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Lung resection is associated with high postoperative morbidity and mortality and leads to a significant long-term decrease in functional capacity, particularly due to cardiorespiratory complications. One of the contributing factors to this functional decline is the postoperative reduction in right ventricular function. Due to the anatomical proximity and interactions, right ventricular function is evaluated by echocardiography following lung resection. The pulmonary artery pressure (PAP)/tricuspid annular plane systolic excursion (TAPSE) ratio is a parameter that provides a more comprehensive assessment of right heart function by evaluating both right ventricular systolic function and pulmonary artery pressure. In this study, investigators aimed to evaluate changes in right heart function by performing preoperative and postoperative echocardiographic assessments in participants undergoing lung resection, focusing on PAP/TAPSE ratios.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | In this study, a single group (Group 1) will be defined, and patients scheduled for lung resection who agree to participate will be included. |
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| Measure | Description | Time Frame |
|---|---|---|
| Echocardiographic Assessment: TAPSE/PAP Ratio | Patients will be evaluated by echocardiography 24 hours before surgery and on the second postoperative day, and the TAPSE/PAP ratio will be recorded in mm/mmHg. | 24 hours preoperatively and on postoperative day 2 |
| Echocardiographic Assessment: Tricuspid Annular Plane Systolic Excursion (TAPSE) | Patients will be evaluated by echocardiography 24 hours preoperatively and on postoperative day 2, and TAPSE will be recorded in millimeters (mm). | 24 hours preoperatively and on postoperative day 2 |
| Echocardiographic Assessment: Pulmonary Artery Pressure (PAP) | Patients will be evaluated by echocardiography 24 hours before surgery and on the second postoperative day, and PAP will be recorded in millimeters of mercury (mmHg). | 24 hours preoperatively and on postoperative day 2 |
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Inclusion Criteria:
Adults aged 18 to 80 years
ASA classification I-III
Patients scheduled to undergo lung resection in thoracic surgery
Exclusion Criteria:
Patients with arrhythmia
Patients using antiarrhythmic drugs
Patients with renal failure requiring hemodialysis
Patients with a history of previous lung surgery
Patients with valvular heart disease
Patients with a history of angina pectoris or myocardial infarction within the past month
Patients with FEV1/FVC ratio below 60%
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Patients aged 18 to 80 years scheduled to undergo lung resection surgery.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gazi University Faculty of Medicine, Ankara | Ankara | Yenimahalle | 06500 | Turkey (Türkiye) |
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