TY - JOUR
T1 - Complete Revascularization Showed A Better Cardiac Function Improvement In Patients With Low Ejection Fraction
AU - Soetisna, Tri Wisesa
AU - Nugraha, Wiraga Adi
AU - Rokim, Fitri Setyani
AU - Namretta, Lisca
AU - Pradana, Muhammad Bagus Ronidipta
AU - Utama, Digjaya
N1 - Publisher Copyright:
© 2022 Forum Multimedia Publishing, LLC.
PY - 2022/5/31
Y1 - 2022/5/31
N2 - PURPOSE: This study aimed to compare postoperative ejection fraction (EF) in response to coronary artery bypass grafting (CABG) among patients with preoperative EF <35% and >35%. METHODS: A retrospective study was conducted in a single institution using clinical data of 660 patients undergoing elective on-pump CABG in 2018-2019. Patients were classified into two groups based on preoperative left ventricle ejection fraction (<35% and >35%). The primary endpoint was the change of postoperative ejection fraction. RESULTS: In this study, 72 patients had preoperative left ventricle ejection fraction <35% (group A) while the other 588 patients had ejection fraction >35% (group B). Among both groups, the duration of cardiopulmonary bypass (CPB) and aortic clamp (AxC) were not significantly different (P > 0.05). The transformation of pre- and postoperative EF in groups A and B was significantly different (2.91+10.31 vs. -0.14+4.57, P < 0.001). There was a significant difference in the duration of ICU stay (73.42+112.55 vs. 34.43+64.99, P < 0.001) and postoperative ventilatory support (25.54+43.92 vs. 16.42+45.87, P < 0.008) between group A and B. CONCLUSION: Low preoperative EF showed better improvement in cardiac function after surgery. We concluded that the result could be affected by revascularization of hibernating myocardium.
AB - PURPOSE: This study aimed to compare postoperative ejection fraction (EF) in response to coronary artery bypass grafting (CABG) among patients with preoperative EF <35% and >35%. METHODS: A retrospective study was conducted in a single institution using clinical data of 660 patients undergoing elective on-pump CABG in 2018-2019. Patients were classified into two groups based on preoperative left ventricle ejection fraction (<35% and >35%). The primary endpoint was the change of postoperative ejection fraction. RESULTS: In this study, 72 patients had preoperative left ventricle ejection fraction <35% (group A) while the other 588 patients had ejection fraction >35% (group B). Among both groups, the duration of cardiopulmonary bypass (CPB) and aortic clamp (AxC) were not significantly different (P > 0.05). The transformation of pre- and postoperative EF in groups A and B was significantly different (2.91+10.31 vs. -0.14+4.57, P < 0.001). There was a significant difference in the duration of ICU stay (73.42+112.55 vs. 34.43+64.99, P < 0.001) and postoperative ventilatory support (25.54+43.92 vs. 16.42+45.87, P < 0.008) between group A and B. CONCLUSION: Low preoperative EF showed better improvement in cardiac function after surgery. We concluded that the result could be affected by revascularization of hibernating myocardium.
UR - http://www.scopus.com/inward/record.url?scp=85133250242&partnerID=8YFLogxK
U2 - 10.1532/hsf.4123
DO - 10.1532/hsf.4123
M3 - Article
C2 - 35787771
AN - SCOPUS:85133250242
SN - 1098-3511
VL - 25
SP - E425-E428
JO - The heart surgery forum
JF - The heart surgery forum
IS - 3
ER -