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Levosimendan for the Low Cardiac Output Syndrome after Cardiac Surgery
New England Journal of Medicine, 2017The low cardiac output syndrome complicates 1 in 10 coronary bypass operations and is associated with a heightened risk of perioperative death.1 The pathophysiology of this syndrome is complex, with likely contributions from reperfusion injury, systemic inflammation induced by cardiopulmonary bypass, and pulmonary and systemic vasoconstriction.2 ...
Akshay S, Desai, John A, Jarcho
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Predictors of Post Pericardiotomy Low Cardiac Output Syndrome in Patients With Pericardial Effusion
Journal of Cardiovascular and Thoracic Research, 2015Introduction: Pathological involvement of pericardium by any disease that resulting in effusion may require decompression and pericardiectomy. The current article describes rare patients with effusion who after pericadiectomy and transient hemodynamic ...
F. Sabzi, R. Faraji
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Low cardiac output syndrome in children
Current Anaesthesia & Critical Care, 2005Clinicians caring for critically ill children will commonly encounter low cardiac output states, especially after cardiac surgery. Anticipation and prevention can go some way to reducing morbidity and mortality. This article outlines the causes and assessment of this syndrome.
Jones, Bryn +3 more
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Thermodilution method overestimates low cardiac output in humans
American Journal of Physiology-Heart and Circulatory Physiology, 1983We compared 57 cardiac output measurements by the thermodilution and Fick methods in 26 patients and found that thermodilution values were higher in all 16 cases in which Fick outputs were less than 3.5 l/min. In 10 cases where Fick values were less than or equal to 2.5 l/min, thermodilution and Fick measurements differed by an average of 35%.
A, van Grondelle +4 more
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Low cardiac output complicating pericardiectomy for pericardial tamponade
The Annals of Thoracic Surgery, 1999Neoplastic involvement of the pericardium resulting in an effusion and subsequent tamponade is an emergency requiring prompt decompression, generally safely accomplished by subxiphoid pericardiectomy. However, the current case report describes a patient with florid pericardial tamponade who underwent surgical decompression with transient hemodynamic ...
R, Sunday, L A, Robinson, V, Bosek
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External Counterpulsation in Low Cardiac Output States
Surgical Clinics of North America, 1975External counterpulsation represents a rational extension of the basic principles of counterpulsation as developed over the past 20 years. Its unique properties of being totally noninvasive, free of significant morbidity, and easily and quickly instituted clinically suggest that it may have a significant therapeutic role in the prevention and treatment
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Management of Postoperative Low Cardiac Output Syndrome
Critical Care Nursing Quarterly, 2002The management of the infant with congenital heart disease is a multidisciplinary collaborative effort that is individualized to each patient. Low cardiac output is frequently seen in the postoperative infant with arrhythmia, preload, afterload, and contractility alterations; it can be a significant complication after open heart surgery. The management
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Bileaflet Mechanical Heart Valves at Low Cardiac Output
ASAIO JOURNAL, 1996Several earlier studies have indicated that bileaflet mechanical heart valves behave irregularly at low cardiac output and low pulse rate conditions, and that their hydrodynamic performances are generally inadequate. The authors conducted in vitro experiments in a pulsatile mock circulatory loop to compare the performance of the St.
Z J, Wu +3 more
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Levosimendan for Low Cardiac Output: A Pediatric Experience
Journal of Intensive Care Medicine, 2006This was a retrospective observational study in a pediatric intensive care unit, in which 19 patients received levosimendan. There were no adverse events attributable to levosimendan and no instances where the clinical condition worsened after administration.
Jonathan R, Egan +7 more
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Managing Low Cardiac Output States: Maintaining Volume after Cardiac Surgery
AACN Advanced Critical Care, 1993Low cardiac output after cardiac surgery may be caused by hypovolemia, myocardial depression, vasoconstriction, and dysrhythmias. Postoperative hypovalemia occurs because of blood volume loss and decreased diastolic filling. Diuresis, intravascular fluid shift into the interstitium, hormonal influences, and bleeding deplete blood volume.
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