Cardiothoracic & vascular anaesthesia

Effects of hyperoxia on systolic and diastolic function assessed by strain analysis in patients with coronary artery disease during general anaesthesia

Eur J Anaesthesiol Intensive CarePublished Secondary analysis of a prospective randomised cross-over trial

Authors' conclusion

In patients with coronary artery disease, mean GCS deteriorated with hyperoxia under general anaesthesia. Furthermore, circumferential strain based diastolic markers delineated a global and regional effect of hyperoxia on myocardial function.

Study context

Population
Patients with coronary artery disease undergoing elective CABG under GAdatasets analysed
Participants
99 patients
Comparison
Hyperoxic vs normoxaemic inspired oxygen fractions during GA
Primary endpoint
Change in 2D global systolic circumferential strain (GCS) on TOE
Methodological detailssingle tertiary centre
  • Single tertiary centre

Primary result

As reported in the abstract

2D GCS

P = 0.041

Further findings

Ejection fraction · unchanged

P = 0.190

OutcomeHyperoxiaNormoxaemiaP value
2D global systolic longitudinal strain (GLS)Unchanged−12.4%12.7%P = 0.307

Individual GCS response to hyperoxia

Relevant worsening during hyperoxia
30%
Improvement during hyperoxia
14%
P
P < 0.001
  • Responses heterogeneous, depended on baseline systolic function

GCS change vs count of myocardial segments with stenotic coronary lesions

More stenotic segments associated with improved GCS during hyperoxia (r)
−0.26
P
P = 0.009

Global and regional diastolic function

Deteriorated under hyperoxia

Original publication

Effects of hyperoxia on systolic and diastolic function assessed by strain analysis in patients with coronary artery disease during general anaesthesia. Eur J Anaesthesiol Intensive Care. Published 4 March 2026. doi:10.1097/ea9.0000000000000101

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