Is Early Reperfusion a Good Thing? Optimal Timing of CABG Surgery Postacute Myocardial Infarction
| Autor: | John C. Baldwin, Bradley Clark, Ralph Paone |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Myocardial Infarction Intra-Aortic Balloon Pumping Young Adult Internal medicine medicine Humans cardiovascular diseases Myocardial infarction Coronary Artery Bypass Young adult Stroke Aged Retrospective Studies Aged 80 and over business.industry Medical record Percutaneous coronary intervention Retrospective cohort study General Medicine Length of Stay Middle Aged medicine.disease Respiration Artificial Surgery Treatment Outcome surgical procedures operative medicine.anatomical_structure Acute Disease Cardiology Female business Artery |
| Zdroj: | Southern Medical Journal. 108:754-757 |
| ISSN: | 0038-4348 |
| Popis: | OBJECTIVES The optimal timing of coronary artery bypass grafting (CABG) following an acute myocardial infarction (AMI) is a topic of debate. The present study was designed to evaluate patients undergoing CABG both early ( 5 days) after AMI in the era of percutaneous coronary intervention. METHODS The medical records at our institution from 2008 through 2012 were reviewed. A total of 128 patients underwent CABG after AMI during this time period and fulfilled criteria for the study. Death, stroke, renal failure, need for intraaortic balloon pump, postoperative ventilator days, and length of stay were examined. RESULTS Patients undergoing early CABG had an increased need for an intraaortic balloon pump. There were no other correlations that we could discern between early and late CABG. CONCLUSIONS Our data demonstrate no statistical difference in mortality or in the factors of morbidity studied between either early or late CABG after AMI. |
| Databáze: | OpenAIRE |
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