Heart Failure Clinical Trial
Official title:
Assessment of Left Ventricle Diastolic Function in High Risk Patients Undergoing Major Vascular Surgery as an Early Indicator of Cardiac Failure. Observational Study
Patients scheduled for Thoracic Endovascular Aortic Repair (TEVAR) surgery will have transthoracic echocardiography evaluation of left ventricle diastolic function during the perioperative period.
Patients undergoing TEVAR surgery are a high risk group of developing perioperative
cardiovascular complications.
Left ventricle diastolic dysfunction is common in this group of patients because of the
prevalence of risk factors: > 60 years old, hypertension, smoking history and diabetes.
Because of many predisposing factors that occur during the surgery: stress respond, fluid
shifts, anaesthesia and mechanical ventilation. Deterioration of the diastolic function is
likely to occur in perioperative period
In this study, the investigators will evaluate change in left ventricle diastolic function as
a marker for early detection of a myocardial failure in patients scheduled for an elective
TEVAR surgery. The examination will be performed preoperatively, shortly after the surgery
and 24 hours after the surgery.
Aim: The aim of the study is to evaluate the diastolic function of left ventricle in
perioperative period after high risk surgery. This may provide a valuable information in
preoperative risk stratification and postoperative therapy guidance.
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