Emergency surgical coronary revascularization in patients with acute myocardial infarction
The aim – to summarize the results of emergency revascularization in patients with acute myocardial infarction (AMI). Materials and methods. We studied the results of treatment of 75 patients with AMI: 20 (26.9 %) patients without ST-segment elevation, 55 (73.1 %) with ST segment elevation, among...
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| Language: | English |
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TOV Chetverta Khvylia
2016-11-01
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| Series: | Кардіохірургія та інтервенційна кардіологія |
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| Online Access: | http://csic.com.ua/images/pdf/2016/4-2016/emergency-surgical-coronary-revascularization-patients-with-acute-myocardial-infarction.pdf |
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| author | B.М. Todurov G.I. Kovtun S.O. Sheludko L.G. Bitsadze L.G. Bitsadze O.V. Revenko A.O. Shpachuk O.V. Pantazi О.М. Postupalsky |
| author_facet | B.М. Todurov G.I. Kovtun S.O. Sheludko L.G. Bitsadze L.G. Bitsadze O.V. Revenko A.O. Shpachuk O.V. Pantazi О.М. Postupalsky |
| author_sort | B.М. Todurov |
| collection | DOAJ |
| description | The aim – to summarize the results of emergency revascularization in patients with acute myocardial infarction (AMI).
Materials and methods. We studied the results of treatment of 75 patients with AMI: 20 (26.9 %) patients without ST-segment elevation, 55 (73.1 %) with ST segment elevation, among them 50 men (67.4 %) and 25 women (32.4 %), average age – (62.0 ± 12.5) years. The first group consisted of 46 (61.3 %) patients with emergency coronary artery bypass surgery (CABG) performed within 6 h after coronary angiography. The second group consisted of 29 (38.7 %) patients in whom CABG was performed through in 30–45 days after emergency coronary stenting.
Results. The majority (80 %) of the first group of patients required inotropic support during more than 2 days in the postsurgery period, and in the second group the corresponding rate was 57 %. Intraaortic balloon counterpulsation was required in 26.7 % of patients in the first group and in 5.2 % in the second group. Hospital mortality in the first group was 11.9 %, in the second group – 2.6 %.
Conclusions. Patients with unstable cardiac hemodynamics or cardiogenic shock in cases where intervention or thrombolysis are unsuccessful, require emergency CABG. CABG surgery technique in patients with AMI is safe when using artificial ventricular fibrillation with intermittent aortic clamping and moderate hypothermia. |
| format | Article |
| id | doaj-art-f62574e98c0c4d0da9d207b9aeb64264 |
| institution | Kabale University |
| issn | 2305-3127 |
| language | English |
| publishDate | 2016-11-01 |
| publisher | TOV Chetverta Khvylia |
| record_format | Article |
| series | Кардіохірургія та інтервенційна кардіологія |
| spelling | doaj-art-f62574e98c0c4d0da9d207b9aeb642642025-02-02T05:12:31ZengTOV Chetverta KhvyliaКардіохірургія та інтервенційна кардіологія2305-31272016-11-014 (15)2428Emergency surgical coronary revascularization in patients with acute myocardial infarctionB.М. Todurov0G.I. Kovtun1S.O. Sheludko2L.G. Bitsadze3L.G. Bitsadze4O.V. Revenko5A.O. Shpachuk6O.V. Pantazi7О.М. Postupalsky81 Heart Institute of Healthcare Ministry of Ukraine, Kyiv, Ukraine; 2 Shupyk National Medical Academy of Postgraduate Education, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineThe aim – to summarize the results of emergency revascularization in patients with acute myocardial infarction (AMI). Materials and methods. We studied the results of treatment of 75 patients with AMI: 20 (26.9 %) patients without ST-segment elevation, 55 (73.1 %) with ST segment elevation, among them 50 men (67.4 %) and 25 women (32.4 %), average age – (62.0 ± 12.5) years. The first group consisted of 46 (61.3 %) patients with emergency coronary artery bypass surgery (CABG) performed within 6 h after coronary angiography. The second group consisted of 29 (38.7 %) patients in whom CABG was performed through in 30–45 days after emergency coronary stenting. Results. The majority (80 %) of the first group of patients required inotropic support during more than 2 days in the postsurgery period, and in the second group the corresponding rate was 57 %. Intraaortic balloon counterpulsation was required in 26.7 % of patients in the first group and in 5.2 % in the second group. Hospital mortality in the first group was 11.9 %, in the second group – 2.6 %. Conclusions. Patients with unstable cardiac hemodynamics or cardiogenic shock in cases where intervention or thrombolysis are unsuccessful, require emergency CABG. CABG surgery technique in patients with AMI is safe when using artificial ventricular fibrillation with intermittent aortic clamping and moderate hypothermia.http://csic.com.ua/images/pdf/2016/4-2016/emergency-surgical-coronary-revascularization-patients-with-acute-myocardial-infarction.pdfischemic heart diseaseacute myocardial infarctionemergency coronary bypass graftingrevascularization |
| spellingShingle | B.М. Todurov G.I. Kovtun S.O. Sheludko L.G. Bitsadze L.G. Bitsadze O.V. Revenko A.O. Shpachuk O.V. Pantazi О.М. Postupalsky Emergency surgical coronary revascularization in patients with acute myocardial infarction Кардіохірургія та інтервенційна кардіологія ischemic heart disease acute myocardial infarction emergency coronary bypass grafting revascularization |
| title | Emergency surgical coronary revascularization in patients with acute myocardial infarction |
| title_full | Emergency surgical coronary revascularization in patients with acute myocardial infarction |
| title_fullStr | Emergency surgical coronary revascularization in patients with acute myocardial infarction |
| title_full_unstemmed | Emergency surgical coronary revascularization in patients with acute myocardial infarction |
| title_short | Emergency surgical coronary revascularization in patients with acute myocardial infarction |
| title_sort | emergency surgical coronary revascularization in patients with acute myocardial infarction |
| topic | ischemic heart disease acute myocardial infarction emergency coronary bypass grafting revascularization |
| url | http://csic.com.ua/images/pdf/2016/4-2016/emergency-surgical-coronary-revascularization-patients-with-acute-myocardial-infarction.pdf |
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