Research Article

The Association of the Pulmonary Artery Pulsatility Index and Right Ventricular Function after Cardiac Surgery

Table 1

Cohort characteristics.

Total
N = 959
Post-bypass RV dysfunction
No
N = 803
Yes
N = 156
value

Age (years)64.0 [56.0, 71.0]64.0 [56.0, 71.0]62.0 [53.8, 70.3]0.03
Male sex (%)680 (70.9)578 (72.0)102 (65.4)0.12
Chronic lung disease (%)210 (21.9)167 (20.8)43 (27.6)0.08
BMI (kg/m2)28.9 [25.8, 33.0]28.8 [25.8, 32.7]29.1 [25.5, 34.5]0.52
Ejection fraction (%)55.0 [43.5, 60.0]55.0 [50.0, 60.0]40.0 [20.0, 55.0]<0.01
Bypass time (min)101 [77, 131]101 [78, 130]101 [69, 131]0.46
Preop serum creatinine (g/dL)1.00 [0.84, 1.19]0.98 [0.84, 1.17]1.10 [0.89, 1.31]<0.01
Postop serum creatinine (g/dL)1.14 [0.90, 1.51]1.10 [0.90, 1.48]1.33 [1.10, 2.00]<0.01
IABP use (%)51 (5.3)27 (3.4)24 (15.4)<0.01
Surgical status (%)
 Elective589 (61.4)505 (62.9)84 (53.8)0.03
 Urgent310 (32.3)254 (31.6)56 (35.9)
 Emergent60 (6.3)44 (5.5)16 (10.3)
Procedure (%)
 CABG429 (44.7)383 (47.7)46 (29.5)<0.01
 Valve157 (16.4)139 (17.3)18 (11.5)
 Aortic130 (13.6)113 (14.1)17 (10.9)
 CABG & valve71 (7.4)58 (7.2)13 (8.3)
 OHT34 (3.5)23 (2.9)11 (7.1)
 LVAD60 (6.3)22 (2.7)38 (24.4)
 Other78 (8.1)65 (8.1)13 (8.3)
Preop RV dysfunction (%)134 (14.0)73 (9.1)61 (39.1)<0.01
Vasopressor use (%)824 (85.9)682 (84.9)142 (91.0)0.06
Inotrope use (%)856 (89.3)705 (87.8)151 (96.8)<0.01
Vasodilator use (%)732 (76.3)635 (79.1)97 (62.2)<0.01
Diuretic use (%)380 (39.6)274 (34.1)106 (67.9)<0.01
PA catheter duration (hours)20.7 [17.7, 38.8]20.2 [17.4, 25.8]43.7 [22.3, 47.6]<0.01

Continuous data presented as median [interquartile range] and categorical data presented as frequency (percentage of total). RV = right ventricle; BMI = body mass index; IABP = intra-aortic balloon pump; CABG = coronary artery bypass graft; OHT = orthotopic heart transplantation; LVAD = left ventricular assist device; PA = pulmonary artery. Other = pulmonary thrombectomy, cardiac tumor removal, subaortic membrane removal.