Effect of diastolic dysfunction on postoperative outcomes after cardiovascular surgery: A systematic review and meta-analysis Roop Kaw, MD, Adrian V.

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Presentation transcript:

Effect of diastolic dysfunction on postoperative outcomes after cardiovascular surgery: A systematic review and meta-analysis Roop Kaw, MD, Adrian V. Hernandez, MD, PhD, Vinay Pasupuleti, MD, PhD, Abhishek Deshpande, MD, PhD, Vijaiganesh Nagarajan, MD, MRCP, Hector Bueno, MD, PhD, Craig I. Coleman, PharmD, John P.A. Ioannidis, MD, DSc, Deepak L. Bhatt, MD, MPH, Eugene H. Blackstone, MD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 4, Pages 1142-1153 (October 2016) DOI: 10.1016/j.jtcvs.2016.05.057 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Study selection flow chart. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 1142-1153DOI: (10.1016/j.jtcvs.2016.05.057) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Mortality after cardiovascular surgery in patients with and without diastolic dysfunction. CI, Confidence interval; M-H, Mantel-Haenszel. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 1142-1153DOI: (10.1016/j.jtcvs.2016.05.057) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Postoperative mortality after cardiovascular surgery and grade of diastolic dysfunction: A, grade I versus normal; B, grade II versus normal; C, grade III versus normal. DD, Diastolic dysfunction; M-H, Mantel-Haenszel; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 1142-1153DOI: (10.1016/j.jtcvs.2016.05.057) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Complications after cardiovascular surgery in patients with diastolic dysfunction: A, MACE; B, myocardial infarction; C, atrial fibrillation; D, prolonged mechanical ventilation. MACE, Major adverse cardiovascular events; IV, inverse variance; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 1142-1153DOI: (10.1016/j.jtcvs.2016.05.057) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Postoperative mortality after cardiovascular surgery and grade III of diastolic dysfunction. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 1142-1153DOI: (10.1016/j.jtcvs.2016.05.057) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions