Comparison of Outcomes of Patients with vs without Previous Coronary Artery Bypass Graft Surgery Presenting with ST-Segment Elevation Acute Myocardial Infarction

•Information on patients with previous CABG presenting with STEMI is limited.•Patients with previous CABG represented 7.2% of the population.•Long term outcomes after STEMI were worse among patients with previous CABG.•Long term outcomes were worse even after adjustment for baseline characteristics....

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Bibliographic Details
Published in:The American journal of cardiology 2021-09, Vol.154, p.33-40
Main Authors: Karacsonyi, Judit, Schmidt, Christian W., Okeson, Brynn K., Garcia, Santiago, Henry, Timothy D., Nikolakopoulos, Ilias, Vemmou, Evangelia, Xenogiannis, Iosif, Sharkey, Scott, Aguirre, Frank V., Tannenbaum, Mark, Nicholas Burke, M., Goessl, Mario, Sorajja, Paul, Traverse, Jay, Wang, Yale L., Brilakis, Emmanouil S.
Format: Article
Language:English
Subjects:
Adverse events
Cerebral infarction
Consortia
Coronary artery
Coronary vessels
Diabetes
Diabetes mellitus
Graft-versus-host reaction
Grafting
Heart attacks
Heart surgery
Mortality
Myocardial infarction
Patients
Rank tests
Segments
Stents
Surgery
Veins & arteries
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Summary:•Information on patients with previous CABG presenting with STEMI is limited.•Patients with previous CABG represented 7.2% of the population.•Long term outcomes after STEMI were worse among patients with previous CABG.•Long term outcomes were worse even after adjustment for baseline characteristics. The outcomes of patients with previous coronary bypass graft surgery (CABG) presenting with ST-segment elevation acute myocardial infarction (STEMI) have received limited study. We compared the clinical and procedural characteristics and outcomes of STEMI patients with and without previous CABG in a contemporary multicenter STEMI registry between 2003 and 2020. The primary outcomes of the study were mortality and major cardiac adverse events (MACE: death, MI or stroke). Survival curves were derived using the Kaplan-Meier method and compared with the log-rank test. Of the 13,893 patients included in the analyses, 7.2% had previous CABG. Mean age was 62.4 ± 13.6 years, most patients (71%) were men and 22% had diabetes. Previous CABG patients were older (69.0 ± 11.7 vs 61.9 ± 13.6 years, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2021.05.041