https://m2.mtmt.hu/ hun 2026-06-13 06:34 JournalArticle 33366257 VALIDATED true This paper is an extended version of our paper published at the Euroanesthesia 2022 Annual Meeting, Milan, Italy, 4–6 June 2022 0 false 2026-06-11T12:17:36.363+0000 2025-07-29T08:12:55.927+0000 2022-12-19T13:04:14.532+0000 true 10015206 Áncsán Gizella /api/admin/10015206 Admin Áncsán Gizella (SE admin) true 10015206 2026-01-27T14:44:15.489+0000 2026-01-27T14:44:15.489+0000 2023-07-06T15:27:58.418+0000 true 10062724 Olasz Tamás /api/admin/10062724 Admin Olasz Tamás (SE_KK_Admin5_OT, admin) true 10062724 Admin 10065569 /api/admin/10065569 Pécsi Éva (MTMT Közp 2,3, admin) Pécsi Éva true true 2024-02-27T13:43:09.077+0000 true false true 24 24 /api/publicationtype/24 PublicationType Folyóiratcikk 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType Folyóiratcikk 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType Szakcikk (Folyóiratcikk) 101 true 10000059 true 1 /api/category/1 Category Tudományos true 1 Eke, Csaba true true /api/journal/10050131 REVIEWED DIAGNOSTICS 2075-4418 2075-4418 true false 10050131 false 10050131 true 2075-4418 2075-4418 Journal FOREIGN 12 12 3175 3175 12 2022 Introduction: Hepatic venous flow patterns reflect pressure changes in the right ventricle and are also markers of systemic venous congestion. Fluid management is crucial in patients undergoing cardiac surgery. Methods: Our goal was to determine which factors are associated with the increased congestion of the liver as measured by Doppler ultrasound in patients undergoing cardiac surgery. This prospective, observational study included 41 patients without preexisting liver disease who underwent cardiac surgery between 1 January 2021 and 30 September 2021 at a tertiary heart center. In addition to routine echocardiographic examination, we recorded the maximal velocity and velocity time integral (VTI) of the standard four waves seen in the common hepatic vein (flow profile) using Doppler ultrasound preoperatively and at the 20–24th hour of the postoperative period. The ratios of the retrograde and anterograde hepatic venous waves were calculated, and the waveforms were compared to the baseline value and expressed as a delta ratio. Demographic data, pre- and postoperative echocardiographic parameters, intraoperative variables (procedure, cardiopulmonary bypass time), postoperative factors (fluid balance, vasoactive medication requirement, ventilation time and parameters) and perioperative laboratory parameters (liver and kidney function tests, albumin) were used in the analysis. Results: Of the 41 patients, 20 (48.7%) were males, and the median age of the patients was 65.9 years (IQR: 59.8–69.9 years). Retrograde VTI growth showed a correlation with positive fluid balance (0.89 (95% CI 0.785–0.995) c-index. After comparing the postoperative echocardiographic parameters of the two subgroups, right ventricular and atrial diameters were significantly greater in the “retrograde VTI growth” group. The ejection fraction and decrement in ejection fraction to preoperative parameters were significantly different between the two groups. (p = 0.001 and 0.003). Ventilation times were longer in the retrograde VTI group. The postoperative vs. baseline delta VTI ratio of the hepatic vein correlated with positive fluid balance, maximum central venous pressure, and ejection fraction. (B = −0.099, 95% CI = −0.022–0.002, p = 0.022, B = 0.011, 95% CI = 0.001–0.021, p = 0.022, B = 0.091, 95% CI = 0.052–0.213, p = 0.002, respectively.) Conclusion: The increase of the retrograde hepatic flow during the first 24 h following cardiac surgery was associated with positive fluid balance and the decrease of the right ventricular function. Measurement of venous congestion or venous abdominal insufficiency seems to be a useful tool in guiding fluid therapy and hemodynamic management. Funding 2021873 /api/funding/2021873 (RRF-2.3.1-21-2022-00003) false true true 2022 true true true false true false GOLD 2026-06-11 true https://doi.org/10.3390/diagnostics12123175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Q2 false 10085179 false false false 2023-01-08T10:35:18.946+0000 Doktori Iskola (SE); Egészségtudományi Kar (SE); Oxiológiai és Sürgősségi Ellátás Tanszék (SE / ETK2007); Repülõ- és Űrorvostani Tanszék (SE / AOK / K); Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K) 12 47 5 14 0 true 10065569 Language 10002 /api/language/10002 Angol Angol English true 2 true PersonAuthorship 105100541 /api/authorship/105100541 Eke, Csaba [Eke, Csaba (Aneszteziológia é...), szerző] Doktori Iskola (SE) 1 0.071 true false false Author 10070376 /api/author/10070376 Eke Csaba (Aneszteziológia és intenzív terápia) Eke Csaba true true Eke Csaba true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100542 /api/authorship/105100542 Szabó, András [Szabó, András (aneszteziológia é...), szerző] Doktori Iskola (SE) 2 0.071 false false false Author 10065615 /api/author/10065615 Szabó András (aneszteziológia és intenzív terápia) Szabó András true true Szabó András true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100543 /api/authorship/105100543 Nagy, Ádám [Nagy, Ádám (Aneszteziológia, ...), szerző] Doktori Iskola (SE) 3 0.071 false false false Author 10061100 /api/author/10061100 Nagy Ádám (Aneszteziológia, intenzív terápia) Nagy Ádám true 10061100 true Nagy Ádám true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100544 /api/authorship/105100544 Szécsi, Balázs [Szécsi, Balázs (Aneszteziológia é...), szerző] Doktori Iskola (SE) 4 0.071 false false false Author 10075077 /api/author/10075077 Szécsi Balázs (Aneszteziológia és Intenzív Terápia) Szécsi Balázs true true Szécsi Balázs true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100545 /api/authorship/105100545 Szentgróti, Rita [Szentgróti, Rita (aneszteziológia é...), szerző] Doktori Iskola (SE) 5 0.071 false false false Author 10085179 /api/author/10085179 Szentgróti Rita (aneszteziológia és intenzív terápia) Szentgróti Rita true true Szentgróti Rita true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100546 /api/authorship/105100546 Dénes, András 6 0.071428575 false false false Dénes András true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100547 /api/authorship/105100547 Kertai, Miklós D. 7 0.071428575 false false false Kertai Miklós D. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100548 /api/authorship/105100548 Fazekas, Levente [Fazekas, Levente (Szívsebészet), szerző] Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K) 8 0.071 false false false Author 10026451 /api/author/10026451 Fazekas Levente (Szívsebészet) Fazekas Levente true 10026451 true Fazekas Levente true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100549 /api/authorship/105100549 Kovács, Attila [Kovács, Attila (kardiológia, spor...), szerző] Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K) 9 0.071 false false false Author 10035614 /api/author/10035614 Kovács Attila (kardiológia, sportkardiológia) Kovács Attila true 10035614 true Kovács Attila true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100550 /api/authorship/105100550 Lakatos, Bálint [Lakatos, Bálint (orvostudományok, ...), szerző] Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K) 10 0.071 false false false Author 10057511 /api/author/10057511 Lakatos Bálint (orvostudományok, kardiológia) Lakatos Bálint true 10057511 true Lakatos Bálint true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100551 /api/authorship/105100551 Hartyánszky, István [Hartyánszky, István (Szívsebészet), szerző] Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K) 11 0.071 false false false Author 10026450 /api/author/10026450 Hartyánszky István (Szívsebészet) Hartyánszky István true 10026450 true Hartyánszky István true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100552 /api/authorship/105100552 Benke, Kálmán [Benke, Kálmán (Szívsebészet), szerző] Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K) 12 0.071 false false false Author 10048080 /api/author/10048080 Benke Kálmán (Szívsebészet) Benke Kálmán true 10048080 true Benke Kálmán true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100553 /api/authorship/105100553 Merkely, Béla [Merkely, Béla Péter (Kardiológia), szerző] Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K); Repülõ- és Űrorvostani Tanszék (SE / AOK / K) 13 0.071 false false false Author 10002691 /api/author/10002691 Merkely Béla Péter (Kardiológia) Merkely Béla Péter true 10002691 true Merkely Béla true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 105100554 /api/authorship/105100554 Székely, Andrea ✉ [Székely, Andrea (Aneszteziológia é...), szerző] Egészségtudományi Kar (SE); Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K); Oxiológiai és Sürgősségi Ellátás Tanszék (SE / ETK2007) 14 0.071 false true true Author 10021986 /api/author/10021986 Székely Andrea (Aneszteziológia és intenzív terápia, szívsebészet) Székely Andrea true 10021986 true Székely Andrea true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PublicationIdentifier 22407884 /api/publicationidentifier/22407884 DOI: 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(2022) DIAGNOSTICS 2075-4418 2075-4418 12 12<div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10070376"><a href="/gui2/?type=authors&mode=browse&sel=10070376" target="_blank">Eke Csaba (<span class="authorship-author-name">Eke Csaba</span> <span class="authorAux-mtmt"> Aneszteziológia és intenzív terápia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10065615"><a href="/gui2/?type=authors&mode=browse&sel=10065615" target="_blank">Szabó András (<span class="authorship-author-name">Szabó András</span> <span class="authorAux-mtmt"> aneszteziológia és intenzív terápia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10061100"><a href="/gui2/?type=authors&mode=browse&sel=10061100" target="_blank">Nagy Ádám (<span class="authorship-author-name">Nagy Ádám</span> <span class="authorAux-mtmt"> Aneszteziológia, intenzív terápia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10075077"><a href="/gui2/?type=authors&mode=browse&sel=10075077" target="_blank">Szécsi Balázs (<span class="authorship-author-name">Szécsi Balázs</span> <span class="authorAux-mtmt"> Aneszteziológia és Intenzív Terápia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10085179"><a href="/gui2/?type=authors&mode=browse&sel=10085179" target="_blank">Szentgróti Rita (<span class="authorship-author-name">Szentgróti Rita</span> <span class="authorAux-mtmt"> aneszteziológia és intenzív terápia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Dénes András </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Kertai Miklós D. </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026451"><a href="/gui2/?type=authors&mode=browse&sel=10026451" target="_blank">Fazekas Levente (<span class="authorship-author-name">Fazekas Levente</span> <span class="authorAux-mtmt"> Szívsebészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Városmajori Szív- és Érgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10035614"><a href="/gui2/?type=authors&mode=browse&sel=10035614" target="_blank">Kovács Attila (<span class="authorship-author-name">Kovács Attila</span> <span class="authorAux-mtmt"> kardiológia, sportkardiológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Városmajori Szív- és Érgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10057511"><a href="/gui2/?type=authors&mode=browse&sel=10057511" target="_blank">Lakatos Bálint (<span class="authorship-author-name">Lakatos Bálint</span> <span class="authorAux-mtmt"> orvostudományok, kardiológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Városmajori Szív- és Érgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026450"><a href="/gui2/?type=authors&mode=browse&sel=10026450" target="_blank">Hartyánszky István (<span class="authorship-author-name">Hartyánszky István</span> <span class="authorAux-mtmt"> Szívsebészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Városmajori Szív- és Érgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10048080"><a href="/gui2/?type=authors&mode=browse&sel=10048080" target="_blank">Benke Kálmán (<span class="authorship-author-name">Benke Kálmán</span> <span class="authorAux-mtmt"> Szívsebészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Városmajori Szív- és Érgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10002691"><a href="/gui2/?type=authors&mode=browse&sel=10002691" target="_blank">Merkely Béla (<span class="authorship-author-name">Merkely Béla Péter</span> <span class="authorAux-mtmt"> Kardiológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Városmajori Szív- és Érgyógyászati Klinika; <span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Repülõ- és Űrorvostani Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10021986"><a href="/gui2/?type=authors&mode=browse&sel=10021986" target="_blank">Székely Andrea ✉ (<span class="authorship-author-name">Székely Andrea</span> <span class="authorAux-mtmt"> Aneszteziológia és intenzív terápia, szívsebészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Egészségtudományi Kar; <span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Városmajori Szív- és Érgyógyászati Klinika; <span title="Semmelweis Egyetem">SE</span>/<span title="Egészségtudományi Kar">ETK2007</span>/Oxiológiai és Sürgősségi Ellátás Tanszék</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;33366257" target="_blank">Association between Hepatic Venous Congestion and Adverse Outcomes after Cardiac Surgery</a></div> <div> <span class="journal-title">DIAGNOSTICS</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/2075-4418">2075-4418</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/2075-4418">2075-4418</a>)</span>: <span class="journal-volume">12</span> <span class="journal-issue">12</span> <span class="page"> Paper 3175. 12 p. </span> <span class="year">(2022)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_GOLD" title=" Gold "> <a style="color:blue" title="10.3390/diagnostics12123175" target="_blank" href="https://doi.org/10.3390/diagnostics12123175"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000900649700001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000900649700001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85144874224" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85144874224"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="36553182" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=36553182&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Clinical Biochemistry&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q2</div> </div></OnlyViewableByAuthor> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;33366257&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 1 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 33366257</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="funder"> (RRF-2.3.1-21-2022-00003) </div> <div class="lastModified">Utolsó módosítás: 2025.07.29. 10:12 Áncsán Gizella (SE admin) </div> <div class="lockedBy">Központi kezelésű 2024.02.27. 14:43 Pécsi Éva (MTMT Közp 2,3, admin) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: This paper is an extended version of our paper published at the Euroanesthesia 2022 Annual Meeting, Milan, Italy, 4–6 June 2022</pre> </div></div>