Why the study?
What are the early metabolic and hemodynamic predictors of fatal cardiogenic shock after valvular replacement?
Population
12 adult patients undergoing valvular replacement. Six patients were in NYHA class IV.
Design
Cohort
Follow-up
24 hours
Authors
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May flag high-risk patients after valvular surgery; hypothesis-generating and should not yet change practice.
What are the early metabolic and hemodynamic predictors of fatal cardiogenic shock after valvular replacement?
Early postoperative increases in osmolality, lactate, and low cardiac output predict fatal cardiogenic shock after valvular replacement.
Moffitt et al. (1971) studied this question.
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