Influence of left ventricular function on survival after coronary artery bypass grafting

Sthle, Elisabeth; Bergström, Reinhold; Edlund, Bror; Frostfeldt, Gunnar; Lagerquist, Bo; Sjögren, Ivar; Hansson, H

doi:10.1016/s0003-4975(97)00536-5

Cited by 33 publications

(18 citation statements)

References 11 publications

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“…This arrhythmia in turn is related to higher early or late mortality in the postoperative period following coronary artery bypass graft surgery, which is directly related to the degree of ventricular dysfunction. Stahle Stahle et al 24 demonstrated an operative mortality rate of 6.6% in demonstrated an operative mortality rate of 6.6% in patients with ejection fraction ≤ 35%, as compared with 2.6% in those patients with ejection fraction ≥ 50%…”

Section: Discussionmentioning

confidence: 99%

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Fibrilação atrial no pós-operatório de cirurgia de revascularização do miocárdio: características do perfil clínico associadas a óbitos hospitalares

Oliveira¹,

Ferro²,

Oliveira³

et al. 2007

Arq. Bras. Cardiol.

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Section: Discussionmentioning

confidence: 99%

“…For instance, the use of beta blockers preoperatively is considered an effective measure in the prophylaxis of this arrhythmia 10,11,14,24 .…”

mentioning

confidence: 99%

Fibrilação atrial no pós-operatório de cirurgia de revascularização do miocárdio: características do perfil clínico associadas a óbitos hospitalares

Oliveira¹,

Ferro²,

Oliveira³

et al. 2007

Arq. Bras. Cardiol.

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“…Higher in-hospital mortality after CABG is associated with advanced age, emergency operation, prior CABG, gender, left ventricular (LV) dysfunction, number of diseased vessels, LMT disease, body surface area, comorbidities, and LV end-diastolic pressure. [9][10][11][12][13][14][15][16][17] Therefore, the crude mortality data should be reevaluated by a riskadjusted mortality model such as has been reported by the STS database studies. 18 Most patients did not have cardiovascular diseases such as MI, angina, or heart failure after surgery, and furthermore, the rates of PCI and repeat CABG were also low.…”

Section: Discussionmentioning

confidence: 99%

Coronary Revascularization in Japan

Shigematsu

Tsutsui²,

Shihara³

et al. 2002

Circ J

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Methods Design and Study PopulationThe JCIS showed that a total of 17,667 CABGs were performed in 477 facilities during 1997, 1 so to characterize Circ J 2002; 66: 20 -29 (Received June 21, 2001; revised manuscript received September 11, 2001; accepted October 24, 2001 The Japanese Coronary Intervention Study (JCIS) has revealed that 17,667 coronary artery bypass grafting (CABG) procedures were performed at 477 facilities during 1997, and this report describes the demographic and clinical characteristics, treatment strategies, and the in-hospital and the long-term outcomes in patients treated with CABG in Japan. A total of 1,862 CABG cases, which corresponded to approximately 10% of the overall CABGs, were selected at random. The mean age was 65 years, and 76% of cases were males. The most prevalent clinical diagnosis was stable angina (54%), followed by myocardial infarction (MI) excluding acute myocardial infarction (AMI) (48%), unstable angina (25%), and AMI (5%). A large proportion of cases had multivessel coronary artery disease: 3-vessel disease (56%) and left main trunk disease (29%). The CABG procedures were emergency in 16%, and 93% of anastomotic sites were patent. In-hospital mortality and MI occurred in 5.1% and 3.5% of cases, respectively. The in-hospital mortality rate for emergency CABG was 12.0%, whereas that for elective CABG was 3.8%. The overall mortality rate during the follow-up period of 2.3 years was 10%. During the follow-up period, MI and angina occurred in 2% and 8% of cases, respectively. Percutaneous coronary intervention (PCI) was performed for 8%, and repeat CABG for 0.8%. In Japan, CABG was performed in patients with multivessel coronary artery disease with extensive risk factors. Angiographically determined success was achieved in 93% and the need for subsequent revascularization was relatively low. (Circ J 2002; 66: 20 -29)

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“…Observational studies have shown that patients with LV dysfunction who are undergoing CABG have a higher perioperative and long-term mortality than patients with normal LV function (15)(16)(17)(18). The presence of comorbid conditions also contributes significantly to higher perioperative mortality.…”

Section: The Role Of Cabgmentioning

confidence: 99%

“…Prior studies have shown that more than 50% of patients with CAD and severe LV impairment have functionally significant myocardial viability, as assessed by a PET mismatch pattern (ie, enhanced 18 F-fluorodeoxyglucose uptake relative to perfusion) suggesting viability (41)(42)(43). These patients with PET mismatches appear to have a worse prognosis than those without mismatches.…”

Section: The Role Of Evaluation Of Myocardial Viabilitymentioning

confidence: 99%