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Left Ventricular Function: Systolic and Diastolic Alterations

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Coronary Artery Graft Disease

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Abstract

Assessment of the effect of coronary artery bypass surgery on left ventricular performance must consider a variety of factors. These include patient selection, extent of revascularization, intraoperative myocardial preservation techniques, perioperative infarction, graft patency, runoff of the peripheral vascular bed, ventricular loading conditions, and drug therapy. The timing of the evaluation is important because left ventricular function changes rapidly throughout the early postoperative recovery period, and during the first 3 months after surgery the heart remains under enhanced chronotopic and inotropic stimulation by excess circulation of catecholamines [1]. It is only thereafter that a more “intrinsic” left ventricular function reflecting the overall result of surgery can be determined.

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Authors
  1. H. P. Krayenbuehl
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  2. M. Jakob
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  3. O. M. Hess
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Editor information

Editors and Affiliations

  1. Abteilung Kardiologie, Inselspital, 3010, Bern, Switzerland

    Thomas F. Lüscher

  2. Herz-Gefäßchirurgie, Universitätsspital, 8091, Zürich, Switzerland

    Marko Turina

  3. Department of Medicine, Harvard University and Brigham and Women’s Hospital, Boston, MA, 02115-6195, USA

    Eugene Braunwald

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© 1994 Springer-Verlag Berlin Heidelberg

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Krayenbuehl, H.P., Jakob, M., Hess, O.M. (1994). Left Ventricular Function: Systolic and Diastolic Alterations. In: Lüscher, T.F., Turina, M., Braunwald, E. (eds) Coronary Artery Graft Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78637-2_11

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  • DOI: https://doi.org/10.1007/978-3-642-78637-2_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78639-6

  • Online ISBN: 978-3-642-78637-2

  • eBook Packages: Springer Book Archive

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