Abstract
In order to identify the risk factors which could predict outcome after coronary artery bypass grafting in patients with left ventricular dysfunction, 80 consecutive patients with an ejection fraction < or = 30%, who underwent isolated coronary artery bypass grafting at the authors' centre between January 1994 and May 1996 were evaluated. Preoperatively, mean(s.d.) ejection fraction was 27.1(3.8)%, 56 patients (70%) had angina, and 56(70%) were in New York Heart Association (NYHA) functional class III or IV. There were five operative deaths, with a hospital mortality rate of 6.3%. Significant risk factors for hospital death were NYHA class IV, preoperative ventricular arrhythmias and left ventricular end-diastolic volume index > 110 ml/m2. At mean follow-up of 15(7) (range 6-30) months, there were six late deaths, five of which were from cardiac causes. Actuarial survival rate at 2 years was 82(5)% and freedom from cardiac death 84(5)%. Risk factors for overall mortality from cardiac causes were preoperative grade 2 mitral regurgitation, associated with left ventricular dilatation, and renal dysfunction (creatininaemia > or = 180 micromol/l). At follow-up, mean ejection fraction was 37.5(8.4)%, and the overall functional status...Continue Reading
References
Jun 1, 1988·The American Journal of Cardiology·M B MockW O Myers
May 1, 1985·Journal of the American College of Cardiology·J D PigottG R Cutter
Dec 1, 1995·Chest·I ShapiraM Topilsky
Nov 1, 1995·Circulation·J L VanoverscheldeJ A Melin
Aug 1, 1995·The Annals of Thoracic Surgery·A J HartzW D Johnson
Dec 1, 1994·The Annals of Thoracic Surgery·C H OwenD D Glower
Jul 1, 1994·Journal of the American College of Cardiology·K M DolisznyH Blackburn
Mar 1, 1994·Journal of Cardiac Surgery·T E David
Nov 1, 1993·Journal of the American College of Cardiology·J A ElefteriadesB L Zaret
Sep 1, 1993·The Annals of Thoracic Surgery·C A MilanoP Van Trigt
Mar 1, 1993·The Annals of Thoracic Surgery·W KoO W Isom
Mar 1, 1993·The Annals of Thoracic Surgery·G B LucianiA Mazzucco
Apr 1, 1993·The Annals of Thoracic Surgery·M R JohnsonH J Sullivan
Nov 1, 1995·The Annals of Thoracic Surgery·S E LangenburgI L Kron
May 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·T K KaulC R Jones
Citations
Dec 2, 2008·Archives of Cardiovascular Diseases·Farzan FilsoufiDavid H Adams
Jan 31, 2003·Annales de cardiologie et d'angéiologie·J Gauthier
Oct 4, 2000·The Annals of Thoracic Surgery·S M TugtekinS Schüler
Sep 6, 2003·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·U SunderdiekE Gams
Dec 15, 2005·Heart, Lung & Circulation·Patrick M McCarthyKatherine J Hoercher
Jan 16, 2007·Journal of Cardiothoracic Surgery·Ashraf S Al-DadahNader Moazami
Nov 22, 2001·Cardiology Clinics·G S KumpatiK J Hoercher
Oct 29, 2008·The Journal of Thoracic and Cardiovascular Surgery·Mohammad Hossein MandegarFarshid Alaeddini
Jun 12, 2009·Asian Cardiovascular & Thoracic Annals·Shantanu PandeUdgeath Dhir
Aug 5, 2008·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Pier Luigi TemporelliPantaleo Giannuzzi
Nov 22, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F BouchartR Soyer
Jun 8, 1999·Current Opinion in Cardiology·G V Letsou
Apr 12, 2011·European Journal of Heart Failure·Vijayalakshmi KunadianWeiliang Qiu