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22 results on '"Goei, Dustin"'

10. Relation between Preoperative and Intraoperative New Wall Motion Abnormalities in Vascular Surgery Patients A Transesophageal Echocardiographic Study

Author

Galal, MM (Wael), Hoeks, Sanne, Flu, Willem jan, Kuijk, Jan-peter, Goei, Dustin, Galema, Tjebbe, Uil, Corstiaan, Gestel, Yvette, Bax, JJ, Verhagen, Hence, Poldermans, D, Anesthesiology, Cardiology, and Surgery

Abstract

Background: Coronary revascularization of the suspected culprit coronary lesion assessed by preoperative stress testing is not associated with improved outcome in vascular surgery patients. Methods: Fifty-four major vascular surgery patients underwent preoperative dobutamine echocardiography and intraoperative transesophageal echocardiography. The locations of left ventricular rest wall motion abnormalities and new wall motion abnormalities (NWMAs) were scored using a seven-wall model. During 30-day follow-up, postoperative cardiac troponin release, myocardial infarction, and cardiac death were noted. Results: Rest wall motion abnormalities were noted by dobutamine echocardiography in 17 patients (31%), and transesophageal echocardiography was noted in 16 (30%). NWMAs were induced during dobutamine echocardiography in 17 patients (31%), whereas NWMAs were observed by transesophageal echocardiography in 23 (43%), kappa value = 0.65. Although preoperative and intraoperative rest wall motion abnormalities showed an excellent agreement for the location (kappa value = 0.92), the agreement for preoperative and intraoperative NWMAs in different locations was poor (kappa value = 0.26-0.44). The composite cardiac endpoint occurred in 14 patients (26%). Conclusions: There was a poor correlation between the locations of preoperatively assessed stress-induced NWMAs by dobutamine echocardiography and those observed intraoperatively using transesophageal echocardiography. However, the composite endpoint of outcome was met more frequently in relation with intraoperative NWMAs.

Published
2010

12. PS100. The Prognostic Value of Objective Markers of Atherosclerotic Disease in Vascular Surgery Patientsl: Optimizing Preoperative Cardiac Risk Evaluation

Author

Voûte, Michiel T., primary, van Kuijk, Jan-Peter, additional, Flu, Willem-Jan, additional, Goei, Dustin, additional, Bastos Goncalves, Frederico, additional, Ravensbergen, Niels J., additional, van de Luijtgaarden, Koen M., additional, Bax, Jeroen J., additional, Verhagen, Hence J., additional, and Poldermans, Don, additional

Published
2011
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14. Prognostic Implications of Asymptomatic Left Ventricular Dysfunction in Patients Undergoing Vascular Surgery

Author

Flu, Willem-Jan, primary, van Kuijk, Jan-Peter, additional, Hoeks, Sanne E., additional, Kuiper, Ruud, additional, Schouten, Olaf, additional, Goei, Dustin, additional, Elhendy, Abdou, additional, Verhagen, Hence J. M., additional, Thomson, Ian R., additional, Bax, Jeroen J., additional, Fleisher, Lee A., additional, and Poldermans, Don, additional

Published
2010
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16. The Interrelationship Between Preoperative Anemia and N-Terminal Pro-B-Type Natriuretic Peptide: The Effect on Predicting Postoperative Cardiac Outcome in Vascular Surgery Patients

Author

Goei, Dustin, primary, Flu, Willem-Jan, additional, Hoeks, Sanne E., additional, Galal, Wael, additional, Dunkelgrun, Martin, additional, Boersma, Eric, additional, Kuijper, Ruud, additional, van Kuijk, Jan-Peter, additional, Winkel, Tamara A., additional, Schouten, Olaf, additional, Bax, Jeroen J., additional, and Poldermans, Don, additional

Published
2009
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17. Incremental value of high-sensitivity C-reactive protein and N-terminal pro-B-type natriuretic peptide for the prediction of postoperative cardiac events in noncardiac vascular surgery patients

Author

Goei, Dustin, primary, Hoeks, Sanne E., additional, Boersma, Eric, additional, Winkel, Tamara A., additional, Dunkelgrun, Martin, additional, Flu, Willem-Jan, additional, Schouten, Olaf, additional, Bax, Jeroen J., additional, and Poldermans, Don, additional

Published
2009
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21. Are statins cardioprotective in patients undergoing major vascular sugery?

Author

Dunkelgrun, Martin, Feringa, Harm H., Goei, Dustin, Bax, Jeroen J., and Poldermans, Don

Subjects
*CARDIOTONIC agents, *STATINS (Cardiovascular agents), *VASCULAR surgery, *LOW density lipoproteins, *CORONARY disease, *MULTIVARIATE analysis
Abstract

The article focuses on the cardioprotective effects of intensive statin therapy before major vascular surgery in a clinical intervention study of 359 subjects. The multivariate analysis showed that lower low-density lipoprotein (LDL) cholesterol was associated with decreased myocardial ischemia, 30-day and late cardiac events. Furthermore, the researchers observed that higher doses of statins were associated with better cardiac results.

Published
2008

22. Relation between preoperative and intraoperative new wall motion abnormalities in vascular surgery patients: a transesophageal echocardiographic study.

Author

Galal W, Hoeks SE, Flu WJ, van Kuijk JP, Goei D, Galema T, den Uil C, van Gestel YR, Bax JJ, Verhagen HJ, and Poldermans D

Subjects
Aged, Cardiotonic Agents, Cohort Studies, Dobutamine, Endpoint Determination, Humans, Intraoperative Period, Middle Aged, Monitoring, Intraoperative, Predictive Value of Tests, Preoperative Period, Prospective Studies, Risk Assessment, Treatment Outcome, Ventricular Function, Left physiology, Arrhythmias, Cardiac diagnostic imaging, Echocardiography, Transesophageal, Heart physiology, Vascular Surgical Procedures
Abstract

Background: Coronary revascularization of the suspected culprit coronary lesion assessed by preoperative stress testing is not associated with improved outcome in vascular surgery patients., Methods: Fifty-four major vascular surgery patients underwent preoperative dobutamine echocardiography and intraoperative transesophageal echocardiography. The locations of left ventricular rest wall motion abnormalities and new wall motion abnormalities (NWMAs) were scored using a seven-wall model. During 30-day follow-up, postoperative cardiac troponin release, myocardial infarction, and cardiac death were noted., Results: Rest wall motion abnormalities were noted by dobutamine echocardiography in 17 patients (31%), and transesophageal echocardiography was noted in 16 (30%). NWMAs were induced during dobutamine echocardiography in 17 patients (31%), whereas NWMAs were observed by transesophageal echocardiography in 23 (43%), kappa value = 0.65. Although preoperative and intraoperative rest wall motion abnormalities showed an excellent agreement for the location (kappa value = 0.92), the agreement for preoperative and intraoperative NWMAs in different locations was poor (kappa value = 0.26-0.44). The composite cardiac endpoint occurred in 14 patients (26%)., Conclusions: There was a poor correlation between the locations of preoperatively assessed stress-induced NWMAs by dobutamine echocardiography and those observed intraoperatively using transesophageal echocardiography. However, the composite endpoint of outcome was met more frequently in relation with intraoperative NWMAs.

Published
2010
Full Text
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