Dergiler / The European Research Journal / 2019 / Cilt: 5 - Sayı: 3

Effect of coronary artery bypass surgery on ventricular functions in patients with poor left ventricular function

Sayfa
502–509
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

In conclusion, we consider that CABG is a significantly effective option in patients with poor ventricular function.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objectives: The aim of the present study was to compare preoperative / postoperative ventricular functions of patients with ventricular dysfunction who were planned for coronary artery bypass grafting (CABG) using echocardiography and angiography, and to evaluate whether there was a significant improvement in ventricular function.
📊
Temel Bulgular & Veri:Methods: This prospective study included 30 patients with poor ventricular function who had undergone CABG at the Cardiovascular Surgery Clinics of Bursa Yüksek Ihtisas Hospital.
💡
Sonuç & Katkı:In conclusion, we consider that CABG is a significantly effective option in patients with poor ventricular function.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Coronary artery bypass grafting · poor left ventricular function · ischemic heart disease

Abstract

Objectives: The aim of the present study was to compare preoperative / postoperative ventricular functions of patients with ventricular dysfunction who were planned for coronary artery bypass grafting (CABG) using echocardiography and angiography, and to evaluate whether there was a significant improvement in ventricular function. Methods: This prospective study included 30 patients with poor ventricular function who had undergone CABG at the Cardiovascular Surgery Clinics of Bursa Yüksek Ihtisas Hospital. The patients' ventricular functions were compared preoperatively and postoperatively at the 2nd, 6th and 12th months. Results: Of the patients, 28 were males, and the mean age was 60.1 ± 8 years (range 39-71). In these cases, functional capacity improved within the early postoperative period, and global ventricular functions improved within the postoperative first year. The improvement in ejection fraction results was statistically significant at 6 months and 12 months (p < 0.05). A significant decrease was observed in left ventricular enddiastolic pressures within one year (p < 0.001). For the performance score, improvement was significant from the 2nd month (p < 0.05). Conclusions: Our findings show that CABG improves ventricular function in terms of EF, PS, LVEDP and NYHA classification. In conclusion, we consider that CABG is a significantly effective option in patients with poor ventricular function.

🔖

Bu Makaleye Atıf Yap

ÖZTÜRK, C., YAVUZ, Ş. (2019). Effect of coronary artery bypass surgery on ventricular functions in patients with poor left ventricular function. The European Research Journal, Cilt: 5 - Sayı: 3, 502–509. https://ajindex.com/articles/361347

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (13)

  1. Ahmadi A, Stone GW, Leipsic J, Shaw LJ, Villines TC, Kern MJ, et al. Prognostic determinants of coronary atherosclerosis in stable ischemic heart disease: anatomy, physiology, or morphology? Circ Res 2016;119:317-29
  2. Denktas AE, Paniagua D, Jneid H. Coronary physiology assessment for the diagnosis and treatment of stable ischemic heart disease. Curr Atheroscler Rep 2016;18:62
  3. Koene RJ, Kealhofer JV, Adabag S, Vakil K, Florea VG. Effect of coronary artery bypass graft surgery on left ventricular systolic function. J Thorac Dis 2017;9:262-70
  4. Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, et al; American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2013;62:e147-239
  5. Kim MS, Lee JH, Cho HJ, Cho JY, Choi JO, Hwang KK, et al. KSHF Guidelines for the Management of Acute Heart Failure: Part III. Specific management of acute heart failure according to the etiology and co-morbidity. Korean Circ J 2019;49:46-68
  6. Velazquez EJ, Bonow RO. Revascularization in severe left ventricular dysfunction. J Am Coll Cardiol 2015:17;65:615-24
  7. Nizamic T, Murad MH, Allen LA, McIlvennan CK, Wordingham SE, Matlock DD, et al. Ambulatory inotrope infusions in advanced heart failure: a systematic review and meta-analysis. JACC Heart Fail 2018;6:757-67
  8. Sobolev BG, Fradet G, Hayden R, Kuramoto L, Levy AR, Fitzgerald MJ. Survival benefit of coronary-artery bypass grafting accounted for deaths in those who remained untreated. J Cardiothorac Surg 2008;3:47
  9. Hung J, Kelly DT, Baird DK, Hendel PN, Leckie BD, Grant AF, et al. Aorta-coronary bypass grafting in patients with severe left ventricular dysfunction. J Thorac Cardiovasc Surg 1980;79:718-23
  10. Mundth ED, Harthorne JW, Buckley MJ, Dinsmore R, Austen WG: Direct coronary arterial revascularization. Treatment of cardiac failure associated with coronary artery disease. Arch Surg 1971;103:529-34
  11. Pepper J. Managing heart failure patients with multivessel disease--Coronary Artery Bypass Graft versus Percutaneous Coronary Intervention. Card Fail Rev 2015;1:118-22
  12. Inamdar AA, Inamdar AC. Heart failure: diagnosis, management and utilization. J Clin Med 2016;5:62
  13. Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF. Braunwald's