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Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience

BACKGROUND: Coronary artery bypass grafting is known to be associated with better outcome in ischemic heart disease patients with low ejection fraction. We aim to demonstrate the effect of coronary artery bypass grafting (CABG) on left ventricle (LV) systolic function and to identify the predictors...

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Autores principales: Khaled, Sheeren, Kasem, Ehab, Fadel, Ahmed, alzahrani, Yusuf, Banjar, Khadijah, Al-Zahrani, Wafa’a, Alsulami, Hajar, Allhyani, Mazad Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6821407/
https://www.ncbi.nlm.nih.gov/pubmed/31659565
http://dx.doi.org/10.1186/s43044-019-0002-6
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author Khaled, Sheeren
Kasem, Ehab
Fadel, Ahmed
alzahrani, Yusuf
Banjar, Khadijah
Al-Zahrani, Wafa’a
Alsulami, Hajar
Allhyani, Mazad Ali
author_facet Khaled, Sheeren
Kasem, Ehab
Fadel, Ahmed
alzahrani, Yusuf
Banjar, Khadijah
Al-Zahrani, Wafa’a
Alsulami, Hajar
Allhyani, Mazad Ali
author_sort Khaled, Sheeren
collection PubMed
description BACKGROUND: Coronary artery bypass grafting is known to be associated with better outcome in ischemic heart disease patients with low ejection fraction. We aim to demonstrate the effect of coronary artery bypass grafting (CABG) on left ventricle (LV) systolic function and to identify the predictors that adversely lead to postoperative poor outcome. RESULT: This is a cross-sectional prospective study; we included 110 patients with left ventricular ejection fraction (LVEF) < 50% who underwent CABG with a mean age of 56.1 ± 12.2 years old. Those patients were classified into two groups: group I, 76 (69%) patients with LVEF > 35%, and group II, 34 (31%) patients with LVEF < 35%. Our results as regards demographic and clinical data revealed that group II patients had a significantly higher prevalence of diabetes mellitus (DM) and Euro SCORE II compared to group I patients (p = 0.05 and < 0.001 respectively); otherwise, all other clinical predictors did not differ between the two studied groups. There was a significant improvement in LVEF post-surgery (p = 0.05) in both groups with observed no significant difference recorded for in-hospital mortality rate among patients with different groups. DM, significant diastolic dysfunction, and insertion of IABP are predictors of in-hospital mortality of the patients (p = 0.001, 0.03 and < 0.001, respectively) CONCLUSION: We concluded that there is a significant improvement of LV systolic function after CABG and hence better survival rate. DM, significant diastolic dysfunction, and perioperative insertion of IABP are predictors of mortality after cardiac surgery. Special care should be provided to such patients to improve their outcome
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spelling pubmed-68214072019-11-14 Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience Khaled, Sheeren Kasem, Ehab Fadel, Ahmed alzahrani, Yusuf Banjar, Khadijah Al-Zahrani, Wafa’a Alsulami, Hajar Allhyani, Mazad Ali Egypt Heart J Research BACKGROUND: Coronary artery bypass grafting is known to be associated with better outcome in ischemic heart disease patients with low ejection fraction. We aim to demonstrate the effect of coronary artery bypass grafting (CABG) on left ventricle (LV) systolic function and to identify the predictors that adversely lead to postoperative poor outcome. RESULT: This is a cross-sectional prospective study; we included 110 patients with left ventricular ejection fraction (LVEF) < 50% who underwent CABG with a mean age of 56.1 ± 12.2 years old. Those patients were classified into two groups: group I, 76 (69%) patients with LVEF > 35%, and group II, 34 (31%) patients with LVEF < 35%. Our results as regards demographic and clinical data revealed that group II patients had a significantly higher prevalence of diabetes mellitus (DM) and Euro SCORE II compared to group I patients (p = 0.05 and < 0.001 respectively); otherwise, all other clinical predictors did not differ between the two studied groups. There was a significant improvement in LVEF post-surgery (p = 0.05) in both groups with observed no significant difference recorded for in-hospital mortality rate among patients with different groups. DM, significant diastolic dysfunction, and insertion of IABP are predictors of in-hospital mortality of the patients (p = 0.001, 0.03 and < 0.001, respectively) CONCLUSION: We concluded that there is a significant improvement of LV systolic function after CABG and hence better survival rate. DM, significant diastolic dysfunction, and perioperative insertion of IABP are predictors of mortality after cardiac surgery. Special care should be provided to such patients to improve their outcome Springer Berlin Heidelberg 2019-08-05 /pmc/articles/PMC6821407/ /pubmed/31659565 http://dx.doi.org/10.1186/s43044-019-0002-6 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Research
Khaled, Sheeren
Kasem, Ehab
Fadel, Ahmed
alzahrani, Yusuf
Banjar, Khadijah
Al-Zahrani, Wafa’a
Alsulami, Hajar
Allhyani, Mazad Ali
Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience
title Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience
title_full Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience
title_fullStr Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience
title_full_unstemmed Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience
title_short Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience
title_sort left ventricular function outcome after coronary artery bypass grafting, king abdullah medical city (kamc)- single-center experience
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6821407/
https://www.ncbi.nlm.nih.gov/pubmed/31659565
http://dx.doi.org/10.1186/s43044-019-0002-6
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