Predictive Value of Factors affecting Early Results and Complications in Eight Years of Coronary Artery Bypass Surgery
Summary All cases of coronary bypass procedures without concomitant heart valve replacement occurring in a defined geographical area over a 8-year period (1980-1987) were reviewed and the 30-day mortality and complication rates associated with them were analyzed. The study comprised 3 484 patients w...
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| Veröffentlicht in: | The Thoracic and cardiovascular surgeon 1989-12, Vol.37 (6), p.355-360 |
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| container_title | The Thoracic and cardiovascular surgeon |
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| creator | Ståhle, E. Bergström, R. Nyström, S.-O. Hansson, H.-E. |
| description | Summary
All cases of coronary bypass procedures without concomitant heart valve replacement occurring in a defined geographical area over a 8-year period (1980-1987) were reviewed and the 30-day mortality and complication rates associated with them were analyzed. The study comprised 3 484 patients with the diagnoses: stable (2477) or unstable (724) angina pectoris, angina pectoris combined with left ventricular aneurysm (165) or with an other complicating factor (96), postinfarction septal defect (13) and postinfarction mitral valve insufficiency (91).
The total operative mortality during the study period was 3.1 %. Persistent new Q waves in the electrocardiogram developed in 2.4 % and increased enzyme release indicating myocardial injury (S-ASAT > 2.0 μkat/L and S-CKMB isoenzyme > 1.5 μkat/L) occurred in 15 %. There were 478 complications in 378 patients (11 %).
Indication for surgery, year of surgery, NYHA class, congestive heart failure, age, sex, aortic cross-clamp time, and cardiopulmonary bypass time were significantly related to operative mortality (p < 0.05). The same variables except sex were related to complications. Myocardial infarction (new persistent Q wave) was predictable by NYHA class, aortic cross-clamp time, and cardiopulmonary bypass time. The same variables and also year of surgery, regrafting procedure, congestive heart failure, and thromboendarterectomy were predictors of myocardial injury (enzyme release). |
| doi_str_mv | 10.1055/s-2007-1020352 |
| format | Article |
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All cases of coronary bypass procedures without concomitant heart valve replacement occurring in a defined geographical area over a 8-year period (1980-1987) were reviewed and the 30-day mortality and complication rates associated with them were analyzed. The study comprised 3 484 patients with the diagnoses: stable (2477) or unstable (724) angina pectoris, angina pectoris combined with left ventricular aneurysm (165) or with an other complicating factor (96), postinfarction septal defect (13) and postinfarction mitral valve insufficiency (91).
The total operative mortality during the study period was 3.1 %. Persistent new Q waves in the electrocardiogram developed in 2.4 % and increased enzyme release indicating myocardial injury (S-ASAT > 2.0 μkat/L and S-CKMB isoenzyme > 1.5 μkat/L) occurred in 15 %. There were 478 complications in 378 patients (11 %).
Indication for surgery, year of surgery, NYHA class, congestive heart failure, age, sex, aortic cross-clamp time, and cardiopulmonary bypass time were significantly related to operative mortality (p < 0.05). The same variables except sex were related to complications. Myocardial infarction (new persistent Q wave) was predictable by NYHA class, aortic cross-clamp time, and cardiopulmonary bypass time. The same variables and also year of surgery, regrafting procedure, congestive heart failure, and thromboendarterectomy were predictors of myocardial injury (enzyme release).</description><identifier>ISSN: 0171-6425</identifier><identifier>EISSN: 1439-1902</identifier><identifier>DOI: 10.1055/s-2007-1020352</identifier><identifier>PMID: 2617501</identifier><language>eng</language><publisher>Germany</publisher><subject>Angina Pectoris - mortality ; Angina Pectoris - surgery ; Coronary Artery Bypass - mortality ; Coronary Disease - mortality ; Coronary Disease - surgery ; Heart Aneurysm - surgery ; Heart Septal Defects, Ventricular - surgery ; Humans ; Mitral Valve Insufficiency - surgery ; Myocardial Infarction - surgery ; Outcome and Process Assessment (Health Care) ; Postoperative Complications - mortality ; Prognosis ; Time Factors</subject><ispartof>The Thoracic and cardiovascular surgeon, 1989-12, Vol.37 (6), p.355-360</ispartof><rights>Georg Thieme Verlag Stuttgart · New York</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2432-9f70064804f031ca9f8f56d74d3a5ed71b2499b5dc3ff4cfb27eb30ab811b31d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-1020352.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,776,780,3004,3005,27901,27902,54534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2617501$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ståhle, E.</creatorcontrib><creatorcontrib>Bergström, R.</creatorcontrib><creatorcontrib>Nyström, S.-O.</creatorcontrib><creatorcontrib>Hansson, H.-E.</creatorcontrib><title>Predictive Value of Factors affecting Early Results and Complications in Eight Years of Coronary Artery Bypass Surgery</title><title>The Thoracic and cardiovascular surgeon</title><addtitle>Thorac cardiovasc Surg</addtitle><description>Summary
All cases of coronary bypass procedures without concomitant heart valve replacement occurring in a defined geographical area over a 8-year period (1980-1987) were reviewed and the 30-day mortality and complication rates associated with them were analyzed. The study comprised 3 484 patients with the diagnoses: stable (2477) or unstable (724) angina pectoris, angina pectoris combined with left ventricular aneurysm (165) or with an other complicating factor (96), postinfarction septal defect (13) and postinfarction mitral valve insufficiency (91).
The total operative mortality during the study period was 3.1 %. Persistent new Q waves in the electrocardiogram developed in 2.4 % and increased enzyme release indicating myocardial injury (S-ASAT > 2.0 μkat/L and S-CKMB isoenzyme > 1.5 μkat/L) occurred in 15 %. There were 478 complications in 378 patients (11 %).
Indication for surgery, year of surgery, NYHA class, congestive heart failure, age, sex, aortic cross-clamp time, and cardiopulmonary bypass time were significantly related to operative mortality (p < 0.05). The same variables except sex were related to complications. Myocardial infarction (new persistent Q wave) was predictable by NYHA class, aortic cross-clamp time, and cardiopulmonary bypass time. The same variables and also year of surgery, regrafting procedure, congestive heart failure, and thromboendarterectomy were predictors of myocardial injury (enzyme release).</description><subject>Angina Pectoris - mortality</subject><subject>Angina Pectoris - surgery</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Coronary Disease - mortality</subject><subject>Coronary Disease - surgery</subject><subject>Heart Aneurysm - surgery</subject><subject>Heart Septal Defects, Ventricular - surgery</subject><subject>Humans</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Myocardial Infarction - surgery</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Postoperative Complications - mortality</subject><subject>Prognosis</subject><subject>Time Factors</subject><issn>0171-6425</issn><issn>1439-1902</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UEtr3DAQFiUl2aa99lbQKTeno5dlH5NlkxYCLX1BT0KWRxsF29pI9sL--yrskltPHzPfg5mPkI8Mrhko9TlXHEBXDDgIxd-QFZOirVgL_IysgGlW1ZKrC_Iu5ycAJpumPSfnvGZaAVuR_feEfXBz2CP9Y4cFafT0zro5pkyt91ioaUs3Ng0H-gPzMsxlP_V0HcfdEJydQ5wyDRPdhO3jTP-iLcaSsY4pTjYd6E2ascDtYWdzpj-XtC3je_LW2yHjhxNekt93m1_rL9XDt_uv65uHynEpeNV6DVDLBqQHwZxtfeNV3WvZC6uw16zjsm071TvhvXS-4xo7AbZrGOsE68UluTrm7lJ8XjDPZgzZ4TDYCeOSjW6l0orXRXh9FLoUc07ozS6FsdxvGJiXok02L0WbU9HF8OmUvHQj9q_yU7OFr478_BhwRPMUlzSVV_-X9w8YV4ep</recordid><startdate>198912</startdate><enddate>198912</enddate><creator>Ståhle, E.</creator><creator>Bergström, R.</creator><creator>Nyström, S.-O.</creator><creator>Hansson, H.-E.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198912</creationdate><title>Predictive Value of Factors affecting Early Results and Complications in Eight Years of Coronary Artery Bypass Surgery</title><author>Ståhle, E. ; Bergström, R. ; Nyström, S.-O. ; Hansson, H.-E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2432-9f70064804f031ca9f8f56d74d3a5ed71b2499b5dc3ff4cfb27eb30ab811b31d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Angina Pectoris - mortality</topic><topic>Angina Pectoris - surgery</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Coronary Disease - mortality</topic><topic>Coronary Disease - surgery</topic><topic>Heart Aneurysm - surgery</topic><topic>Heart Septal Defects, Ventricular - surgery</topic><topic>Humans</topic><topic>Mitral Valve Insufficiency - surgery</topic><topic>Myocardial Infarction - surgery</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Postoperative Complications - mortality</topic><topic>Prognosis</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ståhle, E.</creatorcontrib><creatorcontrib>Bergström, R.</creatorcontrib><creatorcontrib>Nyström, S.-O.</creatorcontrib><creatorcontrib>Hansson, H.-E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Thoracic and cardiovascular surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ståhle, E.</au><au>Bergström, R.</au><au>Nyström, S.-O.</au><au>Hansson, H.-E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive Value of Factors affecting Early Results and Complications in Eight Years of Coronary Artery Bypass Surgery</atitle><jtitle>The Thoracic and cardiovascular surgeon</jtitle><addtitle>Thorac cardiovasc Surg</addtitle><date>1989-12</date><risdate>1989</risdate><volume>37</volume><issue>6</issue><spage>355</spage><epage>360</epage><pages>355-360</pages><issn>0171-6425</issn><eissn>1439-1902</eissn><abstract>Summary
All cases of coronary bypass procedures without concomitant heart valve replacement occurring in a defined geographical area over a 8-year period (1980-1987) were reviewed and the 30-day mortality and complication rates associated with them were analyzed. The study comprised 3 484 patients with the diagnoses: stable (2477) or unstable (724) angina pectoris, angina pectoris combined with left ventricular aneurysm (165) or with an other complicating factor (96), postinfarction septal defect (13) and postinfarction mitral valve insufficiency (91).
The total operative mortality during the study period was 3.1 %. Persistent new Q waves in the electrocardiogram developed in 2.4 % and increased enzyme release indicating myocardial injury (S-ASAT > 2.0 μkat/L and S-CKMB isoenzyme > 1.5 μkat/L) occurred in 15 %. There were 478 complications in 378 patients (11 %).
Indication for surgery, year of surgery, NYHA class, congestive heart failure, age, sex, aortic cross-clamp time, and cardiopulmonary bypass time were significantly related to operative mortality (p < 0.05). The same variables except sex were related to complications. Myocardial infarction (new persistent Q wave) was predictable by NYHA class, aortic cross-clamp time, and cardiopulmonary bypass time. The same variables and also year of surgery, regrafting procedure, congestive heart failure, and thromboendarterectomy were predictors of myocardial injury (enzyme release).</abstract><cop>Germany</cop><pmid>2617501</pmid><doi>10.1055/s-2007-1020352</doi><tpages>6</tpages></addata></record> |
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| issn | 0171-6425 1439-1902 |
| language | eng |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Angina Pectoris - mortality Angina Pectoris - surgery Coronary Artery Bypass - mortality Coronary Disease - mortality Coronary Disease - surgery Heart Aneurysm - surgery Heart Septal Defects, Ventricular - surgery Humans Mitral Valve Insufficiency - surgery Myocardial Infarction - surgery Outcome and Process Assessment (Health Care) Postoperative Complications - mortality Prognosis Time Factors |
| title | Predictive Value of Factors affecting Early Results and Complications in Eight Years of Coronary Artery Bypass Surgery |
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