PMID: 752291Sep 1, 1978Paper

Late sequelae of perioperative myocardial infarction

The Annals of Thoracic Surgery
J E CoddV L Willman

Abstract

The late suquelae of myocardial injury occurring at the time of direct myocardial revascularization are unknown. Fifty of 500 consecutive patients undergoing aortocoronary bypass grafting developed both electrocardiographic and enzymatic evidence of myocardial injury. They were matched with 50 patients of similar age, sex, history of previous infarction, severity of angina, degree of coronary arteriosclerosis, and level of ventricular function as determined by preoperative angiographic studies. The conduct of the operation was identical in each group except for prolongation of total cross-clamp time in those patients with myocardial injury. The total number of vessels grafted, the conduit used, and the operative mean graft flow were similar. Results of treadmill stress testing at 24 to 36 months were not significantly different between groups. Angina status, long-term survival, graft patency, and ventricular function were not adversely affected by intraoperative myocardial injury. However, postoperative ventricular function and stress test performance were related to graft patency.

References

Apr 1, 1977·The Annals of Thoracic Surgery·W J KeonM Brais
May 1, 1978·The Annals of Thoracic Surgery·D H TyrasV L Willman
Sep 22, 1977·The New England Journal of Medicine·E Braunwald
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Citations

Mar 16, 2001·The American Journal of Cardiology·L I Bonchek
Mar 1, 1980·The Annals of Thoracic Surgery·H B BarnerV L Willman
Nov 1, 1978·World Journal of Surgery·F C Spencer, O W Isom
Aug 1, 1984·International Journal of Cardiology·T M BatemanR J Gray
Feb 1, 1985·The Journal of Surgical Research·G J WhitmanA H Harken
Jan 1, 1983·International Journal of Cardiology·K E Hammermeister
Oct 1, 1979·The Annals of Thoracic Surgery·C J HiltonM T McEnany
Dec 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·G T HodakowskiR A Guyton
Feb 24, 2001·Scandinavian Cardiovascular Journal : SCJ·L G DahlinR Svedjeholm
Oct 1, 1992·Journal of Cardiothoracic and Vascular Anesthesia·U Jain
Nov 1, 1983·The American Journal of Cardiology·R D FloydR H Jones
Jan 1, 1983·Circulation·R J Gray, J M Matloff
Dec 11, 1999·Proceedings of the Association of American Physicians·M CharlsonO W Isom
Feb 4, 1984·The Medical Journal of Australia·G J MaddernJ L Waddy

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