Peran Pemeriksaan Transthorachic Echocardiography Pada Evaluasi Pasien Post Coronary Artery Bypass Graft
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Abstract
Background: Coronary artery bypass surgery (CABG) is a surgical procedure that aims to restore blood flow to the myocardium that is experiencing blockage or atherosclerosis. After CABG the patient may experience bleeding, pain, infection from the surgical wound, and peri-operative infarction which results in decreased heart function. Thus, examination of the patient is necessary to evaluate the success rate and complications of the CABG procedure. Methods: Literature Review. Analysis: evaluation in patients after CABG surgery was performed by transthoracic echocardiography (TTE) using 2D and motion mode modalities. Both can produce values from left ventricular ejection fraction, wall motion, dimensions of the cardiac chambers as well as hemodynamic assessments TTE examination also aims to determine the presence or absence of side effects from the operation (pericardial effusion, low cardiac output). Conclusion: TTE examination in patients after CABG surgery aims to determine the success rate of surgery, especially to determine whether there are significant changes in heart function (left ventricular ejection fraction, regional wall motion, dimensions of heart chambers, and cardiac output).
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References
Black, D. E., Bryant, J., Peebles, C., Godfrey, K. M., Hanson, M., & Vettukattil, J. J. (2014). Tissue motion annular displacement of the mitral valve using two-dimensional speckle tracking echocardiography predicts the left ventricular ejection fraction in normal children. Cardiol Young, 24(4), 640-648.
Bachar, B. J., & Manna, B. (2019). Coronary Artery Bypass Graft. In StatPearls [Internet]. StatPearls Publishing.
Cholley, B., Caruba, T., Grosjean, S., Amour, J., Ouattara, A., Villacorta, J., Miguet, B., Guinet, P., Lévy, F., Squara, P., Aït Hamou, N., Carillon, A., Boyer, J., Boughenou, M.-F., Rosier, S., Robin, E., Radutoiu, M., Durand, M., Guidon, C., … Chatellier, G. (2017). Effect of levosimendan on low cardiac output syndrome in patients with low ejection bypass grafting with cardiopulmonary clinical trial. Jama, 318(6), 548-556. Doi: 10.1001/jama.2017.9973.
Duncan, A. E., Kartashov, A., Robinson, S. B., Randall, D., Zhang, K., Luber, J., James, R. A., Halvorson, S., & Bokesch, P. (2022). (2020). Risk Factors, Resource Utilization, and Cost of Postoperative Low Cardiac Output Syndrome. The Journal of Thoracic and Cardiovascular Surgery. https://doi.org/10.1016/j.jtcvs.2020.06.125
Fernández, M. Á. G., & de Diego, J. J. G. (2017). echocardiography/two-dimensional and M-mode echocardiography. The EACVI Textbook of Echocardiography, 15.
Gulati, G., & Udelson, J. E. (2018). Heart failure with improved ejection fraction: is it possible to escape one’s past? JACC: Heart Failure, 6(9), 725-733.
Gill, E., Huda, S. U., & Khan, F. U. (2023). Post-discharge problems in cardiac surgery patients. Saudi J Nurs Health Care, 6(6), 168-79.
Heiberg, J., El‐Ansary, D., Royse, C. F., Royse, A. G., Alsaddique, A. A., & Canty, D. J. (2016). Transthoracic and transoesophageal echocardiography: a systematic review of feasibility and impact on diagnosis, management and outcome after cardiac surgery. Anaesthesia, 71(10), 1210-1221.
Hao, G. W., Liu, Y., Ma, G. G., Hou, J. Y., Zhu, D. M., Liu, L., ... & Chen, H. Y. (2019). Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery. Cardiovascular ultrasound, 17(1), 5
Inamdar, A. K., Shende, S. P., & Inamdar,S.A. (2017). Outcome of coronary artery bypass graft surgery in patients with low ejection fraction. Medical Journal of Dr. DY Patil University, 10(2), 162.
Ismael, V. A. H., Ahmed, M. H., & Taher,M.M. A. (2019). Echocardiography assessment of the left ventricular systolic function and regional wall motion abnormalities pre-and post-coronary artery bypass grafting surgery. Medical Journal of Babylon, 16(3), 207.
Kemenkes. (2023). Survei Kesehatan Indonesia (SKI) 2023.
Kaddoura, Sam., (2016). Echo Made Easy (3 th ed.). Elsevier. Chapter 4, 68-13
Kamal, Y. A., Al-Elwany, S. E. M., & Ghoneim, A. M. F. (2018). Wall motion score index predicts mortality after coronary artery bypass grafting in patients with viable non- functioning myocardium. Ann Cardiovasc Thorac Surg 2018; 1 (2): 39-40. 40 Ann Cardiovasc Thorac Surg 2018 Volume 1 Issue, 2.
Lu, H., Yao, Y., Wang, L., Yan, J., Tu, S., Xie, Y., & He, W. (2022). Research progress of machine learning and deep learning in intelligent diagnosis of the coronary atherosclerotic heart disease. Computational and Mathematical Methods in Medicine, 2022(1), 3016532.
Marso, S.P., (2018). Chronic Coronary Artery Disease: A Companion to Braunwald’s Heart Disease. Elsevier, Chapter 23, 337-354.
Martins, E. F., Pereira Neto, A. H., Danielli, L., Nunes, L. A., Amaral, M. V. F. D., Kalil, P. S. A., ... & Santos, Â. B. S. (2017). Incidence and factors associated with pericardial effusion after cardiac valve surgery. Clinical and biomedical research. Porto Alegre. Vol. 37, n. 1 (2017), p. 18-24.
Nagueh, S. F., Smiseth, O. A., Appleton, C. P., Byrd, B. F., Dokainish, H., Edvardsen, T., ... & Houston, Texas; Oslo, Norway; Phoenix, Arizona; Nashville, Tennessee; Hamilton, Ontario, Canada; Uppsala, Sweden; Ghent and Liège, Belgium; Cleveland, Ohio; Novara, Italy; Rochester, Minnesota; Bucharest, Romania; and St. Louis, Missouri. (2016). Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. European Journal of Echocardiography, 17(12), 1321-1360.
Pérez-Casares, A., Cesar, S., Brunet-Garcia, L., & Sanchez-de-Toledo, J. (2017). Echocardiographic evaluation of pericardial effusion and cardiac tamponade. Frontiers in pediatrics, 5, 79.
Sadeghpour, A., & Alizadehasl, A. (Eds.). (2018). Case-Based Textbook of Echocardiography. Springer.
Shahjehan, R. D., Sharma, S., & Bhutta, B. S. (2024). Coronary artery disease. In StatPearls [Internet]. StatPearls Publishing.
Mossie, A., Besha, A., Getachew, H., Girma, T., & Gedeno, K. (2023). The Impact of Preoperative abnormal Electrocardiography on Anesthesia management among older surgical patients in southern Ethiopia: Prospective cohort study. International Journal of Surgery Open, 56, 100646.
Teirstein, P.S., (2020). Interventional and Surgical Treatment of Coronary Artery Disease: Goldman-Cecil Medicine, 2-Volume Set (26th ed.). New York: Lee Goldman, MD.
Van Thanh, N., Hien, N. S., Son, P. N., & Son, P. T. (2022). Pattern changes in the heart rate variability of patients undergoing coronary artery bypass grafting surgery. Cardiology Research and Practice, 2022(1), 1455025.
World Heart Federation. (2023). World heart report 2023: confronting the world’s number one killer.
Wijayanti, S., & Wati, E. (2016). Penilaian Tricuspid Aannular Plain Systolic Excursion (TAPSE) pada Pasien Pra dan Pasca Bedah Pintas Koroner. ARKAVI [Arsip Kardiovaskular Indonesia), 1(1).
Wilson, P. W. F., & O’Donnell, C. J. (2018). Chronic Coronary Artery Disease: A Companion to Braunwald’s Heart Disease. Elsevier, Chapter 1, 1-13.
Zarragoikoetxea, I., Vicente, R., Pajares, A., Carmona, P., Lopez, M., Moreno, I., & Aguero, J. (2020). Quantitative Transthoracic Echocardiography of the Response to Dobutamine in Cardiac Surgery Patients with Low Cardiac Output Syndrome. Journal of cardiothoracic and vascular anesthesia, 34(1), 87-96.