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Number of results

Journal

2012 | 7 | 3 | 388-395

Article title

Coronary artery bypass surgery in patients with low EuroSCORE preoperative risk

Content

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Languages of publication

EN

Abstracts

EN
Patients with EuroSCORE <2 are usually considered to have a low surgical risk and the lowest mortality. In our study preoperative factors in a group of 250 consecutive low-risk patients (EuroSCORE<2), who underwent first isolated coronary artery by-pass surgery during 1999 and 2000., were analyzed. Cumulative follow-up period was 1178.48 patient-years and the primary clinical outcome was all-cause mortality. Patients’ average age was 59.2±7.5 yr. The following preoperative risk factors of increased 5-year mortality were identified: older age (P<0.001), smoking, prior non-recent myocardial infarction and reinfarction, anteroseptal localization of myocardial infarction (P<0.001), poor ejection fraction<=35% (P<0.001), dilatative cardiomyopathy (P<0.001), wall motion systolic index 〉2 (P<0.001), left atrial dilatation (P<0.001), mitral regurgitation more than 2+ (P<0.001), presence of left main disease, triple vessel coronary artery disease (P<0.001), absence of collaterals (P<0.001) and presence of more than 3 distal anastomoses. Through the present study it has been shown that it is possible to identify a subgroup of patients with low operative mortality and excellent 5-year survival after surgical treatment for coronary artery bypass surgery using preoperative clinical, echocardiographic, coronarographic and intraoperative data, even in difficult conditions of the civil war in the region.

Publisher

Journal

Year

Volume

7

Issue

3

Pages

388-395

Physical description

Dates

published
1 - 6 - 2012
online
29 - 3 - 2012

Contributors

  • Clinical Hospital Center Bezanijska Kosa, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
author
  • The Clinic for Cardiovascular Surgery, Clinical Center Serbia, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Clinical Hospital Center Bezanijska Kosa, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
author
  • Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • The Clinic for Cardiovascular Surgery, Clinical Center Serbia, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • The Clinic for Cardiovascular Surgery, Clinical Center Serbia, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Clinical Hospital Center Bezanijska Kosa, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia

References

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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-011-0164-4
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