PMID: 6968182Sep 1, 1980Paper

Clinical, anatomic and functional descriptors influencing morbidity, survival and adequacy of revascularization following coronary bypass

Annals of Surgery
E L JonesC R Hatcher

Abstract

Clinical data on 3,479 consecutive patients having coronary bypass surgery were retrospectively analyzed. Perioperative complications, incomplete revascularization, and reduced long-term survival could frequently be correlated with manifestations of myocardial damage. Patients with triple vessel and left main coronary disease had a greater frequency of inotropic requirements than did patients with single or double vessel disease (7.9% and 8.6% vs. 3.8% and 4.2%). Inotropic requirements in the perioperative period were significantly increased for patients with preoperative left ventricular dysfunction; a history of heart failure or multiple infarctions did not significantly increase the incidence of inotropic requirements. Presence of previous myocardial infarction, heart failure, or left ventricular contraction abnormalities significantly decreased the ability to achieve complete revascularization with bypass grafting. Hospital mortality since 1976 has been 0.8% (25/3,040). Hospital mortality was significantly increased by history of myocardial infarction, hypertension, heart failure, extent of anatomic disease, presence of preoperative ST-T wave changes, and severe abnormalities of left ventricular function. Hospital mortality...Continue Reading

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Citations

Sep 1, 1994·Catheterization and Cardiovascular Diagnosis·M GuazziP Moruzzi
Sep 1, 1989·Journal of the American College of Cardiology·L H Muhlbaier, D B Pryor
Oct 1, 1989·Journal of the American College of Cardiology·D B PryorJ Stokes
Oct 1, 1982·The Annals of Thoracic Surgery·E L JonesT Thompkins
May 13, 1999·The Annals of Thoracic Surgery·V H ThouraniR A Guyton
Dec 12, 2002·Journal of the American College of Cardiology·Jason H ColeWilliam S Weintraub
Oct 1, 1983·Journal of the American College of Cardiology·J S DouglasR Guyton
Sep 1, 1984·Journal of the American College of Cardiology·B W LytleF D Loop
Jun 1, 1984·Journal of the American College of Cardiology·P KuanM H Ellestad
Apr 17, 2003·Journal of Cardiac Surgery·Michael Nathanson, Kai Ihnken
Jun 1, 1982·Annals of Surgery·J M CraverM Kandrach
Oct 1, 1985·Annals of Surgery·D M CosgroveM Goormastic
Nov 1, 1983·Canadian Anaesthetists' Society Journal·P M CruchleyD Finucane
Dec 1, 1991·The American Journal of Cardiology·W S WeintraubR A Guyton
Jan 1, 1983·The American Journal of Cardiology·E L JonesN Riechwald
Mar 1, 1993·The American Journal of Cardiology·W S WeintraubR A Guyton
Jun 1, 1988·The Annals of Thoracic Surgery·R D SchultzR J Feldhaus
Dec 1, 1985·The Annals of Thoracic Surgery·T J GardnerB A Reitz

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