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October 1, 1993The Thoracic and Cardiovascular Surgeon

Early after coronary artery bypass surgery, high plasma ADH concentrations in patients requiring IABP directly reflected hemodynamic derangement, while later secretion was influenced by surgical stress.

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Why the study?

How do postoperative plasma antidiuretic hormone (ADH) concentrations correlate with hemodynamic parameters in patients undergoing coronary artery bypass surgery?

Population

23 patients undergoing coronary artery bypass surgery

Design

Cohort

Follow-up

up to 2nd postoperative day

Key result

Early after coronary artery bypass surgery, high plasma ADH concentrations in patients requiring IABP directly reflected hemodynamic derangement, while later secretion was influenced by surgical stress.

Authors

JAJun AmanoASA SuzukiMSMakoto Sunamori

Discussion

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Member takes

Overview

May mark early hemodynamic instability in post-CABG IABP patients; leaves open therapeutic relevance of ADH modulation.

Study Design

Type

Observational (n=23)

Structured PICO

How do postoperative plasma antidiuretic hormone (ADH) concentrations correlate with hemodynamic parameters in patients undergoing coronary artery bypass surgery?

P
Population
23 patients undergoing coronary artery bypass surgery, observed up to the 2nd postoperative day to evaluate correlations between ADH and hemodynamics.
C
Comparator
Comparison between patients requiring intraaortic balloon pumping (n=6), patients requiring inotropic agents (n=9), and patients requiring neither (n=8) for weaning from cardiopulmonary bypass
O
Outcome
Correlations in changes of postoperative plasma antidiuretic hormone (ADH) concentrations and hemodynamic parameterssurrogate

High plasma ADH concentrations early after CABG reflect hemodynamic derangement in patients requiring IABP, whereas later ADH secretion is likely driven by postsurgical stress.

Cite This Study

Amano et al. (1993) conducted an observational in Coronary artery bypass surgery (n=23). Requirement of intraaortic balloon pumping (IABP) or inotropic agents vs. No requirement of IABP or inotropic agents was evaluated on Correlations in changes of postoperative plasma antidiuretic hormone (ADH) concentrations and hemodynamic parameters. Early after coronary artery bypass surgery, high plasma ADH concentrations in patients requiring IABP directly reflected hemodynamic derangement, while later secretion was influenced by surgical stress.

synapsesocial.com/papers/6a9ec629596cbcc64e8c4ec6https://doi.org/10.1055/s-2007-1013875
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluation of preoperative intra-aortic balloon pump support in high risk coronary patients1997 · 146 citations
  2. 2Hormonal and Osmoregulatory Responses in Intraoperative High-Volume Diuresis During Off-Pump Coronary Artery Bypass Grafting: An Exploratory Cohort Study2025 · 2 citations
  3. 3Hormonal and Osmoregulatory Responses in Intraoperative High-Volume Diuresis During Off-Pump Coronary Artery Bypass Grafting: An Exploratory Cohort Study2025
  4. 4Role of sympathoadrenal and renin-angiotensin system in hemodynamic state after coronary artery bypass grafting.1987 · 4 citations
  5. 5Vasoactive Pressure Hormones during and after Cardiopulmonary Bypass1990 · 20 citations