Endogenous nitric oxide and low systemic vascular resistance after cardiopulmonary bypass

Objectives: To investigate the relationship between excessive endogenous production of nitric oxide (NO) and the low systemic vascular resistance (SVR) syndrome after cardiac surgery. Design: Prospective, case-control. Cases defined by low SVR postoperatively (< 750 dyn/s/cm −5), and matched with...

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Bibliographic Details
Published in:Journal of cardiothoracic and vascular anesthesia 1997-08, Vol.11 (5), p.571-574
Main Authors: Myles, Paul S., Leong, Choy K., Currey, Judy
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
cardiac surgery
Cardiopulmonary Bypass
Case-Control Studies
Female
Humans
Male
Medical sciences
Middle Aged
Nitrates - blood
nitric oxide
Nitric Oxide - biosynthesis
Prospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
systemic vascular resistance
Vascular Resistance
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Summary:Objectives: To investigate the relationship between excessive endogenous production of nitric oxide (NO) and the low systemic vascular resistance (SVR) syndrome after cardiac surgery. Design: Prospective, case-control. Cases defined by low SVR postoperatively (< 750 dyn/s/cm −5), and matched with controls (> 900 dyn/s/cm −5). Setting: Cardiothoracic intensive care unit (ICU) in a tertiary care hospital. Participants: Forty-four patients after cardiac surgery. Interventions: Collection of plasma and urine samples after identification. Measurements and Main Results: Plasma and urine nitrate concentrations were measured as an index of endogenous NO production. Hemodynamic, inotropic, and outcome data were collected. Median nitrate concentrations did not differ between cases and controls (plasma, 58 μmol/L v 62 μmol/L, p = 0.43; urine, 399 μmol/L v 404 μmol/L, p = 0.38). Times to extubation and intensive care unit (ICU) discharge were prolonged in patients with low SVR (17.8 hours v 8.7 hours, p = 0.021; 2.5 days v 1.2 days, p = 0.019, respectively). Conclusions: No association between “low SVR syndrome” and endogenous NO production was found. Patients with low SVR after cardiac surgery required a longer period of inotropic and ventilator support, with delay in discharge from the ICU. The risk and cost implications of this syndrome support further research.
ISSN:1053-0770
1532-8422
DOI:10.1016/S1053-0770(97)90006-9