Surgical ventricular reconstruction for ischemic cardiomyopathy—a systematic review and meta-analysis of 7,685 patients
| Autor: | Brandon E, Ferrell, Diana C, Jimenez, Danial, Ahmad, Kabir, Malkani, Jake L, Rosen, Gabriel, Gaw, Konstadinos A, Plestis, T Sloane, Guy, H Todd, Massey, Vakhtang, Tchantchaleishvili |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Ann Cardiothorac Surg |
| ISSN: | 2304-1021 2225-319X |
| DOI: | 10.21037/acs-2021-ami-17 |
| Popis: | BACKGROUND: Surgical ventricular reconstruction (SVR) has been used to control adverse ventricular remodeling and improve cardiac function in ischemic cardiomyopathy. The purpose of this systematic review and meta-analysis was to collect and analyze all available evidence on the utilization and efficacy of SVR. METHODS: An electronic database search was performed to identify all retrospective and prospective studies on SVR for ischemic cardiomyopathy in the English literature from 2000 through 2020. A total of 92 articles with a collective 7,685 patients undergoing SVR were included in the final analysis. RESULTS: The mean patient age was 61 years (95% CI: 59–63) and 80% (78–82%) were male. Congestive heart failure was present in 66% (54–78%) and angina in 58% (45–70%). Concomitant coronary artery bypass grafting was undertaken in 92% (90–93%) while 21% (18–24%) underwent mitral valve repair. Pre vs. post-SVR, significant improvement was seen in left ventricular ejection fraction (LVEF) [29.9% (28.8–31.2%) vs. 40.9% (39.4–42.4%), P |
| Databáze: | OpenAIRE |
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