Early outcome of coronary artery bypass surgery in patients with poor left ventricular function

Elassy, Saeed; Elbawab, Hatem; Fatah, Mohamed Abd El

doi:10.1016/j.ehj.2013.12.025

Cited by 2 publications

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“…Our study demonstrates that in the early mortality, 5.4% is acceptable and in agreement with the current published data [25, 26]. Similarly, Elassy et al reported higher but insignificant mortality rate in patient with LVEF < 35% (5.6% vs 2.4%) [27]. This is reflecting a marked improvement in the outcome of ischemic cardiomyopathy patients with CABG in highly qualified centers.…”

Section: Discussionsupporting

confidence: 92%

Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience

et al. 2019

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BackgroundCoronary artery bypass grafting is known to be associated with better outcome in ischemic heart disease patients with low ejection fraction. We aim to demonstrate the effect of coronary artery bypass grafting (CABG) on left ventricle (LV) systolic function and to identify the predictors that adversely lead to postoperative poor outcome.ResultThis is a cross-sectional prospective study; we included 110 patients with left ventricular ejection fraction (LVEF) < 50% who underwent CABG with a mean age of 56.1 ± 12.2 years old. Those patients were classified into two groups: group I, 76 (69%) patients with LVEF > 35%, and group II, 34 (31%) patients with LVEF < 35%. Our results as regards demographic and clinical data revealed that group II patients had a significantly higher prevalence of diabetes mellitus (DM) and Euro SCORE II compared to group I patients (p = 0.05 and < 0.001 respectively); otherwise, all other clinical predictors did not differ between the two studied groups. There was a significant improvement in LVEF post-surgery (p = 0.05) in both groups with observed no significant difference recorded for in-hospital mortality rate among patients with different groups. DM, significant diastolic dysfunction, and insertion of IABP are predictors of in-hospital mortality of the patients (p = 0.001, 0.03 and < 0.001, respectively)ConclusionWe concluded that there is a significant improvement of LV systolic function after CABG and hence better survival rate. DM, significant diastolic dysfunction, and perioperative insertion of IABP are predictors of mortality after cardiac surgery. Special care should be provided to such patients to improve their outcome

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Section: Discussionsupporting

confidence: 92%

Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience

et al. 2019

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“… 12 Khaled et al 13 reported that CABG patients with low LVEF had acceptable mortality of 5.4%. Another study by Elassy et al 14 also found that LVEF < 35% was not a significant predictor of mortality. These suggested improvements in cardiac surgery patients; thus, the role of LVEF in predicting postoperative mortality should be re-evaluated.…”

Section: Introductionmentioning

confidence: 90%

The Effect of Low Preoperative Ejection Fraction on Mortality After Cardiac Surgery in Indonesia

Kurniawaty¹,

Setianto²,

Supomo³

et al. 2022

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Early outcome of coronary artery bypass surgery in patients with poor left ventricular function

Cited by 2 publications

References 0 publications

Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience

Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience

The Effect of Low Preoperative Ejection Fraction on Mortality After Cardiac Surgery in Indonesia

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