of a patient following mitral valve surgery.
著者
-
KUNIMOTO Fumio
Intensive Care Unit, Gunma University Hospital
-
HINOHARA Hiroshi
Intensive Care Unit, Gunma University Hospital
-
OKAWA Makio
Intensive Care Unit, Gunma University Hospital
-
Kunimoto Fumio
Intensive Care Unit Gunma University Hospital
-
Oshima Kiyohiro
Intensive Care Unit Gunma University Hospital
-
Okawa Makio
Intensive Care Unit Gunma University Hospital
-
Hinohara Hiroshi
Intensive Care Unit Gunma University Hospital
-
Mohara Jun
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
-
Takeyoshi Izumi
Department Of Thoracic And Visceral Organ Surgery Graduate School Of Medicine Gunma University
-
Saito Shigeru
Intensive Care Unit Gunma University Hospital
-
Takahashi Toru
Department Of Anatomy Gifu University School Of Medicine
-
Takahashi Toru
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
関連論文
- Three novel mutations of the fibrillin-1 gene and ten single nucleotide polymorphisms of the fibrillin-3 gene in Marfan syndrome patients
- Clinical and Histopathological Studies in Children With Supraventricular Tachycardia
- HISTOPATHOLOGICAL STUDY ON KAWASAKI DISEASE WITH SPECIAL REFERENCE TO THE RELATION BETWEEN THE MYOCARDIAL SEQUELAE AND REGIONAL WALL MOTION ABNORMALITIES OF THE LEFT VENTRICLE
- -0950-CLINICAL AND PATHOLOGIC ANALYSIS OF MYOCARDIAL DAMAGES FOLLOWING KAWASAKI DISEASE EMPLOYING ENDOMYOCARDIAL BIOPSY : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -49-CLINICAL INVESTIGATIONS ON THE INFANTS AND CHILDREN WITH IDIOPATHIC MULTIFORM VENTRICULAR PREMATURE CONTRACTIONS : Arrhythmias : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Respiratory Diseases and Working in a Copper or an Aluminum Product Plant:A Case Control Study by Using Medical Records
- Evaluation of Prognosis in Patients with Respiratory Failure Requiring Venovenous Extracorporeal Membrane Oxygenation (ECMO)
- Evaluation of cerebrovascular carbon dioxide reactivity in patients with diabetes mellitus under sedative doses of propofol
- Evaluation of Respiratory Status in Patients after Thoracic Esophagectomy Using PiCCO System
- Fulminant Myocarditis Treated with Percutaneous Cardiopulmonary Support System (PCPS)
- Total body propofol clearance (TBPC) after living-donor liver transplantation (LDLT) surgery is decreased in patients with a long warm ischemic time
- Successful Intervention for Descending Necrotizing Mediastinitis : A Case Report
- The effect of gynecologic laparoscopy on propofol concentrations administered by the target-controlled infusion system
- Postoperative myasthenic crisis successfully treated with immunoadsorption therapy
- Plasma concentration for optimal sedation and total body clearance of propofol in patients after esophagectomy
- Successful management of a patient with neuroleptic malignant syndrome associated with marked elevation of serum creatine kinase
- In patients with adult respiratory distress syndrome, initial responders to inhaled nitric oxide did not show better outcome than nonresponders
- Alteration of regional brain oxygen saturation (rSO_2) in a patient with cerebral damage after aortic arch replacement : carbon dioxide reactivity monitored by near-infrared spectroscopy suggested inverse steal phenomenon
- Factors for Successful Weaning From a Percutaneous Cardiopulmonary Support System (PCPS) in Patients With Low Cardiac Output Syndrome After Cardiovascular Surgery
- Factors for Weaning From a Percutaneous Cardiopulmonary Support System (PCPS) in Patients With Severe Cardiac Failure : A Comparative Study in Weaned and Nonweaned Patients
- Prolonged Use for at Least 10 Days of Intraaortic Balloon Pumping (IABP) for Heart Failure
- Acute IgA nephropathy associated with mycoplasma pneumoniae infection
- Clinical Results of Extracorporeal Membrane Oxygenation (ECMO) Support for Acute Respiratory Failure : A Comparison of a Centrifugal Pump ECMO with a Roller Pump ECMO
- Isolated retromammary lymph node metastasis of breast cancer without axillary lymph node involvement : a case report with a false-negative sentinel lymph node biopsy
- Growth Cone Collapse and Neurite Retractions : An Approach to Examine X-irradiation Affects on Neuron Cells
- Jugular Venous Oxygen Saturation During Mild Hypothermic Versus Normothermic Cardiopulmonary Bypass in Elderly Patients
- Hemodynamic changes during electroconvulsive therapy under propofol anesthesia
- True Local Recurrences or New Primary Tumors after Breast-Conserving Surgery and Radiation Therapy
- Effects of Pressure on the Thermal Back Electron Transfer in a Dibenzylbipyridinium Salt. Solvent Reorganizations and Dynamic Solvent Effects
- Evidence for Two Competing Mechanisms in Regeneration of 2-(2, 4-Dinitrobenzyl)pyridine from its Enamine Tautomer
- A New Application of High-Viscosity Kinetics. An Attempt to Identify a Site of Solvent Reorganizations around a Reactant
- Solvent and Pressure Dependence of the Energy Profile for the Thermal Fading of a Merocyanine Formed from a Spironaphthoxazine
- Surgical Treatment with Deep Hypothermia for Thoracic Aortic Aneurysm in a Patient with Renal Transplantation
- Gastrointestinal Complications after Cardiovascular Surgery with Cardiopulmonary Bypass
- Hemodynamic and Metabolic Effects of Hypertonic Saline Infusion in Normovolemic Dogs
- Surgical Treatment for Inflammatory Abdominal Aortic Aneurysm
- Extracorporeal Membrane Oxygenation for Respiratory Failure
- Linear and Nonlinear Optical Properties of a Comb-Like Polymer
- PJ-755 The Heme Oxygenase-Carbon Monoxide Pathway Protects against Hypoxia-Induced Cell Death of Bovine Endothelial Cells through Suppression of NAD(P)H Oxidases(Endothelium-6 (H) PJ130,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meet
- Effect of the Viscous Exudate of Mekabu (Sporophyll of Undaria pinnatifida) on Glucose Absorption in Rats
- Differential effects of hyperventilation on cerebral blood flow velocity after tourniquet deflation during sevoflurane, isoflurane, or propofol anesthesia
- Comparison of the effects of vasopressin and norepinephrine on organ perfusion during septic shock in streptozotocin-induced diabetic rats
- Mixture Density Models Based on Mel-Cepstral Representation of Gaussian Process(Digital Signal Processing)
- An Experimental Attempt to Identify a Moving Molecular Moiety in a Solvent Matrix
- Long-term Follow-up after Aortic Valve Replacement with a Small Aortic Prosthesis
- Estrogenic Activity of Phthalate Esters by In Vitro VTG Assay Using Primary-cultured Xenopus Hepatocytes
- Incidence of koilonychia and atrophy of the lingual papillae in a patient with iron-deficiency anemia
- Effects of landiolol on left ventricular function during electroconvulsive therapy : a transthoracic echocardiographic study
- Bending Robustness of Thermal Conductance of Carbon Nanotubes : Nonequilibrium Molecular Dynamics Simulation
- Reversed-Phase High-Performance Liquid-Chromatographic Determination Systems Specific to Ultratrace Hard Metal Ions with Tridentate Schiff Bases and Pyridylhydrazones
- The Use of Water Structure Breakers, Urea and Guanidium Chloride, New Mobile Phase Modifiers in Reversed-phase Partition High-Performance Liquid Chromatography
- Progesterone Concentration throughout Gestation in Cows with Singleton and Twin Pregnancies
- Computed tomography fluoroscopy-guided lumbar sympathectomy for a patient with peripheral vascular disease and lumbar spine compression fracture
- The coating surface and agglomeration of seed particles in a fluidized bed coater
- Comparative Studies of the Formation of Surface Relief Grating. Amorphous Molecular Material vs Vinyl Polymer
- Ileal Perforation Caused by Cytomegalovirus Infection in a Patient with Recurrent Gastric Cancer : Report of a Case
- Distant Peritoneal Metastasis to a Mesh-Plug Prosthesis in a Gastrointestinal Cancer Patient : Report of a Case
- Extracorporeal Membrane Oxygenation for Respiratory Failure : Comparison of Venovenous Versus Venoarterial Bypass
- 73 A Study of Oxytocin Release in Normal Laboring Women.
- Postoperative Cardiac Troponin I (cTnI) Level and Its Prognostic Value for Patients Undergoing Mitral Valve Surgery
- Systemic AL amyloidosis with disseminated intravascular coagulation associated with hyperfibrinolysis
- Successful Treatment of Recurrent Gastric Cancer with Chemotherapy for M ore than 6 Years : A Case Report
- Primary Hepatic Leiomyosarcoma with Giant Cyst Formation : A Case Report
- Effects of a Phosphate Buffered Extracellular (Ep4) Solution in Preservation and Reperfusion Injury in the Canine Liver
- Progressive multifocal leukoencephalopathy in a patient with multiple myeloma
- High Mobility Group Box 1 Levels in On and Off-Pump Cardiac Surgery Patients
- Fundamental Role of Heme Oxygenase in the Protection Against Ischemic Acute Renal Failure
- Separation of V(V)-4-(2-pyridylazo)resorcinolato Complex from a Large Excess Reagent Using an ODS Cartridge for High-Performance Liquid Chromatography
- Effectiveness of a Spot Urine Method in Evaluating Daily Salt Intake in Hypertensive Patients Taking Oral Antihypertensive Drugs
- Digit-Assisted Thoracoscopic Surgery for Mediastinal Tumors : A Novel Technique
- Rupture of the diaphragm and pericardium with cardiac herniation after blunt chest trauma
- Auer rod-like cytoplasmic inclusion bodies in nodal marginal zone lymphoma cells
- Time course of changes in cerebral blood flow velocity after tourniquet deflation in patients with diabetes mellitus or previous stroke under sevoflurane anesthesia
- Percutaneous radiofrequency lumbar facet rhizotomy guided by computed tomography fluoroscopy
- Effect of Anesthetics on Physiological Function : Differential Effect of Volatile Anesthetics on the Expression of Heat Shock Proteins
- Preoperative depression is a risk factor for postoperative short-term and long-term cognitive dysfunction in patients with diabetes mellitus
- Primary left atrial tumor showing mitral valve stenosis and left upper lobe pulmonary edema : report of a case
- A Novel Technique for Closing a Tracheocutaneous Fistula Using a Hinged Skin Flap
- Aggressive Angiomyxoma Extending Largely into the Pelvis ― A Case Report and Review of the Literature―
- Triple-negative breast cancer : Histological subtypes and immunohistochemical and clinicopathological features
- Successful Multidrug Treatment of a Pediatric Patient with Severe Churg-Strauss Syndrome Refractory to Prednisolone
- (1) Current Obstetrical Studies on Smoking in Japan (2) Smoking and Preterm Labor
- Flow Behavior of Digesta and the Absorption of Nutrients in the Gastrointestine
- Electric Field Enhancement by Laser Light Focused at Electrode Edges for Controlled Positioning of Carbon Nanotubes (Special Issue : Microprocesses and Nanotechnology)
- The Suppression of Proinflammatory Cytokines Improves Heart Function From Non-Heart-Beating Donors Following Transplantation in a Canine Model
- An immunoglobulin G4-related disease mimicking postoperative lung cancer recurrence
- Necrotizing fasciitis following psoas muscle abscess caused by hypermucoviscous Klebsiella pneumoniae
- A Case of Sustained Ventricular Tachycardia Originated from Left Ventricular Posterior Papillary Muscle, Which Was Misinterpreted as Posterior Fascicular Ventricular Tachycardia in ECG Morphology
- Dilated Cardiomyopathy as a Presenting Feature of Cushing's Syndrome
- Dynamics of CD3+ T-cell Distribution throughout the Estrous Cycle and Gestation in the Bovine Endometrium
- The Effect of a Temporary Inferior Vena Cava Filter in the Treatment of Deep Vein Thrombosis in Critically-Ill Patients
- Topoisomerase II alpha expression and the Ki-67 labeling index correlate with prognostic factors in estrogen receptor-positive and human epidermal growth factor type-2-negative breast cancer