Self-responsibility predicts the successful outcome of coronary artery bypass surgery

Eales, C. J.

doi:10.4102/sajp.v60i2.185

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…1 However due to improvement of surgical techniques, cardiac anesthesia, myocardial protection during bypass and perioperative intensive care the patients with impaired left ventricular function have shown better results after surgical revascularization which helps to recruit the contractile reserve after CABG. 7,8 In our study, mean EF improved from 37.12±5.69% preoperatively to 45.80±10.00% postoperatively after 90 days of follow up which was statistically significant. In patients with impaired LV function due to stunned myocardium or hibernating myocardium, revascularization helps to recruit the myocardial reserve and improve the LV function.…”

Section: Discussionsupporting

confidence: 56%

Improvement of Ejection Fraction in Patients undergoing Coronary Artery Bypass Grafting with Impaired Left Ventricular Function

Rajbhandari

Parajuli

Thakur

et al. 2021

Kathmandu Univ. Med. J.

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Background Myocardial revascularization surgery has shown better long term survival expectancy compared to medical therapy in patient with impaired left ventricular function. Objective To evaluate the change in ejection fraction after 90 days in patients who underwent coronary artery bypass surgery and had preoperative left ventricular ejection fraction of less than and equal to 45% in a single cardiac center of Nepal over the period of 2 years. Method Out of 82 eligible patients during 2 years, 3 patients expired in immediate postoperatively and 24 patients had loss of 90 days’ follow up. So, they were excluded from the study. Total 55 patients were taken for the study for whom statistical analysis was done to compare preoperative ejection fraction with post-operative 90 days’ ejection fraction. Result Single vessel disease was present in 2(3.6%) patients, double vessel disease in 7(12.7%) patients and triple vessel disease in 46(83.6%) of the patients. In 2(3.6%) patients 2 grafts, in 18(32.7%) patients 3 grafts, in 33(60%) patients 4 grafts and in 2(3.6%) patients 5 grafts were placed for revascularization. The mean left ventricular EF in preoperative patients was 37.12±5.69% which improved to 45.80±10.00% in postoperative follow up at 90 days which was statistically significant (p=0.000). Conclusion Surgical revascularization of myocardium in preoperatively impaired left ventricular function patients helps improve left ventricular ejection fraction postoperatively. So we suggest surgical revascularization in patient with low ejection fraction for improvement of myocardial function. Hence improve survival rate in these patients.

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Section: Discussionsupporting

confidence: 56%

Improvement of Ejection Fraction in Patients undergoing Coronary Artery Bypass Grafting with Impaired Left Ventricular Function

Rajbhandari

Parajuli

Thakur

et al. 2021

Kathmandu Univ. Med. J.

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“…Some authors correctly note that coronary artery bypass grafting (CABG) carries increased risk in this patient group. Indeed, several authors have suggested that recruitable contractile reserve is an important determinant of improvement after CABG in ischemic heart disease patients who undergo surgery (primary for heart failure) ( 11 , 12 , 13 ). Patients without such reserve are less likely to benefit simptomatically from CABG whereas those with reserve are.…”

Section: Discussionmentioning

confidence: 99%

Improvement of Ejection Fraction After Coronary Artery Bypass Grafting Surgery in Patients with Impaired Left Ventricular Function

Haxhibeqiri-Karabdić

Hasanović

Kabil

et al. 2014

Med Arh

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Objectives:The present study evaluates our experience with aorto-coronary bypass grafting in patients with severe dysfunction of left ventricle (LV) and low ejection fraction-EF(<35%). Revascularization of myocardium in this settings remains contraversial because of concerns over morbidity, mortality and quality of life.Material and Methodes:Forty patients with severe coronary artery disease and dysfunction of LV (low ejection fraction <35%) underwent coronary artery bypass grafting in period of 3 years. Preoperative diagnostic of 40 patients was consisted of anamnesis, clinical exam, non-invasive methods EHO, MR and invasive diagnostic methods-cateterization. The major indication for surgery was severe anginal pain, heart failure symptoms and low ejection fraction. Internal mammary artery was used in all operated patients.Results:Average age of patients who have been operated was 59,8. In the present study, 81,3% were male and 18,8% female. We found one-vessel disease present in 2,5% (1/40) of patients, two -vessel disease in 40% (16/40), three-vessel disease in 42,5% (17/40) and four -vessel disease in 15% (6/40) of patients. One bypass grafting we implanted in 2,5% patients, two bypasses in 42,5%, three bypasses in 45 5%, and four bypasses in 10% of patients. Left ventricular ejection fraction assessed preoperativly was 18%-27% and postoperatively was improved to 31, 08% in period of 30 days.Conclusion:In patients with left ventricular dysfunction, coronary artery bypass grafting can be performed safely with improvement in quality of life and in left ventricular ejection fraction.

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The views of patients with spinal cord injuries on their rehabilitation experience

Mothabeng

Malinga

Merwe

et al. 2007

South African Journal of Physiotherapy

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Self-responsibility predicts the successful outcome of coronary artery bypass surgery

Abstract: Purpose: This study was designed to determine whether the acceptance of self-responsibility is an important determinant of the successful outcome of coronary artery bypass graft (CABG)

Cited by 3 publications

References 33 publications

Improvement of Ejection Fraction in Patients undergoing Coronary Artery Bypass Grafting with Impaired Left Ventricular Function

Improvement of Ejection Fraction in Patients undergoing Coronary Artery Bypass Grafting with Impaired Left Ventricular Function

Improvement of Ejection Fraction After Coronary Artery Bypass Grafting Surgery in Patients with Impaired Left Ventricular Function

The views of patients with spinal cord injuries on their rehabilitation experience

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