[VIABILITY OF MYOCAROIUM AS RISK FACTOR FOR MORTALITY IN EARLY AND LATE PERIOD AFTER BYPASS SURGERY OF CORONARY...

Area of Science:

• Cardiology
• Cardiac Surgery
• Clinical Outcomes

Background:

• Coronary heart disease (CHD) patients with reduced left ventricular ejection fraction (LVEF) exhibit increased mortality and complications post-coronary artery bypass grafting (CABG).
• Preserved LVEF in CABG patients is associated with better outcomes compared to those with impaired systolic function.

Purpose of the Study:

• To identify significant preoperative predictors of early mortality in patients undergoing CABG.
• To determine the incidence of early postoperative complications in patients with reduced LVEF after CABG.
• To compare outcomes between patients with preserved and reduced LVEF following CABG.

Main Methods:

• Retrospective analysis of patient data from coronary artery bypass surgery.
• Evaluation of preoperative clinical and echocardiographic parameters.
• Assessment of early postoperative mortality and complication rates.

Main Results:

• Patients with low LVEF demonstrated significantly higher rates of mortality and complications compared to those with preserved LVEF.
• Specific preoperative factors were identified as significant predictors of early mortality.
• The incidence of postoperative complications was notably elevated in the low LVEF group.

Conclusions:

• Reduced LVEF is a critical factor associated with adverse outcomes after CABG.
• Preoperative risk stratification is essential for optimizing management strategies in high-risk cardiac surgery patients.
• Further research should focus on interventions to mitigate risks in patients with impaired LV systolic function undergoing CABG.