Coronary artery bypass graft surgery in patients with left ventricular dysfunction
1Cardiovascular Surgery Department Trakya University, Edirne, Turkey - drvyuksel@yahoo.com.
Insights
Congestive heart failure significantly worsens outcomes for patients undergoing coronary artery bypass surgery. Patients with heart failure experienced longer intensive care stays and higher hospital mortality rates, highlighting the risks associated with this comorbidity.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Left ventricular dysfunction due to coronary artery disease impacts surgical outcomes.
- Congestive heart failure (CHF) is a significant comorbidity in patients with cardiac conditions.
Purpose of the Study:
- To evaluate the impact of congestive heart failure on the results of coronary revascularization in patients with left ventricular dysfunction.
Main Methods:
- Retrospective analysis of 126 patients with left ventricular dysfunction undergoing elective coronary revascularization.
- Patients were divided into two groups: Group 1 (no CHF symptoms) and Group 2 (severe CHF symptoms).
- Data collected included accompanying diseases, postoperative complications, and mortality.
Main Results:
- Group 2 (CHF) required more inotropic support (56.7% vs 36.4%) for longer durations.
- Patients in Group 2 had significantly longer intensive care unit stays (>48 hours) (p=0.0001).
- Hospital mortality was significantly higher in Group 2 compared to Group 1 (p=0.0001).
Conclusions:
- Congestive heart failure adversely affects outcomes following coronary artery bypass surgery in patients with left ventricular dysfunction.
- The presence of CHF is associated with increased postoperative complications and mortality.
Aim:
The aim of this study was to investigate effects of congestive heart failure on coronary revascularization results in patients with left ventricular dysfunction and operated for elective coronary revascularization.
Methods:
The data were collected retrospectively from 126 consecutive patients with left ventricular dysfunction caused by coronary artery disease between January 2007 and January 2012. Patients admitted to hospital with angina complaints without congestive heart failure symptoms were group 1 and patients with severe congestive heart failure symptoms were group 2. Accompanying diseases, postoperative complications and mortality were recorded.
Results:
There were 66 patients in group 1 and 60 patients in group 2. Postoperative maximal inotropic support was necessary in 24 (36.4%) patients in group 1 for a mean duration of 1.6±0.9 days and in 34 (56.7%) patients in group 2 for a mean duration of 2.9±0.7 days. The proportion of patients with postoperative stay at the intensive care unit longer than 48 hours was significantly higher in group 2 compared to group 1. (p=0.0001) Hospital mortality was significantly higher in group 2 compared to group 1. (p=0.0001) CONCLUSION: Congestive heart failure aggravates the outcome after coronary artery bypass surgery in patients with left ventricular dysfunction.
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