Do we adequately assess natremia in cardiovascular surgery?
DOI:
https://doi.org/10.56294/hl2024.450Keywords:
Sodium, iono-gasometry, hyponatremia, perioperative, cardiovascular surgeryAbstract
Introduction: The unquestionable progress of cardiac surgery and its technological development has not been able to leave behind the burden of its high morbidity, mortality and high costs, therefore, the search for biomarkers that can predict adverse effects and perioperative complications in time and facilitate a better evaluation of these patients continues.
Objective: to evaluate the degree of association of natremia with the appearance of serious perioperative complications
Methods: An ambispective cohort study was carried out on patients who underwent major cardiovascular surgery between January 1, 2019 and December 31, 2023 at the Cardiocentro of Santiago de Cuba, who met inclusion criteria.
Results: A close link was demonstrated between the occurrence of severe perioperative complications and preoperative sodium concentration (p=0.000 RR 1.83)
Conclusions: The occurrence of complications was high but in accordance with what has been found in the international and national literature, the monitoring of preoperative sodium concentration could be included as an additional parameter for monitoring, early detection and treatment of complications and consequently reduce the high morbidity and mortality of these patients.
References
Libby P, Bonow RO, Mann DL, Tomaselli GO, Bhatt DL, Solomon SD, Braunwald E(ed). Braunwald `s Heart Disease. A textbook of cardiovascular Medicine. 12 edic, Elsevier Saunders, Philadelphia 2022, p 3, 410-23
Imperiali Rosario C. Evaluación de la fracción de plaquetas inmaduras y de otros biomarcadores asociados a complicaciones inflamatorias en el postoperatorio de cirugía cardíaca. Tesis doctoral. Universidad autónoma de Barcelona. Barcelona. España. 2020
Nearman H, Klick JC, Eisenberg P, Pesa N. Perioperative complications of cardiac surgery and postoperative care. Crit Care Clin. 2014;30(3):527-55.
Wang W, Bagshaw SM, Norris CM, Zibdawi R, Zibdawi M, MacArthur R, et al. Association between older age and outcome after cardiac surgery: a population-based cohort study. J Cardiothorac Surg. 2014; 9:177
Laffey JG, Boylan JF, Cheng DC. The systemic inflammatory response to cardiac surgery: implications for the anesthesiologist. Anesthesiology. 2002;97(1):215-52.
Millar JE, Fanning JP, McDonald CI, McAuley DF, Fraser JF. The inflammatory response to extracorporeal membrane oxygenation (ECMO): a review of the pathophysiology. Crit Care. 2016;20(1):387
Hatami S, Hefler J and Freed DH (2022) Inflammation and Oxidative Stress in the Context of Extracorporeal Cardiac and Pulmonary Support. Front. Immunol 2022 13: 831930.doi: 10.3389/fimmu.2022.831930
Omran, F.; Kyrou, I.;Osman, F.; Lim, V.G.; Randeva, H.S.;Chatha, K. Cardiovascular Biomarkers: Lessons of the Past and Prospects for the Future. Int. J. Mol. Sci. 2022, 23, 5680. https:// doi.org/10.3390/ijms23105680
OMS: World health statistics 2022: monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2022. Licence: CC BY-NC-SA 3.0 IGO available at http://apps.who.int/iris
Spoelstra-de Man AM, Smit B, Oudemans-van Straaten HM, Smulders YM. Cardiovascular Effects of Hyperoxia During and After Cardiac Surgery. Anaesthesia (2015) 70(11):1307–19. doi: 10.1111/anae.13218
Katarzyna Jobin, Dominik N. Müller, Jonathan Jantsch and Christian Kurts . Sodium and its manifold impact on our immune system. Trends in Immunology, June 2021, Vol. 42, No. 6 https://doi.org/10.1016/j.it.2021.04.002
D. Chirino , F. Vitale , JIglesias , M Leonardi , N Matías , Calderón , C Dizeo. European Heart Journal 2021 , Volumen 42, Número Suplemento1. Disponible en: https://doi.org/10.1093/eurheartj/ehab724.0813
M H Jensen, A Holt, C Andersson, E Fosboel, A A Mohamed, C Binding, P Mcgettigan, M Schou, Hyponatremia and risk of new-onset heart failure in patients with type 2 diabetes - a real-world study of 70,000 patients, European Heart Journal, Volume 45, Issue Supplement_1, Octobe2024, e, https://doi.org/10.1093/eurheartj/ehae666.938.
Published
Issue
Section
License
Copyright (c) 2024 Germán Ricardo Del Río Mesa, Lucía Nivia Turro Mesa, Rita María Mesa Valiente, Eloy Turro Caró, Germán el Río Caballero (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
