Relationship of Off-Pump Coronary Artery Bypass Surgery with the Cardiac Enzyme Troponin T, LVEF, TAPSE and Post-Operative Recovery.

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dc.contributor.authorChakrabarti, Jayitaen_US
dc.contributor.authorMahapatra, Subhendu Sekharen_US
dc.contributor.authorMondal, Ratanen_US
dc.date.accessioned2020-11-18T10:18:05Z
dc.date.available2020-11-18T10:18:05Z
dc.date.issued2020-02
dc.description.abstractCardiovascular diseases (CVD) are the leading cause of death globally including India. Ischemic heart disease is the most common cause of death. There is a sharp rise in Off Pump Coronary Artery Bypass Surgery (OPCAB), which increases cardiac enzymes like Troponin T, that is used as prognostic guide. In triple vessel disease 40 to 50% cases involve right ventricle, therefore along with left ventricular ejection fraction (LVEF), Tricuspid Annular Plane Systolic Excursion (TAPSE) can be used as a prognostic guide, which can be measured by noninvasive doppler echocardiography.METHODSPatients with specific criteria who underwent OPCAB surgery from January 2018 to March 2019 were studied. Both pre- and post-operative (14-16 hours) Troponin T (TropT) sensitivity tests were done and only preoperative Trop T negative patients were selected for the study. Postoperative patients were divided into 2 groups, TropT positive and negative. Echocardiography was done on the day before surgery, on postoperative day 5 (POD5) and postoperative day 30 (POD30). Results were compared between the two groups.RESULTSAmong 88 patients thus selected, 34 patients (38.63%) were Trop T positive, and 54 patients (61.37%) were Trop T negative. On post-operative day 5, increase in brain natriuretic peptide (BNP), decrease in TAPSE and decrease in haemoglobin were significant in Trop T positive group. Need for ventilation and postoperative hospital stay were significantly prolonged in positive groups. In POD30, decrease in albumin, decrease in LVEF and TAPSE all are significant in TropT positive group.CONCLUSIONSIt is important to determine the prognosis of OPCAB patients in early postoperative period. Troponin T has a significant prognostic value in OPCAB patients supported by LVEF and TAPSE.en_US
dc.identifier.affiliationsDepartment of Cardiothoracic and Vascular Surgery, IPGME&R, SSKM Hospital, (The West Bengal University of Health Sciences), Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Cardiothoracic and Vascular Surgery, IPGME&R, SSKM Hospital, (The West Bengal University of Health Sciences), Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Cardiothoracic and Vascular Surgery, Nightingale Hospital, Kolkata, West Bengal, India.en_US
dc.identifier.citationChakrabarti Jayita, Mahapatra Subhendu Sekhar, Mondal Ratan. Relationship of Off-Pump Coronary Artery Bypass Surgery with the Cardiac Enzyme Troponin T, LVEF, TAPSE and Post-Operative Recovery.. Journal of Evolution of Medical and Dental Sciences. 2020-Feb; 9(9): 673-677en_US
dc.identifier.issn2278-4802
dc.identifier.issn2278-4748
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/214694
dc.languageenen_US
dc.publisherAkshantala Enterprises Private Limiteden_US
dc.relation.issuenumber9en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org//10.14260/jemds/2020/146en_US
dc.subjectTriple Vessel Diseaseen_US
dc.subjectOPCABen_US
dc.subjectTroponin Ten_US
dc.subjectLVEFen_US
dc.subjectTAPSEen_US
dc.subjectOutcomeen_US
dc.titleRelationship of Off-Pump Coronary Artery Bypass Surgery with the Cardiac Enzyme Troponin T, LVEF, TAPSE and Post-Operative Recovery.en_US
dc.typeJournal Articleen_US
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