| Autor: |
Abdullah Ashmeg, Ahmed Hafed, Walid Abukhudair, Massimo Porqueddo, Thamer Bin Yousef, Nazir Ahmed |
| Rok vydání: |
2013 |
| Předmět: |
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| Zdroj: |
Journal of the Saudi Heart Association. 25(2) |
| ISSN: |
1016-7315 |
| DOI: |
10.1016/j.jsha.2013.03.172 |
| Popis: |
Objective Cardiac troponin level indicate extend of miocardial injury. Coronary artery bypass graft surgery early post myocardial infartion is associated with high mortality, trying to find a quantitative piameter to determine the high risk patients. Method Prospective data collection of troponin level and outcome of coronary artery bypass graft surgery was collected over 3 years (30 days mortality). Result A total of 550 patients who had CABG over 3 years was collected, the patients were divided into 3 groups. Group 1 patient with troponin less than 3. Group 2 patient with troponin between 3 and 5. Group 3 patient with troponin above 5. The 30 days mortality was proportionally correlated to the troponin level. Group 1 had a mean mortality of less than 2%, group 2 had a mean mortality of 3.5%, and group 3 had a mean mortality rate of 10%. Conclusion Preoperative 30 days mortality post CABG is proportionally related to the extend of myocardial damage which is reflected by trop in level. When possible it is better to wait and delay surgery until troponin level below 3. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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