Azerbaijan Journal of Cardiovascular Surgery最新文献_第4页

Diagnosis and management of cardiovascular disease during the COVID-19 pandemic: epidemiology, pathophysiology and diagnosis COVID-19大流行期间心血管疾病的诊断和管理:流行病学、病理生理学和诊断

Azerbaijan Journal of Cardiovascular Surgery Pub Date : 1900-01-01 DOI: 10.5455/azjcvs.2022.4.03

Oqtay Musayev

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Diagnostic value of arteriel stiffness index and reflection index measurements in peripheral arterial disease: a comparative study 外周动脉疾病中动脉僵化指数和反射指数测量的诊断价值：一项比较研究

Azerbaijan Journal of Cardiovascular Surgery Pub Date : 1900-01-01 DOI: 10.5455/azjcvs.2023.06.09

Hakan Guven, A. Kaplan, Temmuz Taner

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Advanced nurse specialist-managed pediatric extracorporeal membrane oxygenation: A 35-year single center experience 高级护士专家管理的儿科体外膜氧合:35年的单中心经验

Azerbaijan Journal of Cardiovascular Surgery Pub Date : 1900-01-01 DOI: 10.5455/azjcvs.2023.03.02

T. Nasirov

{"title":"Advanced nurse specialist-managed pediatric extracorporeal membrane oxygenation: A 35-year single center experience","authors":"T. Nasirov","doi":"10.5455/azjcvs.2023.03.02","DOIUrl":"https://doi.org/10.5455/azjcvs.2023.03.02","url":null,"abstract":"Aim: To investigate the feasibility, safety, and clinical outcomes of a solely registered nurse (RN)-managed extracorporeal membrane oxygenation (ECMO) program in a community hospital over a 35-year period. \u0000Material and Methods: A retrospective single-center review was conducted on all patients who received at least 24 hours of ECMO support in our pediatric intensive care unit (PICU) between August 1987 and August 2021. An integrated study of ECMO support type, ECMO duration, and patient survival to discharge was systematically performed.\u0000Results: 321 ECMO runs were initiated on 319 patients. 273 (85.0%) runs were for elective pulmonary support, 34 (10.6%) were for elective cardiac support, and 14 (4.36%) were for emergent cardiac support in extracorporeal cardiopulmonary resuscitation (ECPR). Of the 321 ECMO runs, 279 (86.9%) were performed on neonatal patients, 37 (11.5%) on pediatric patients, and 5 (1.56%) on adult patients (excluded from analysis). The median duration of ECMO was 120 hours for neonatal patients and 134 hours for pediatric patients. 69.5% of all patients on ECMO survived to discharge. ECPR was an independent predictor of poor outcomes, in which 28.6% of the 14 patients survived to discharge.\u0000Conclusion: A pediatric ECMO program fully managed by advanced nurse specialists was successfully implemented, maintained, and expanded. This model produced safe and efficacious outcomes that were comparable to data from the Extracorporeal Life Support Organization (ELSO) registry. Such an ECMO model is feasible even in a resource-limited setting like a community hospital. Nevertheless, for the most critical patients, the support of neonatologists, intensivists, and surgeons is imperative for enhancing favorable outcomes.","PeriodicalId":334840,"journal":{"name":"Azerbaijan Journal of Cardiovascular Surgery","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122713162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Is there a relationship between thyroid hormone change and postoperative arrhythmia in patients undergoing coronary bypass surgery? A prospective randomized controlled trial 冠状动脉搭桥术患者甲状腺激素变化与术后心律失常有关系吗?一项前瞻性随机对照试验

Azerbaijan Journal of Cardiovascular Surgery Pub Date : 1900-01-01 DOI: 10.5455/azjcvs.2022.08.013

K. Donmez, B. Akca, N. Erdil

{"title":"Is there a relationship between thyroid hormone change and postoperative arrhythmia in patients undergoing coronary bypass surgery? A prospective randomized controlled trial","authors":"K. Donmez, B. Akca, N. Erdil","doi":"10.5455/azjcvs.2022.08.013","DOIUrl":"https://doi.org/10.5455/azjcvs.2022.08.013","url":null,"abstract":"Aim: Several factors are known to be associated with arrhythmias after cardiac surgery. This paper examines the changes in thyroid hormones after cardiac surgery and the relationship with arrhythmias.\u0000Material and Methods: A random sample of euthyroid patients scheduled for isolated coronary artery bypass surgery were recruited for a randomized prospective study. Patients were divided into two groups based on developing a new-onset arrhythmia (NOA) or atrial fibrillation (NOAF) after surgery (Group 2, n=18), and patients without NOA or NOAF after surgery were included in Group 1 (n=66). Blood samples for free triiodothyronine (fT3) and free thyroxin (fT4) levels were collected preoperatively and at the time of arrival to intensive care unit (D0), 24th hour (D1), 48th hour (D2), 72nd hour (D3) and 96th hour (D4).\u0000Results: Arrhythmia was detected in 21.43% of patients. Twelve patients had NOAF and six patients had ventricular NOA. The postoperative second day was the most common day for arrhythmia. fT3 values were lower than preoperative values in both groups. When intra-group decreases were compared, the fT3 value decrease was more prominent in the arrhythmia group and fT3 regression at the D2 term (p=0.036) was especially significant. Postoperative fT4 values were higher than preoperative values in both groups. When intra-group raises were compared, fT4 values increased in both groups. This raising was more significant in the arrhythmia group and the fT4 rise at D1 term (p=0.022) was especially important. \u0000Conclusion: The decrease of fT3 values in the arrhythmia group (Group 2) was greater. This is more prominent on the postoperative second day, which is the most common day for arrhythmia after cardiac surgery. There is a rise in fT4 values and this is higher in the arrhythmia group. These relatively high values may be mimicking hyperthyroidism and may be considered a predisposition for arrhythmia and atrial fibrillation.","PeriodicalId":334840,"journal":{"name":"Azerbaijan Journal of Cardiovascular Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128562931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Modern aspects of surgical treatment of post-infarction ventricular septal defect 梗塞后室间隔缺损手术治疗的现代意义

Azerbaijan Journal of Cardiovascular Surgery Pub Date : 1900-01-01 DOI: 10.5455/azjcvs.2020.1.1.7

Ramil A. Aliyev, K. Musayev

{"title":"Modern aspects of surgical treatment of post-infarction ventricular septal defect","authors":"Ramil A. Aliyev, K. Musayev","doi":"10.5455/azjcvs.2020.1.1.7","DOIUrl":"https://doi.org/10.5455/azjcvs.2020.1.1.7","url":null,"abstract":"Determination of the anatomical location of the ventricular septal defect (VSD), one of the complications that may develop after acute myocardial infarction (MI), affects the surgical intervention and surgical success. Improved surgical techniques and heart protection methods, increased anesthesia and reanimation experience with new prosthetic patches have increased the success of surgical intervention in post-MI VSD. Long-term survivals of patients treated surgically have been reported to be better than those who did not undergo surgery.\u0000In autopsy studies, the incidence of VSD after acute myocardial infarction is 1-2%. According to epidemiological studies, post-MI VSD occurs more frequently in male patients 65 years of age and older who have a single-vessel disease and who have had an infarction for the first time. Post-MI VSD, which develops because of anterior MI, which constitutes 60% of myocardial infarctions, is the most common anteroapical septum, and VSDs, which are formed because of inferior MI (20-40%), are usually located in the posterior septum.\u0000In this study, we investigated the risk factors affecting hospital mortality retrospectively in patients who developed post-MI VSD and operated.","PeriodicalId":334840,"journal":{"name":"Azerbaijan Journal of Cardiovascular Surgery","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115071368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0