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1.
Ann Card Anaesth ; 2015 Jul; 18(3): 335-342
Artigo em Inglês | IMSEAR | ID: sea-162333

RESUMO

Aims and Objectives: The aims were to compare the European System for Cardiac Operative Risk Evaluation (EuroSCORE)‑II system against three established risk scoring systems for predictive accuracy in an urban Indian population and suggest improvements or amendments in the existing scoring system for adaptation in Indian population. Materials and Methods: EuroSCORE‑II, Parsonnet score, System‑97 score, and Cleveland score were obtained preoperatively for 1098 consecutive patients. EuroSCORE‑II system was analyzed in comparison to each of the above three scoring systems in an urban Indian population. Calibrations of scoring systems were assessed using Hosmer–Lemeshow test. Areas under receiver operating characteristics (ROC) curves were compared according to the statistical approach suggested by Hanley and McNeil. Results: All EuroSCORE‑II subgroups had highly significant P values stating good predictive mortality, except high‑risk group (P = 0.175). The analysis of ROC curves of different scoring systems showed that the highest predictive value for mortality was calculated for the System‑97 score followed by the Cleveland score. System‑97 revealed extremely high predictive accuracies across all subgroups (curve area >80%). This difference in predictive accuracy was found to be statistically significant (P < 0.001). Conclusions: The present study suggests that the EuroSCORE‑II model in its present form is not validated for use in the Indian population. An interesting observation was significantly accurate predictive abilities of the System‑97 score


Assuntos
Procedimentos Cirúrgicos Cardíacos/mortalidade , Humanos , Índia , Grupos Populacionais , Medição de Risco/métodos , Medição de Risco/normas , Fatores de Risco , Modelos Estatísticos , População Urbana
2.
Ann Card Anaesth ; 2013 Apr; 16(2): 126-128
Artigo em Inglês | IMSEAR | ID: sea-147242

RESUMO

Patients with acute aortic dissection present with such varied symptoms that diagnosis becomes difficult. Various imaging techniques like computed tomography angiography (CTA), magnetic resonance imaging and ultrasonography are used to diagnose this entity, but they too have their limitations. We present a case, which was falsely diagnosed as acute aortic dissection by CTA, which resulted in patient undergoing sternotomy.


Assuntos
Doença Aguda , Dissecção Aórtica/diagnóstico , Angiografia , Aneurisma Aórtico/diagnóstico , Ecocardiografia Transesofagiana , Humanos , Masculino , Pessoa de Meia-Idade , Esternotomia , Tomografia Computadorizada por Raios X
3.
Ann Card Anaesth ; 2012 Oct; 15(4): 312-314
Artigo em Inglês | IMSEAR | ID: sea-143927

RESUMO

Transesophageal echocardiography (TEE) is widely used in cardiac surgery. TEE provides important diagnostic and functional information before and after cardiopulmonary bypass thereby having a very important impact on perioperative clinical outcomes. We describe a case in which intraoperative TEE was instrumental in the timely diagnosis of inadvertant closure of the inferior vena cava (IVC) opening during minimally invasive surgical closure of atrial septal defect.


Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Ponte Cardiopulmonar/métodos , Ecocardiografia Transesofagiana/métodos , Comunicação Interatrial/diagnóstico , Comunicação Interatrial/cirurgia , Comunicação Interatrial/terapia , Humanos , Procedimentos Cirúrgicos Minimamente Invasivos , Veia Cava Inferior/cirurgia
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