Myocardial Dysfunction after Esophageal SurgeryManuel Ruiz-Bailén1,2* and Jesús Cobo-Molinos1
- *Corresponding Author:
- Manuel Ruiz-Bailén
Department of Health Sciences, University of Jaén
Hospital Complex of Jaén
Jaén 23071, Spain
E-mail: [email protected]
Received Date: October13, 2016; Accepted Date: November 14, 2016; Published Date: November 22, 2016
Citation: Ruiz-Bailén M, Cobo-Molinos J (2016) Myocardial Dysfunction after Esophageal Surgery. Surgery Curr Res 6: 280. doi:10.4172/2161-1076.1000280
Copyright: © 2016 Ruiz-Bailén M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: Evaluate the presence of acute myocardial dysfunction after esophageal surgery. Methodology: All esophageal surgery patients admitted to intensive care unit (ICU) from January 2008 to December 2014 were included. The follow-up was up to the third month. We were included a control group with healthy people. Cardiac stress cardiomyopathy complicating Esophagectomy were evaluated by bedside echocardiography. Also off-line examinations were realized by a hybrid speckle tracking. Results: 48 patients were included with 64.65 ± 13.22 years old; 30 (62.5%) were male. Mean ICU length of stay was 32.27 ± 18.33 days and ICU mortality was 31.25%. Cumulative mortality during follow-up was 41.67%. Mechanical ventilation time was 21.39 ± 14.29 days; cTnI peak was 1.98 ± 0.85 ng/mL BNP peak was 378.33 ± 103.01 pg/μgm mean peak QTc was 474.72 ± 104.25 ms. APACHE 2 were 21.53 ± 11.88 points. Strain and train rate showed segmental and global contractility alterations in all patients. However these changes were only detected in 21 patients using 2D echocardiography. The findings observed by 2-3D echocardiography were normalized in the first week but strain and strain rate were normalized during the third month. Conclusion: A stress cardiomyopathy may occur after esophageal surgery.