Impact of long-axis function on cardiac surgical outcomes in patients with radiation- associated heart disease Srisakul Chirakarnjanakorn, MD, Zoran B.

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Presentation transcript:

Impact of long-axis function on cardiac surgical outcomes in patients with radiation- associated heart disease Srisakul Chirakarnjanakorn, MD, Zoran B. Popović, MD, PhD, Willis Wu, MD, Ahmad Masri, MD, Nicholas G. Smedira, MD, Bruce W. Lytle, MD, Brian P. Griffin, MD, Milind Y. Desai, MD The Journal of Thoracic and Cardiovascular Surgery Volume 149, Issue 6, Pages 1643-1651.e2 (June 2015) DOI: 10.1016/j.jtcvs.2015.01.045 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Kaplan-Meier survival curves of the entire study population, separated on the basis of preserved versus abnormal LV-GLS. B, LVEF and left ventricular GLS in survivors and nonsurvivors. LVEF, Left ventricular ejection fraction; GLS, global longitudinal strain. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 1643-1651.e2DOI: (10.1016/j.jtcvs.2015.01.045) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan-Meier survival curves, demonstrating the impact of EuroSCORE and LV-GLS on mortality. EuroSCORE, European System for Cardiac Operative Risk Evaluation; LV-GLS, left ventricular global longitudinal strain. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 1643-1651.e2DOI: (10.1016/j.jtcvs.2015.01.045) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Temporal evolution of left ventricular volumetric parameters in survivors versus nonsurvivors, during follow-up. LVESVI, Left ventricular end-systolic volume index; LVEF, left ventricular ejection fraction; LVEDVI, left ventricular end-diastolic volume index; LAVI, left atrial volume index. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 1643-1651.e2DOI: (10.1016/j.jtcvs.2015.01.045) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Kaplan-Meier survival curves of the entire study population, separated on the basis of preserved versus abnormal left ventricular global longitudinal strain (LV-GLS) The Journal of Thoracic and Cardiovascular Surgery 2015 149, 1643-1651.e2DOI: (10.1016/j.jtcvs.2015.01.045) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 A, Average longitudinal strain curves derived from each apical view (A), and (B) average GLS. C and D, Two-dimensional images of left ventricle in apical 4-chamber view. S4C, Strain from 4-chamber; GLS, global longitudinal strain; LV, left ventricle; S3C, strain from 3-chamber; S2C, strain from 2-chamber. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 1643-1651.e2DOI: (10.1016/j.jtcvs.2015.01.045) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Kaplan-Meier survival curves, demonstrating the impact of LVEF and LV-GLS on mortality. LVEF, Left ventricular ejection fraction; LV-GLS, left ventricular global longitudinal strain. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 1643-1651.e2DOI: (10.1016/j.jtcvs.2015.01.045) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions