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Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience
Background Coronary artery bypass grafting is known to be associated with better outcome in ischemic heart disease patients with low ejection fraction. We aim to demonstrate the effect of coronary artery bypass grafting (CABG) on left ventricle (LV) systolic function and to identify the predictors t...
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| Published in: | The Egyptian heart journal 2019-08, Vol.71 (1), p.2-2, Article 2 |
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| container_title | The Egyptian heart journal |
| container_volume | 71 |
| creator | Khaled, Sheeren Kasem, Ehab Fadel, Ahmed alzahrani, Yusuf Banjar, Khadijah Al-Zahrani, Wafa’a Alsulami, Hajar Allhyani, Mazad Ali |
| description | Background
Coronary artery bypass grafting is known to be associated with better outcome in ischemic heart disease patients with low ejection fraction. We aim to demonstrate the effect of coronary artery bypass grafting (CABG) on left ventricle (LV) systolic function and to identify the predictors that adversely lead to postoperative poor outcome.
Result
This is a cross-sectional prospective study; we included 110 patients with left ventricular ejection fraction (LVEF) < 50% who underwent CABG with a mean age of 56.1 ± 12.2 years old. Those patients were classified into two groups: group I, 76 (69%) patients with LVEF > 35%, and group II, 34 (31%) patients with LVEF < 35%. Our results as regards demographic and clinical data revealed that group II patients had a significantly higher prevalence of diabetes mellitus (DM) and Euro SCORE II compared to group I patients (
p
= 0.05 and < 0.001 respectively); otherwise, all other clinical predictors did not differ between the two studied groups. There was a significant improvement in LVEF post-surgery (
p
= 0.05) in both groups with observed no significant difference recorded for in-hospital mortality rate among patients with different groups. DM, significant diastolic dysfunction, and insertion of IABP are predictors of in-hospital mortality of the patients (
p
= 0.001, 0.03 and |
| doi_str_mv | 10.1186/s43044-019-0002-6 |
| format | article |
| fullrecord | <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_337c06cc4f924cab98fec20521cf249b</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A680160348</galeid><doaj_id>oai_doaj_org_article_337c06cc4f924cab98fec20521cf249b</doaj_id><sourcerecordid>A680160348</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4956-f0ceadc601d1141ff82c4af8216e0b84aa7919a203609bd9fbc8cba7afe6b633</originalsourceid><addsrcrecordid>eNp1Uk1v1DAQjRCIVqU_gJslLkUixXYcJ74grVZ8VN2KSw_cLMcZp15l7cVOqu6dH84sW1EWgSz5Y_ze87zxFMVrRi8Za-X7LCoqREmZKimlvJTPilNOFS0VY9-e_7E_Kc5zXiOGSt4g52VxUjFZq1rWp8WPFbiJ3EOYkrfzaBJxc7CTj4HEebJxA8S4CRKxMcVg0o6YhMcd6XZbkzMZEl77MLwj1ziTRdfP42juyA303pqRLP20IxfXi5vl25JkhIxQWnwNFeFhC8lDsPCqeOHMmOH8cT0rbj99vF1-KVdfP18tF6vSCsy2dNSC6a2krGdMMOdaboXBmUmgXSuMaRRThtNKUtX1ynW2tZ1pjAPZyao6K64Osn00a71NfoN-dDRe_wrENGg05-0IuqoaS6W1wikurOlU68ByWnNmHReqQ60PB63t3G2g31tKZjwSPb4J_k4P8V5LTFfQBgUuHgVS_D5DnvTGZwtYvABxzppXjHL8Pl4j9M1f0HWcU8BKad5wVQsuG_6EGgwa8MFFfNfuRfVCtpRJWokWUZf_QOHoYeNtDOA8xo8I7ECwKeacwP32yKjeN6I-NKLGRtT7RtQSOfzAyYgNA6SnhP9P-gm0Nt8a</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2729542672</pqid></control><display><type>article</type><title>Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience</title><source>PubMed Central (PMC)</source><creator>Khaled, Sheeren ; Kasem, Ehab ; Fadel, Ahmed ; alzahrani, Yusuf ; Banjar, Khadijah ; Al-Zahrani, Wafa’a ; Alsulami, Hajar ; Allhyani, Mazad Ali</creator><creatorcontrib>Khaled, Sheeren ; Kasem, Ehab ; Fadel, Ahmed ; alzahrani, Yusuf ; Banjar, Khadijah ; Al-Zahrani, Wafa’a ; Alsulami, Hajar ; Allhyani, Mazad Ali</creatorcontrib><description>Background
Coronary artery bypass grafting is known to be associated with better outcome in ischemic heart disease patients with low ejection fraction. We aim to demonstrate the effect of coronary artery bypass grafting (CABG) on left ventricle (LV) systolic function and to identify the predictors that adversely lead to postoperative poor outcome.
Result
This is a cross-sectional prospective study; we included 110 patients with left ventricular ejection fraction (LVEF) < 50% who underwent CABG with a mean age of 56.1 ± 12.2 years old. Those patients were classified into two groups: group I, 76 (69%) patients with LVEF > 35%, and group II, 34 (31%) patients with LVEF < 35%. Our results as regards demographic and clinical data revealed that group II patients had a significantly higher prevalence of diabetes mellitus (DM) and Euro SCORE II compared to group I patients (
p
= 0.05 and < 0.001 respectively); otherwise, all other clinical predictors did not differ between the two studied groups. There was a significant improvement in LVEF post-surgery (
p
= 0.05) in both groups with observed no significant difference recorded for in-hospital mortality rate among patients with different groups. DM, significant diastolic dysfunction, and insertion of IABP are predictors of in-hospital mortality of the patients (
p
= 0.001, 0.03 and < 0.001, respectively)
Conclusion
We concluded that there is a significant improvement of LV systolic function after CABG and hence better survival rate. DM, significant diastolic dysfunction, and perioperative insertion of IABP are predictors of mortality after cardiac surgery. Special care should be provided to such patients to improve their outcome</description><identifier>ISSN: 2090-911X</identifier><identifier>ISSN: 1110-2608</identifier><identifier>EISSN: 2090-911X</identifier><identifier>DOI: 10.1186/s43044-019-0002-6</identifier><identifier>PMID: 31659565</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Body mass index ; CABG ; Cardiology ; Cardiovascular disease ; Coronary artery bypass ; Coronary vessels ; Diabetes ; Egypt ; Ejection fraction ; Heart attacks ; Heart diseases ; Heart surgery ; Hypertension ; Ischemia ; Kidney diseases ; Left ventricular systolic dysfunction ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Metabolic disorders ; Mortality ; Patient outcomes ; Patients ; Peptides ; Risk predictors ; Statistical analysis ; Surgery ; Ultrasonic imaging</subject><ispartof>The Egyptian heart journal, 2019-08, Vol.71 (1), p.2-2, Article 2</ispartof><rights>The Author(s) 2019</rights><rights>COPYRIGHT 2019 Springer</rights><rights>The Author(s) 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4956-f0ceadc601d1141ff82c4af8216e0b84aa7919a203609bd9fbc8cba7afe6b633</citedby><cites>FETCH-LOGICAL-c4956-f0ceadc601d1141ff82c4af8216e0b84aa7919a203609bd9fbc8cba7afe6b633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6821407/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6821407/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids></links><search><creatorcontrib>Khaled, Sheeren</creatorcontrib><creatorcontrib>Kasem, Ehab</creatorcontrib><creatorcontrib>Fadel, Ahmed</creatorcontrib><creatorcontrib>alzahrani, Yusuf</creatorcontrib><creatorcontrib>Banjar, Khadijah</creatorcontrib><creatorcontrib>Al-Zahrani, Wafa’a</creatorcontrib><creatorcontrib>Alsulami, Hajar</creatorcontrib><creatorcontrib>Allhyani, Mazad Ali</creatorcontrib><title>Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience</title><title>The Egyptian heart journal</title><addtitle>Egypt Heart J</addtitle><description>Background
Coronary artery bypass grafting is known to be associated with better outcome in ischemic heart disease patients with low ejection fraction. We aim to demonstrate the effect of coronary artery bypass grafting (CABG) on left ventricle (LV) systolic function and to identify the predictors that adversely lead to postoperative poor outcome.
Result
This is a cross-sectional prospective study; we included 110 patients with left ventricular ejection fraction (LVEF) < 50% who underwent CABG with a mean age of 56.1 ± 12.2 years old. Those patients were classified into two groups: group I, 76 (69%) patients with LVEF > 35%, and group II, 34 (31%) patients with LVEF < 35%. Our results as regards demographic and clinical data revealed that group II patients had a significantly higher prevalence of diabetes mellitus (DM) and Euro SCORE II compared to group I patients (
p
= 0.05 and < 0.001 respectively); otherwise, all other clinical predictors did not differ between the two studied groups. There was a significant improvement in LVEF post-surgery (
p
= 0.05) in both groups with observed no significant difference recorded for in-hospital mortality rate among patients with different groups. DM, significant diastolic dysfunction, and insertion of IABP are predictors of in-hospital mortality of the patients (
p
= 0.001, 0.03 and < 0.001, respectively)
Conclusion
We concluded that there is a significant improvement of LV systolic function after CABG and hence better survival rate. DM, significant diastolic dysfunction, and perioperative insertion of IABP are predictors of mortality after cardiac surgery. Special care should be provided to such patients to improve their outcome</description><subject>Body mass index</subject><subject>CABG</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Coronary artery bypass</subject><subject>Coronary vessels</subject><subject>Diabetes</subject><subject>Egypt</subject><subject>Ejection fraction</subject><subject>Heart attacks</subject><subject>Heart diseases</subject><subject>Heart surgery</subject><subject>Hypertension</subject><subject>Ischemia</subject><subject>Kidney diseases</subject><subject>Left ventricular systolic dysfunction</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Metabolic disorders</subject><subject>Mortality</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Peptides</subject><subject>Risk predictors</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><issn>2090-911X</issn><issn>1110-2608</issn><issn>2090-911X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1Uk1v1DAQjRCIVqU_gJslLkUixXYcJ74grVZ8VN2KSw_cLMcZp15l7cVOqu6dH84sW1EWgSz5Y_ze87zxFMVrRi8Za-X7LCoqREmZKimlvJTPilNOFS0VY9-e_7E_Kc5zXiOGSt4g52VxUjFZq1rWp8WPFbiJ3EOYkrfzaBJxc7CTj4HEebJxA8S4CRKxMcVg0o6YhMcd6XZbkzMZEl77MLwj1ziTRdfP42juyA303pqRLP20IxfXi5vl25JkhIxQWnwNFeFhC8lDsPCqeOHMmOH8cT0rbj99vF1-KVdfP18tF6vSCsy2dNSC6a2krGdMMOdaboXBmUmgXSuMaRRThtNKUtX1ynW2tZ1pjAPZyao6K64Osn00a71NfoN-dDRe_wrENGg05-0IuqoaS6W1wikurOlU68ByWnNmHReqQ60PB63t3G2g31tKZjwSPb4J_k4P8V5LTFfQBgUuHgVS_D5DnvTGZwtYvABxzppXjHL8Pl4j9M1f0HWcU8BKad5wVQsuG_6EGgwa8MFFfNfuRfVCtpRJWokWUZf_QOHoYeNtDOA8xo8I7ECwKeacwP32yKjeN6I-NKLGRtT7RtQSOfzAyYgNA6SnhP9P-gm0Nt8a</recordid><startdate>20190805</startdate><enddate>20190805</enddate><creator>Khaled, Sheeren</creator><creator>Kasem, Ehab</creator><creator>Fadel, Ahmed</creator><creator>alzahrani, Yusuf</creator><creator>Banjar, Khadijah</creator><creator>Al-Zahrani, Wafa’a</creator><creator>Alsulami, Hajar</creator><creator>Allhyani, Mazad Ali</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20190805</creationdate><title>Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience</title><author>Khaled, Sheeren ; Kasem, Ehab ; Fadel, Ahmed ; alzahrani, Yusuf ; Banjar, Khadijah ; Al-Zahrani, Wafa’a ; Alsulami, Hajar ; Allhyani, Mazad Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4956-f0ceadc601d1141ff82c4af8216e0b84aa7919a203609bd9fbc8cba7afe6b633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Body mass index</topic><topic>CABG</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Coronary artery bypass</topic><topic>Coronary vessels</topic><topic>Diabetes</topic><topic>Egypt</topic><topic>Ejection fraction</topic><topic>Heart attacks</topic><topic>Heart diseases</topic><topic>Heart surgery</topic><topic>Hypertension</topic><topic>Ischemia</topic><topic>Kidney diseases</topic><topic>Left ventricular systolic dysfunction</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Metabolic disorders</topic><topic>Mortality</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Peptides</topic><topic>Risk predictors</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khaled, Sheeren</creatorcontrib><creatorcontrib>Kasem, Ehab</creatorcontrib><creatorcontrib>Fadel, Ahmed</creatorcontrib><creatorcontrib>alzahrani, Yusuf</creatorcontrib><creatorcontrib>Banjar, Khadijah</creatorcontrib><creatorcontrib>Al-Zahrani, Wafa’a</creatorcontrib><creatorcontrib>Alsulami, Hajar</creatorcontrib><creatorcontrib>Allhyani, Mazad Ali</creatorcontrib><collection>SpringerOpen</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>The Egyptian heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khaled, Sheeren</au><au>Kasem, Ehab</au><au>Fadel, Ahmed</au><au>alzahrani, Yusuf</au><au>Banjar, Khadijah</au><au>Al-Zahrani, Wafa’a</au><au>Alsulami, Hajar</au><au>Allhyani, Mazad Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience</atitle><jtitle>The Egyptian heart journal</jtitle><stitle>Egypt Heart J</stitle><date>2019-08-05</date><risdate>2019</risdate><volume>71</volume><issue>1</issue><spage>2</spage><epage>2</epage><pages>2-2</pages><artnum>2</artnum><issn>2090-911X</issn><issn>1110-2608</issn><eissn>2090-911X</eissn><abstract>Background
Coronary artery bypass grafting is known to be associated with better outcome in ischemic heart disease patients with low ejection fraction. We aim to demonstrate the effect of coronary artery bypass grafting (CABG) on left ventricle (LV) systolic function and to identify the predictors that adversely lead to postoperative poor outcome.
Result
This is a cross-sectional prospective study; we included 110 patients with left ventricular ejection fraction (LVEF) < 50% who underwent CABG with a mean age of 56.1 ± 12.2 years old. Those patients were classified into two groups: group I, 76 (69%) patients with LVEF > 35%, and group II, 34 (31%) patients with LVEF < 35%. Our results as regards demographic and clinical data revealed that group II patients had a significantly higher prevalence of diabetes mellitus (DM) and Euro SCORE II compared to group I patients (
p
= 0.05 and < 0.001 respectively); otherwise, all other clinical predictors did not differ between the two studied groups. There was a significant improvement in LVEF post-surgery (
p
= 0.05) in both groups with observed no significant difference recorded for in-hospital mortality rate among patients with different groups. DM, significant diastolic dysfunction, and insertion of IABP are predictors of in-hospital mortality of the patients (
p
= 0.001, 0.03 and < 0.001, respectively)
Conclusion
We concluded that there is a significant improvement of LV systolic function after CABG and hence better survival rate. DM, significant diastolic dysfunction, and perioperative insertion of IABP are predictors of mortality after cardiac surgery. Special care should be provided to such patients to improve their outcome</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31659565</pmid><doi>10.1186/s43044-019-0002-6</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 2090-911X 1110-2608 2090-911X |
| language | eng |
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| source | PubMed Central (PMC) |
| subjects | Body mass index CABG Cardiology Cardiovascular disease Coronary artery bypass Coronary vessels Diabetes Egypt Ejection fraction Heart attacks Heart diseases Heart surgery Hypertension Ischemia Kidney diseases Left ventricular systolic dysfunction Medical research Medicine Medicine & Public Health Medicine, Experimental Metabolic disorders Mortality Patient outcomes Patients Peptides Risk predictors Statistical analysis Surgery Ultrasonic imaging |
| title | Left ventricular function outcome after coronary artery bypass grafting, King Abdullah Medical City (KAMC)- single-center experience |
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