Outcome of patients with low ejection fraction undergoing coronary artery bypass grafting
10.3760/cma.j.issn.1673-4203.2011.12.007
- VernacularTitle:左心室室功能不全类冠心病行冠状动脉旁路移植术预后分析
- Author:
Zhongyuan MA
;
Liang HE
;
Zonggang ZHANG
;
Henian TANG
;
Ming LI
- Publication Type:Journal Article
- Keywords:
Coronary heart disease;
Left Ventricle Ejection Fraction;
Surgery;
Mortality;
Intra-aortic balloon counterpulsation (IABP)
- From:
International Journal of Surgery
2011;38(12):808-811
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the outcome of patients with low ejection fraction undergoing coronary artery bypass grafting.Methods One hundred and twenty-eight consecutive patients with left ventricular ejection fraction (LVEF) ≤35％,who underwent Off-pump caronary bypass surgery or Cardiopulmonary coronary artery bypass between December 2000 and Novomber 2010 were studied.The outcome of early complication,mortality,LVEF were analyzed.Results LVEF and LVEDD were significantly increased in early postoperation (P ＜ 0.05 ).Use of Intra-aotric balloon counterpulsation(IABP) can decrease early mortality,and postopertive respiratory tract infections,renal insufficiency were found to be the main complications.Conclusions Preoperative low ejection fraction has no relationship with postoperative early mortality.using medicine to adjust heart function,strcity control blood pressure,blood glucose,heart rate preoperation,positive use of IABP postoperativon are key point to decrease early mortality.
