{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T19:03:43Z","timestamp":1761419023051},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac cardiovasc Surg"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>\n            Background\u2003Sparse data are available on the prevalence of right ventricular dysfunction and\/or pulmonary arterial hypertension in patients scheduled for cardiac surgery in Germany as well as on the intensity and modalities used for diagnosis, perioperative monitoring, and treatment of these comorbidities.<\/jats:p><jats:p>\n            Methods\u2003A postal survey including questions on the prevalence of preoperative right ventricular dysfunction and\/or pulmonary arterial hypertension in patients undergoing cardiac surgery in 2009 was sent to 81 German heart centers. Total 47 of 81 (58%) heart centers returned the questionnaires. The centers reported data on 51,095 patients, and 49.8% of the procedures were isolated coronary artery bypass grafting.<\/jats:p><jats:p>\n            Results\u2003Data on the prevalence of preoperative pulmonary hypertension and\/or right ventricular dysfunction were not available in 54% and 64.6% of centers. In the remaining hospitals, 19.5% of patients presented right heart dysfunction and 10% pulmonary arterial hypertension. Preoperative echocardiography was performed in only 45.3% of the coronary artery bypass grafting cases. Preoperative pharmacologic treatment of pulmonary hypertension or right ventricular dysfunction with oral sildenafil, inhaled prostanoids, or nitric oxide was initiated in 71% and 95.7% of the centers, respectively. Intra- and postoperative treatment was most frequently accomplished with phosphodiesterase-III inhibitors.<\/jats:p><jats:p>\n            Conclusion\u2003The prevalence of preoperative right heart dysfunction and pulmonary arterial hypertension in cardiac surgical patients in Germany seems to be substantial. However, in more than 50% of the patients, no preoperative data on right ventricular function and pulmonary arterial pressure are available. This may lead to underestimation of perioperative risk and inappropriate management of this high-risk population.<\/jats:p>","DOI":"10.1055\/s-0036-1572511","type":"journal-article","created":{"date-parts":[[2016,2,24]],"date-time":"2016-02-24T20:56:45Z","timestamp":1456347405000},"page":"593-600","source":"Crossref","is-referenced-by-count":7,"title":["Prevalence, Diagnosis, Perioperative Monitoring and Treatment of Right Ventricular Dysfunction and\/or Pulmonary Arterial Hypertension in Cardiac Surgical Patients in Germany\u2014A Postal Survey"],"prefix":"10.1055","volume":"65","author":[{"given":"Julika","family":"Sch\u00f6n","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Pliet","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nils","family":"Haake","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Christian-Albrechts University, Kiel, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Reinecke","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Christian-Albrechts University, Kiel, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marit","family":"Habicher","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Charit\u00e9 University Hospital, Charit\u00e9 Campus Mitte and Virchow Klinikum, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Sander","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Charit\u00e9 University Hospital, Charit\u00e9 Campus Mitte and Virchow Klinikum, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Markewitz","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, German Armed Forces Central Hospital, Koblenz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Reuter","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, University Hospital Hamburg Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heinrich","family":"Groesdonk","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Saarland University Medical Center, Homburg\/Saar, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg","family":"Trummer","sequence":"first","affiliation":[{"name":"Department of Cardiovascular and Vascular Surgery, Heart Center University Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Pilarzyk","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, University Hospital Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"von der Brelie","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Christian-Albrechts University, Kiel, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berthold","family":"Bein","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, St. Georg Hospital, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uwe","family":"Schirmer","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Heart and Diabetic Center NRW, Ruhr University of Bochum, Bad Oeynhausen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Heringlake","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2016,2,24]]},"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0036-1572511.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T02:01:17Z","timestamp":1513735277000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0036-1572511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,24]]},"references-count":0,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2017,12,1]]},"published-print":{"date-parts":[[2017,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0036-1572511","relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,24]]}}}