FIELD: medicine, cardiology, cardiosurgery.
SUBSTANCE: one should detect risk factors of post-operational lethality in patients with isolated, associative and combined cardiac defects. First, one should detect the presence of functional class of circulation insufficiency being above the 3d, the value for initial fraction of ejection in left ventricle being below 45%, the value of initial pulmonary hypertension being not less than 60 mm mercury column, the concentration of serumal creatinine in pre-operational period being above 102 mcM/l, the time for artificial circulation during operation being above 230 min. At availability of three or more risk factors mentioned the prediction should be considered to be unfavorable. The present innovation enables to evaluate the results of cardiosurgical operations in early post-operational period.
EFFECT: higher accuracy of prediction.
2 ex, 3 tbl
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Authors
Dates
2005-05-20—Published
2003-09-30—Filed