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Oxygen challenge during cardiac catheterization: prediction of immediate post-operative survival in adult atrial septal defect and patent ductus arteriosus with severe pulmonary hypertension.

Author

Related Institution

Department of Adult Cardiology - Philippine Heart Center

Publication Information

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Internal Medicine
Publication Date
May-June 1990
Volume
28
Issue
3
Page(s)
197-201

Abstract



This study associated the pre-operative hemodynamic oxygen challenge parameters with immediate post-operative survival. One hundred percent oxygen challenge was given to seven atrial septal defect and two patent ductus arteriosus cases with borderline hemodynamic parameters, Those excluded were cases with pulmonary disease and valvular heart disease. The challenge lowered the pulmonary and systemic resistance ratio by 43 ± 19.25%, decreased the pulmonary vascular resistance by 36.54 ± 19.73%, and increased the systemic vascular resistance by 25.32 ± 12.81%. There was no change in the pulmonary artery pressure. All survived the immediate post-operative period. Thus, the trend of decreasing RP/RS and  increasing QP/QS ratios after oxygen challenge seem to predict a good immediate postoperative outcome.

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library Fulltext pdf (Download)

 
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