{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:39:27Z","timestamp":1787841567428,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T00:00:00Z","timestamp":1724112000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background:<\/jats:title>\n The role of left ventricular global longitudinal strain (LVGLS) in coronary artery bypass grafting (CABG) and outcomes such as low cardiac output syndrome (LCOS) is not well established. The authors investigated the relationship between LVGLS before and after induction of anesthesia, their differences, and their relationship with LCOS and other outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methodology:<\/jats:title>\n \n A prospective observational study was conducted in a public\/private hospital with 50 adult patients scheduled for on-pump CABG with normal left ventricular ejection fraction (LVEF). Acoustic windows necessary to obtain the 2D-LVGLS were acquired with transthoracic echocardiography (TTE) before induction of anesthesia (LVGLS\n BI<\/jats:sub>\n ) and after with mechanical ventilation (LVGLS\n AI<\/jats:sub>\n ) using transesophageal echocardiography (TEE). LCOS was defined as the use of epinephrine, dobutamine, and\/or milrinone at minimum IV doses of 1 \u03bcg\/min\n -1<\/jats:sup>\n , 2.5 \u03bcg\/kg\n -1<\/jats:sup>\n \/min\n -1<\/jats:sup>\n , and 0.375 \u03bcg\/kg\n -1<\/jats:sup>\n \/min\n -1<\/jats:sup>\n , respectively, for a minimum of 24 h after cardiopulmonary bypass.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A dedicated workstation (EchoPAC Software v203, GE) was used for offline calculation of LVGLS. LVGLS\n BI<\/jats:sub>\n did not have a significant correlation with LCOS (mean difference, 1.66; 95% CI, \u2212\u20133.63 to 3.05;\n P<\/jats:italic>\n = 0.862), nevertheless, it was an independent risk factor of in-hospital mortality (OR, 0.74; 95% CI, 0.57\u20130.95;\n P<\/jats:italic>\n = 0.02), 3-month mortality (OR, 0.80; 95% CI, 0.64\u20130.99;\n P<\/jats:italic>\n = 0.05), and delirium (OR, 0.65; 95% CI, 0.43\u20130.97;\n P<\/jats:italic>\n = 0.03) in the multivariate analysis. LVGLS\n AI<\/jats:sub>\n was also an independent risk factor for 3-month mortality (OR, 0.78; 95% CI, 0.62\u20130.99;\n P<\/jats:italic>\n = 0.04).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n In CABG surgeries, LVGLS was a predictor of adverse outcomes in both awake and anesthetized patients with normal LVEF.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aca.aca_74_24","type":"journal-article","created":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T22:25:15Z","timestamp":1724279115000},"page":"25-32","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Role of Intraoperative Left Ventricular Global Longitudinal Strain in Hemodynamic and Cognitive Outcomes in On-Pump Coronary Artery Bypass Surgery: A Prospective Observational Study"],"prefix":"10.4103","volume":"28","author":[{"given":"Eric B.","family":"Lineburger","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Pain Management, Hospital S\u00e3o Jos\u00e9, Crici\u00fama, SC, Brazil"},{"name":"Hospital S\u00e3o Jos\u00e9 Research Center, Crici\u00fama, SC, Brazil"},{"name":"Universidade do Extremo Sul Catarinense, Crici\u00fama, Santa Catarina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh C.","family":"Arya","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaesthesia, Hero DMC Heart Institute, Ludhiana, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celso G.","family":"Junior","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Management, Hospital S\u00e3o Jos\u00e9, Crici\u00fama, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda S.","family":"Lima","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Management, Hospital S\u00e3o Jos\u00e9, Crici\u00fama, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo M.","family":"B\u00farigo","sequence":"additional","affiliation":[{"name":"Universidade do Extremo Sul Catarinense, Crici\u00fama, Santa Catarina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel Simoni R.","family":"Fermo","sequence":"additional","affiliation":[{"name":"Universidade do Extremo Sul Catarinense, Crici\u00fama, Santa Catarina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,8,20]]},"reference":[{"key":"R1-20250124","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1053\/j.jvca.2016.05.029","article-title":"Karaskov AM. 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