Lactic acidosis following heart transplantation: a common phenomenon?

Background: Lactic acidosis (LAc) is a common form of metabolic acidosis early after heart transplantation (HTX). The mechanism remains unclear. This study analyzed 13 patients who developed severe LAc after HTX. Methods: From a series of 60 consecutive heart transplant patients, we identified 13 pa...

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Veröffentlicht in:	European journal of heart failure 2002-03, Vol.4 (2), p.175-179
Hauptverfasser:	Mohacsi, Paul, Pedrazzini, Giovanni, Tanner, Hildegard, Tschanz, Hans-Ueli, Hullin, Roger, Carrel, Thierry
Format:	Artikel
Sprache:	eng
Schlagworte:	Acidosis, Lactic - etiology Adolescent Adrenergic beta-Agonists - therapeutic use Adult cardiac transplantation Cardiotonic Agents - therapeutic use Combined Modality Therapy Dose-Response Relationship, Drug Epinephrine - therapeutic use Female Heart Transplantation Hemodynamics - drug effects Humans Hyperglycemia - etiology Hypokalemia - etiology inotropic support Lactic Acid - blood lactic acidosis Male Middle Aged Perioperative Care Postoperative Complications - etiology Predictive Value of Tests Retrospective Studies Severity of Illness Index
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Zusammenfassung:	Background: Lactic acidosis (LAc) is a common form of metabolic acidosis early after heart transplantation (HTX). The mechanism remains unclear. This study analyzed 13 patients who developed severe LAc after HTX. Methods: From a series of 60 consecutive heart transplant patients, we identified 13 patients with LAc in the first hours following HTX. Nine patients with normal or mildly elevated lactate levels (
ISSN:	1388-9842 1879-0844
DOI:	10.1016/S1388-9842(02)00007-7