Mortality Predictors in ST-Elevated Myocardial Infarction Patients Undergoing Coronary Artery Bypass Grafting
| Autor: | Erol Kurç, Mehmet Ergelen, Hakkı Aydoğan, Özer Soylu, İbrahim Yekeler, Muruvvet Yilmaz, Olgar Bayserke, Huseyin Uyarel, Ugur Filizcan, Ergin Eren, Gökçen Orhan, Sebnem Cetemen, Murat Ugurlucan |
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| Přispěvatelé: | Maltepe Üniversitesi, Tıp Fakültesi, Filizcan, Uğur |
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Myocardial Infarction coronary artery bypass grafting Internal medicine medicine Humans cardiovascular diseases Myocardial infarction Coronary Artery Bypass Survival rate Aged Retrospective Studies business.industry Cardiogenic shock Mortality rate Percutaneous coronary intervention Electrocardiography in myocardial infarction Retrospective cohort study ST-elevated myocardial infarction Middle Aged Prognosis medicine.disease Surgery Survival Rate myocardial infarction surgical procedures operative medicine.anatomical_structure outcome Cardiology Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Angiology. 62:68-73 |
| ISSN: | 1940-1574 0003-3197 |
| DOI: | 10.1177/0003319710369103 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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