A retrospective cohort study done by Leiden University Medical Center assessed the incidence, survival and predictors of vasoplegia in patients undergoing heart failure surgery. Haemodynamic, laboratory, clinical and survival data were collected prospectively in several patient information systems, including MetaVision, and analysed retrospectively. The authors found that vasoplegia frequently occurs after heart failure surgery and results in an impaired 90-day survival. Additionally, anaemia and a higher thyroxine level were associated with an increased risk of developing vasoplegia, whereas a higher creatinine clearance and the use of a beta blocker were associated with a reduced risk of vasoplegia. The authors have incorporated these factors into a proposed risk model that may guide treatment strategy.
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