Variable | Total (n = 113) | Platelet Nadir > 99 × 109/L (n = 56) | Platelet Nadir ≤ 99 × 109/L (n = 57) | P-value |
---|---|---|---|---|
Age (years) | 47.6 ± 12.8 | 46.3 ± 11.6 | 48.9 ± 13.8 | 0.284 |
Female | 48 (42.5) | 22 (39.3) | 26 (45.6) | 0.496 |
Body mass index (kg/m2) | 24.3 ± 3.8 | 24.8 ± 4.3 | 23.7 ± 3.3 | 0.129 |
Family history of hypertrophic cardiomyopathy | 14 (12.4) | 4 (7.1) | 10 (17.5) | 0.093 |
Family history of sudden death | 10 (8.8) | 4 (7.1) | 6 (10.5) | 0.742 |
History of syncope | 35 (31.0) | 15 (26.8) | 20 (35.1) | 0.340 |
Duration of clinical symptoms (years) | 3.0 (1.0, 7.0) | 2.0 (1.0, 5.0) | 5.0 (2.0, 10.0) | 0.031 |
Comorbidities | Â | Â | Â | Â |
Hypertension | 48 (42.5) | 25 (44.6) | 23 (40.4) | 0.644 |
Coronary artery disease | 19 (16.8) | 10 (17.9) | 9 (15.8) | 0.769 |
Pulmonary arterial hypertension | 11 (9.7) | 4 (7.1) | 7 (12.3) | 0.357 |
Diabetes | 3 (2.7) | 3 (5.4) | 0 (0) | 0.118 |
Stoke | 4 (3.5) | 2 (3.6) | 2 (3.5) | 1.000 |
Atrial fibrillation | 5 (4.4) | 3 (5.4) | 2 (3.5) | 0.679 |
Preoperative medications | Â | Â | Â | Â |
Aspirin or Clopidogrel | 15 (13.3) | 7 (12.5) | 8 (14) | 0.81 |
Diuretics | 6 (5.3) | 3 (5.4) | 3 (5.3) | 1.000 |
β-blocker | 40 (35.4) | 17 (30.4) | 23 (40.4) | 0.267 |
Statin | 3 (2.7) | 2 (3.6) | 1 (1.8) | 1.000 |
ACEI or ARB | 21 (18.6) | 11 (19.6) | 10 (17.5) | 0.774 |
Laboratory variables | Â | Â | Â | Â |
Baseline partial thromboplastin time (s) | 11.2 ± 1.5 | 11.2 ± 1.0 | 11.1 ± 1.8 | 0.785 |
Baseline activated partial thromboplastin time (s) | 27.4 ± 5.2 | 27.2 ± 5.4 | 27.6 ± 5.1 | 0.720 |
Baseline international normalized ratio | 1.0 (1.0, 1.1) | 1.0 (0.9, 1.0) | 1.0 (1.0, 1.1) | 0.115 |
Baseline hemoglobin (g/L) | 138.7 ± 22.2 | 136.1 ± 25.4 | 141.2 ± 18.4 | 0.224 |
Baseline platelet count (109/L) | 189.4 ± 63.3 | 219.6 ± 65.4 | 159.6 ± 44.7 | < 0.001 |
Nadir platelet count within postoperative four days (109/L) | 99.0 (80.0, 137.0) | 137.0 (116.5, 165.0) | 80.0 (67.0, 87.0) | < 0.001 |
The absolute decrease from baseline in platelets (109/L) | 71.5 (43.8, 110.2) | 66.0(29.8,94.5) | 81.0 (53.0, 115.0) | 0.059 |
Percentage decrease from baseline in platelets (%) | 42.6 (29.0, 52.4) | 33.8(17.5,40.0) | 50.3 (42.8, 57.3) | < 0.001 |
Preoperative echocardiography | Â | Â | Â | Â |
Left atrium dimension (mm) | 45.8 ± 6.4 | 45.6 ± 6.3 | 46.1 ± 6.5 | 0.68 |
Ejection fraction (%) | 61.9 ± 6.0 | 60.9 ± 5.9 | 62.8 ± 5.9 | 0.087 |
Maximal septal thickness (mm) | 24.2 ± 6.3 | 23.8 ± 5.3 | 24.7 ± 7.1 | 0.431 |
Resting LVOT gradient (mm Hg) | 81.0 (44.0, 108.0) | 73.0 (35.0, 97.2) | 84.0 (53.0, 117.0) | 0.098 |
With systolic anterior motion | 93 (82.3) | 45 (80.4) | 48 (84.2) | 0.592 |
Intraoperative parameters | Â | Â | Â | Â |
Anesthesia time (min) | 273.1 ± 76.7 | 253.1 ± 55.0 | 292.7 ± 89.5 | 0.006 |
Surgical time (min) | 240.8 ± 70.9 | 219.6 ± 51.2 | 261.6 ± 81.2 | 0.001 |
Cardiopulmonary bypass time (min) | 121.0 (95.0, 153.0) | 118.5 (85.8, 143.2) | 128.0 (104.0, 172.0) | 0.028 |
Cross-clamp time (min) | 70.0 (51.0, 90.0) | 69.5 (48.0, 88.0) | 74.0 (52.0, 95.0) | 0.115 |
Concomitant other procedure | 36 (31.9) | 16 (28.6) | 20 (35.1) | 0.457 |
Hypotension time (min) | 150.0 (115.0, 200.0) | 135.0 (113.8, 187.5) | 155.0 (115.0, 210.0) | 0.157 |
Intraoperative fluid management | Â | Â | Â | Â |
Fluid intake (mL) | 1600.0 (1300.0, 2000.0) | 1600.0 (1300.0, 1862.0) | 1500.0 (1250.0, 2010.0) | 0.966 |
Red blood cells (units) | 2.0 (0.0, 2.0) | 1.5 (0.0, 2.0) | 2.0 (0.0, 2.0) | 0.878 |
Plasma (mL) | 0.0 (0.0, 200.0) | 0.0 (0.0, 200.0) | 0.0 (0.0, 200.0) | 0.584 |
Total output (mL) | 980.0 (700.0, 1450.0) | 980.0 (700.0, 1500.0) | 980.0 (700.0, 1400.0) | 0.713 |
Blood loss (mL) | 300.0 (300.0, 400.0) | 300.0 (300.0, 400.0) | 300.0 (300.0, 400.0) | 0.548 |
Urine volume (mL) | 400.0 (200.0, 600.0) | 425.0 (200.0, 700.0) | 400.0 (300.0, 600.0) | 0.441 |
Blood products within postoperative four days | Â | Â | Â | Â |
Red blood cells (units) | 0.0 (0.0, 2.5) | 0.0 (0.0, 2.0) | 2.0 (0.0, 4.0) | 0.004 |
Plasma (mL) | 740.0 (370.0, 1090.0) | 550.0 (327.5, 970.0) | 800.0 (400.0, 1510.0) | 0.026 |
Cryoprecipitate | 12 (10.6) | 4 (7.1) | 8 (14) | 0.234 |
Platelet | 5 (4.4) | 2 (3.6) | 3 (5.3) | 1 |
Blood loss within postoperative four days (mL) | 580.0 (370.0, 830.0) | 475.0 (303.8, 662.5) | 735.0 (475.0, 900.0) | 0.001 |