ACC/AHA guidelines for coronary artery bypass graft surgery

Eagle, Kim A.; Guyton, Robert A.; Davidoff, Ravin; Ewy, Gordon A.; Fonger, James D.; Gardner, Timothy J.; Gott, John Parker; Herrmann, Howard C.; Marlow, Robert A.; Nugent, William C.; O’Connor, Gerald T.; Orszulak, Thomas A.; Rieselbach, Richard E.; Winters, William L.; Yusuf, Salim; Gibbons, Raymond J.; Alpert, Joseph S.; Garson, Arthur; Gregoratos, Gabriel; Russell, Richard O.; Smith, Sidney C.

doi:10.1016/s0735-1097(99)00389-7

Cited by 757 publications

(67 citation statements)

References 642 publications

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“…We have also gathered the comorbidities for CABG according to the criteria of the American Heart Association and the American College of Cardiology [2], and data relevant to surgery, such as CPB time, number of anastomoses received per patient, and number of internal thoracic artery grafts used. Patients were stratified by surgical risk of death using the European System for cardiac operative risk evaluation (additive EuroSCORE).…”

Section: Methodsmentioning

confidence: 99%

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A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isolada

Rocha¹,

Pittella²,

Lorenzo³

et al. 2012

Rev Bras Cir Cardiovasc

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A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isoladaAge influences outcomes in 70-year or older patients undergoing isolated coronary artery bypass graft surgery Abstract Objective: To analyze the results of isolated on-pump coronary artery bypass graft surgery (CABG) in patients ≥ 70 years old in comparison to patients <70 years old.Methods: Patients undergoing isolated CABG were selected for the study. The patients were assigned into two groups: G1 (age ≥ 70 years old) and G2 (age <70 years old).The endpoints were in-hospital mortality, acute myocardial infarction (AMI), stroke, re-exploration for bleeding, intraaortic balloon pump for circulatory shock, respiratory complications, acute renal failure, mediastinitis, sepsis, atrial fibrillation, and complete atrioventricular block (CAVB).Results: A total of 1,033 were included in the study: G1 Rev Bras Cir Cardiovasc 2012;27(1):45-51

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Section: Methodsmentioning

confidence: 99%

“…Urgent or emergency surgery was defined according to the criteria of the American Heart Association and American College of Cardiology [2].…”

Section: Methodsmentioning

confidence: 99%

A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isolada

Rocha¹,

Pittella²,

Lorenzo³

et al. 2012

Rev Bras Cir Cardiovasc

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“…The combination of more advanced coronary disease and worse comorbidities leads to an increased rate of fatal and nonfatal complications, with higher rates of intra or postoperative myocardial infarction, low cardiac output, cerebrovascular accident, gastrointestinal complications, surgical wound infection, kidney failure and use of intra-aortic balloon 6 . In the present study, the most frequent complication was the low cardiac output (27.9%), as seen in other series 4,11 .…”

Section: Discussionmentioning

confidence: 99%

“…According to the ACC/AHA guidelines 6 , the patient and the physician must explore together the potential benefits of quality of life improvement, observing the risks of the procedure in comparison with an alternative therapy, also taking into account the patient's basal functional capacity and wishes.…”

Section: López-rodríguez Et Almentioning

confidence: 99%

Morbimortalidade em octogenários submetidos à cirurgia de revascularização miocárdica

Júnior

Kalil

Costa

et al. 2010

Arq. Bras. Cardiol.

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“…ST2 has been shown to be a sensitive biomarker of cardiac stress with statistically significant differences in concentration when stratified by age or sex 24, 25. We hypothesized that the use of these 3 biomarkers will improve the current risk prediction model used by the American College of Cardiology/American Heart Association CABG guidelines 26, 27, 28…”

Section: Introductionmentioning

confidence: 99%

Predictive Ability of Novel Cardiac Biomarkers ST2, Galectin‐3, and NT‐ProBNP Before Cardiac Surgery

Polineni

Parker

Alam

et al. 2018

JAHA

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BackgroundCurrent preoperative models use clinical risk factors alone in estimating risk of in‐hospital mortality following cardiac surgery. However, novel biomarkers now exist to potentially improve preoperative prediction models. An assessment of Galectin‐3, N‐terminal pro b‐type natriuretic peptide (NT‐ProBNP), and soluble ST2 to improve the predictive ability of an existing prediction model of in‐hospital mortality may improve our capacity to risk‐stratify patients before surgery.Methods and ResultsWe measured preoperative biomarkers in the NNECDSG (Northern New England Cardiovascular Disease Study Group), a prospective cohort of 1554 patients undergoing coronary artery bypass graft surgery. Exposures of interest were preoperative levels of galectin‐3, NT‐ProBNP, and ST2. In‐hospital mortality and adverse events occurring after coronary artery bypass graft were the outcomes. After adjustment, NT‐ProBNP and ST2 showed a statistically significant association with both their median and third tercile categories with NT‐ProBNP odds ratios of 2.89 (95% confidence interval [CI]: 1.04–8.05) and 5.43 (95% CI: 1.21–24.44) and ST2 odds ratios of 3.96 (95% CI: 1.60–9.82) and 3.21 (95% CI: 1.17–8.80), respectively. The model receiver operating characteristic score of the base prediction model (0.80 [95% CI: 0.72–0.89]) varied significantly from the new multi‐marker model (0.85 [95% CI: 0.79–0.91]). Compared with the Northern New England (NNE) model alone, the full prediction model with biomarkers NT‐proBNP and ST2 shows significant improvement in model classification of in‐hospital mortality.ConclusionsThis study demonstrates a significant improvement of preoperative prediction of in‐hospital mortality in patients undergoing coronary artery bypass graft and suggests that biomarkers can be used to identify patients at higher risk.

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ACC/AHA guidelines for coronary artery bypass graft surgery

Cited by 757 publications

References 642 publications

A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isolada

A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isolada

Morbimortalidade em octogenários submetidos à cirurgia de revascularização miocárdica

Predictive Ability of Novel Cardiac Biomarkers ST2, Galectin‐3, and NT‐ProBNP Before Cardiac Surgery

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