Phrenic nerve dysfunction after cardiac operations: electrophysiologic evaluation of risk factors

Chest
I DimopoulouJ Jordanoglou

Abstract

Phrenic nerve injury may occur after cardiac surgery; however, its cause has not been extensively investigated with electrophysiology. The purpose of this study was to determine by electrophysiologic means the importance of various possible risk factors in the development of phrenic nerve dysfunction after cardiac surgical operations. A prospective study was conducted. A tertiary teaching hospital provided the background for the study. Sixty-three cardiac surgery patients on whom surgical operations were performed by the same surgical team constituted the study group. Mean (+/-SD) age and ejection fraction were 63+/-5 years and 50+/-10%, respectively. Measurement of phrenic nerve conduction latency time after transcutaneous stimulation preoperatively and at 24 h and 7 and 30 days postoperatively. Thirteen patients had abnormal phrenic nerve function postsurgery, 12 on the left side and one bilaterally. Logistic regression analysis revealed that among the potential risk factors investigated, use of ice slush for myocardial preservation was the only independent risk factor related to phrenic nerve dysfunction (p=0.01), carrying an 8-fold higher incidence for this complication. In contrast, age, ejection fraction of the left ventr...Continue Reading

References

Mar 1, 1977·The Annals of Thoracic Surgery·J D MarcoH B Barner
Oct 1, 1991·The Annals of Thoracic Surgery·J EfthimiouS Westaby
Dec 1, 1989·Annals of Internal Medicine·A G AbdD A Alkaitis
Mar 1, 1987·The Annals of Thoracic Surgery·R A Esposito, F C Spencer
Jan 1, 1985·The Annals of Thoracic Surgery·O N MarkandJ W Brown
Oct 1, 1967·Journal of Neurology, Neurosurgery, and Psychiatry·J N Davis

❮ Previous
Next ❯

Citations

Dec 18, 2001·Muscle & Nerve·R I RussellP J Helms
Jun 3, 2006·Intensive Care Medicine·Robert I Ross Russell
Jan 8, 2008·Intensive Care Medicine·Robert I Ross RussellMartin J Elliott
Nov 24, 2006·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Yongzhi DengHugh S Paterson
May 12, 2004·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Tomihiro ImaiHiroyuki Matsumoto
Aug 21, 2013·Heart, Lung & Circulation·Victor J AguirreFranklin Rosenfeldt
Aug 7, 2003·The Annals of Thoracic Surgery·Yongzhi DengHugh S Paterson
Jan 17, 2013·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Kotaro FukumotoKeiichi Fukuda
Apr 22, 1999·Thorax·N M SiafakasD Georgopoulos
Jan 22, 2010·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Leonid G ErmilovCarlos B Mantilla
Jun 13, 2009·Journal of Applied Physiology·Heather M ArgadineGary C Sieck
Jun 27, 2003·American Journal of Respiratory and Critical Care Medicine·Franco Laghi, Martin J Tobin
Sep 11, 2012·Journal of Neurosurgery·Chaturong PornrattanamaneewongSaichol Wongtrakul
Sep 13, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·S L AquinoL A Hayman
Sep 1, 2014·Radiologic Clinics of North America·Jared D ChristensenLacey Washington
Mar 14, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Laura K NasonJ David Godwin
Jun 19, 2004·Scandinavian Cardiovascular Journal : SCJ·María RagnarsdóttirLawrence Cahalin
Jun 19, 2004·Scandinavian Cardiovascular Journal : SCJ·Asdís KristjánsdóttirBjarni Torfason
Aug 21, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Koray AykutEyup Hazan
Oct 23, 2012·Heart & Lung : the Journal of Critical Care·Kassem HarrisTheodore Maniatis
Sep 4, 2012·The Journal of Thoracic and Cardiovascular Surgery·Metka KodricMarco Confalonieri
Oct 25, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Stefano SalisErminio Sisillo
Nov 3, 2005·Clinics in Chest Medicine·Vivek N Ahya, Steven M Kawut
Feb 2, 2010·Thoracic Surgery Clinics·Michael Augustine Ko, Gail Elizabeth Darling
Oct 7, 2004·The Annals of Thoracic Surgery·Suat CanbazEnver Duran
Oct 26, 2006·The Annals of Thoracic Surgery·Marios LoukasBrian Curry
Aug 29, 2006·The Journal of Thoracic and Cardiovascular Surgery·Miguel A Merino-RamirezEsteban J Morcillo
Jul 20, 2005·Heart & Lung : the Journal of Critical Care·Florian H Pilsczek, Lizamma George
Dec 3, 2014·PM & R : the Journal of Injury, Function, and Rehabilitation·Kyu Yong Han, Heui Je Bang
Sep 19, 2015·Current Problems in Diagnostic Radiology·Geraldine N Abbey-MensahAlan Legasto
Jan 10, 2012·Clinical Neurology and Neurosurgery·Monika Ostrowska, Mamede de Carvalho
Feb 21, 2006·Respiratory Medicine·E B SwallowM I Polkey
Apr 16, 2003·Respiratory Medicine·E WesterdahlA Tenling
Jan 1, 2011·Journal of the Saudi Heart Association·Salwa B El-Sobkey, Naguib A Salem
Dec 20, 2014·Current Problems in Surgery·Liza A SzelkowskiPaul S Massimiano
Dec 9, 2016·Journal of Clinical Medicine·Bruno-Pierre Dubé, Martin Dres
Nov 2, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Laura Gil-JuanmiquelJoan Sanchez-de-Toledo
Sep 18, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Charles Weissman
Sep 18, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Hilary P GrocottAjeet Sharma
Feb 14, 2018·Diseases·Laxmi Kokatnur, Mohan Rudrappa
Apr 9, 2005·Journal of Cardiovascular Electrophysiology·Damian Sánchez-QuintanaSiew Yen Ho
Apr 25, 2019·Annals of Intensive Care·Pierre-Henri MouryPierre Albaladejo
Jun 5, 1999·Anesthesia and Analgesia·C Weissman
Jul 6, 2019·European Journal of Anaesthesiology·Daniela PaseroLuca Brazzi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.