Mortality predictors in ST-elevated myocardial infarction patients undergoing coronary artery bypass grafting
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Sage Journals
Erişim Hakkı
CC0 1.0 Universal
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
The use of coronary artery bypass grafting (CABG) in primary treatment of acute myocardial infarction is still debated. We evaluated the predictors of mortality in patients undergoing primary CABG for ST-elevated myocardial infarction (STEMI). Between January 2003 and January 2008, all patients referred to our institution with STEMI who did not qualify for primary angioplasty and required CABG were included in this study. Survivors and nonsurvivors were compared retrospectively in terms of demo-graphics, preoperative, intraoperative, and postoperative characteristics. Preoperatively confirmed cases of STEMI (n = 150) were included in the analysis. There were 114 survivors and 36 nonsurvivors. In-hospital mortality rate was 22%. In Cox regression analysis age, cardiogenic shock (Killip ?3), preoperative cardiac troponin levels, preoperative use of intra-aortic balloon counterpulsation (IABP), previous myocardial infarction, and percutaneous coronary intervention were independent predictors of in-hospital mortality. After multivariate analysis, factors predicting in-hospital mortality were age, preoperative cardiac troponin levels, and preoperative IABP. Age, preoperative cardiac troponin levels, and preoperative IABP use were predictive factors of in-hospital mortality in patients undergoing primary CABG for STEMI.
Açıklama
Anahtar Kelimeler
myocardial infarction, ST-elevated myocardial infarction, coronary artery bypass grafting, outcome
Kaynak
Angiology
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
62
Sayı
1
Künye
Filizcan, U., Kurc, E., Cetemen, S., Soylu, O., Aydogan, H., Bayserke, O., Yilmaz, M., Uyarel, H., Ergelen, M., Orhan, G., Ugurlucan, M., Eren, E., & Yekeler, I. (2011). Mortality predictors in ST-elevated myocardial infarction patients undergoing coronary artery bypass grafting. Angiology, 62(1), 68–73.
