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If such trials prove that T-wave alternans and other new measures can supplement ejection fraction in clinical evaluation of patients, doctors may save more lives even though they implant fewer devices than they do now. As further evidence, DeBakey said that a measure of heart function known as the ejection fraction rose to 40 percent just before surgery from 20 percent in September. Common Risk Factors for Unexpected Postoperative Complications in Seniors * LV ejection fraction less than 35 percent * MI in prior 6 months * Poor genral physical condition * History of CHF * Ventricular wall motion abnormalities * FVC less than 50 percent of predicted * pCO2 over 45 * Smoker * Pre-existing pulmonary disease * Weight more than 150 percent above normal Source: Nolan, T. |
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