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. 1974 May;29(3):359–365. doi: 10.1136/thx.29.3.359

Assessment of left ventricular function following coronary bypass surgery: a non-invasive study

T Hardarson 1, G M Ziady 1, H N Khattri 1
PMCID: PMC470160  PMID: 4850667

Abstract

Hardarson, T., Ziady, G. M., and Khattri, H. N. (1974).Thorax, 29, 359-365. Assessment of left ventricular function following coronary bypass surgery: a non-invasive study. In a series of 15 patients with ischaemic heart disease, systolic time intervals (STI) were measured before, and at one week, three months, and six months following coronary vein-graft surgery. Preoperatively, the left ventricular ejection time (LVET) was abnormally short in seven patients, while the pre-ejection period was abnormally long in seven patients, suggesting impaired left ventricular function. At one week after surgery LVET and total electromechanical systole (QA2) were significantly abbreviated. This may be explained by the transient fall in cardiac output or postoperative neurohumoral changes. For the group as a whole, no significant changes were found at three or six months, suggesting that cardiac function was generally preserved rather than improved. However, in individual patients changes in STI correlated with the clinical and angiographic estimate of success of the operative treatment.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bolooki H., Rubinson R. M., Michie D. D., Jude J. R. Assessment of myocardial contractility after coronary bypass grafts. J Thorac Cardiovasc Surg. 1971 Oct;62(4):543–553. [PubMed] [Google Scholar]
  2. Johnson W. D., Flemma R. J., Manley J. C., Lepley D., Jr The physiologic parameters of ventricular function as affected by direct coronary surgery. J Thorac Cardiovasc Surg. 1970 Oct;60(4):483–490. [PubMed] [Google Scholar]
  3. Lewis R. P., Boudoulas H., Forester W. F., Weissler A. M. Shortening of electromechanical systole as a manifestation of excessive adrenergic stimulation in acute myocardial infarction. Circulation. 1972 Nov;46(5):856–862. doi: 10.1161/01.cir.46.5.856. [DOI] [PubMed] [Google Scholar]
  4. Mitchel B. F., Adam M., Lambert C. J., Sungu U., Shiekh S. Ascending aorta-to-coronary artery saphenous vein bypass grafts. J Thorac Cardiovasc Surg. 1970 Oct;60(4):457–468. [PubMed] [Google Scholar]
  5. Morris G. C., Jr, Reul G. J., Howell J. F., Crawford E. S., Chapman D. W., Beazley H. L., Winters W. L., Peterson P. K., Lewis J. M. Follow-up results of distal coronary artery bypass for ischemic heart disease. Am J Cardiol. 1972 Feb;29(2):180–185. doi: 10.1016/0002-9149(72)90627-3. [DOI] [PubMed] [Google Scholar]
  6. Mundth E. D., Harthorne J. W., Buckley M. J., Dinsmore R., Austen W. G. Direct coronary arterial revascularization. Treatment of cardiac failure associated with coronary artery disease. Arch Surg. 1971 Nov;103(5):529–534. doi: 10.1001/archsurg.1971.01350110027003. [DOI] [PubMed] [Google Scholar]
  7. Prakash R., Wegner S. Indirect assessment of left ventricular function following hemodialysis in patients with chronic renal disease. Am J Med Sci. 1972 Aug;264(2):127–133. doi: 10.1097/00000441-197208000-00006. [DOI] [PubMed] [Google Scholar]
  8. Rees G., Bristow J. D., Kremkau E. L., Green G. S., Herr R. H., Griswold H. E., Starr A. Influence of aortocoronary bypass surgery on left ventricular performance. N Engl J Med. 1971 May 20;284(20):1116–1120. doi: 10.1056/NEJM197105202842002. [DOI] [PubMed] [Google Scholar]
  9. Spencer F. C., Green G. E., Tice D. A., Glassman E. Bypass grafting for occlusive disease of the coronary arteries: a report of experience with 195 patients. Ann Surg. 1971 Jun;173(6):1029–1044. doi: 10.1097/00000658-197106010-00022. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Talley R. C., Meyer J. F., McNay J. L. Evaluation of the pre-ejection period as an estimate of myocardial contractility in dogs. Am J Cardiol. 1971 Apr;27(4):384–391. doi: 10.1016/0002-9149(71)90435-8. [DOI] [PubMed] [Google Scholar]
  11. Toutouzas P., Gupta D., Samson R., Shillingford J. Q-second sound interval in acute myocardial infarction. Br Heart J. 1969 Jul;31(4):462–467. doi: 10.1136/hrt.31.4.462. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. WEISSLER A. M., PEELER R. G., ROEHLL W. H., Jr Relationships between left ventricular ejection time, stroke volume, and heart rate in normal individuals and patients with cardiovascular disease. Am Heart J. 1961 Sep;62:367–378. doi: 10.1016/0002-8703(61)90403-3. [DOI] [PubMed] [Google Scholar]
  13. Weissler A. M., Harris W. S., Schoenfeld C. D. Systolic time intervals in heart failure in man. Circulation. 1968 Feb;37(2):149–159. doi: 10.1161/01.cir.37.2.149. [DOI] [PubMed] [Google Scholar]

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