Left ventricular size and outcomes in patients with left ventricular ejection fraction

Publication date: Available online 16 February 2020Source: The Annals of Thoracic SurgeryAuthor(s): Naoto Fukunaga, Roberto Vanin Pinto Ribeiro, Myriam Lafreniere-Roula, Cedric Manlhiot, Mitesh V. Badiwala, Vivek RaoAbstractBackgroundThe interactive relationship between left ventricular ejection fraction (LVEF) and LV size in predicting perioperative outcomes following cardiac surgery has not been clarified.MethodsWe reviewed all patients who underwent cardiac surgery between 2010 and 2016 with either preserved LVEF (> 60%, n = 5685) or severely reduced LVEF (
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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Which form of coronary revascularization is most durable in patients with left-main coronary lesions? The randomized PRECOMBAT trial has insights for such patients who had either PCI or CABG a decade ago.Medscape Medical News
Source: Medscape Cardiology Headlines - Category: Cardiology Tags: Cardiology News Source Type: news
We read with interest the letter by Dashwood and colleagues1 on minimally invasive no-touch (MINT) saphenous vein graft (SVG) harvesting as a preferred second conduit of choice in coronary artery bypass grafting (CABG) procedures. We note that the title of the letter suggests a head-to-head competition with a clear winner and loser. We applaud their enthusiasm for continuing efforts to explore and improve CABG patency, but their optimism regarding widespread MINT SVG adoption deserves prudent review.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Letter to the Editor Source Type: research
Depression affects about 20% of Americans in their lifetime, and is one of the leading causes of disability. The rates of depression are even higher in those with cardiovascular disease (CVD). Depression affects 38% of patients undergoing coronary artery bypass graft surgery, and the risk of depression is three times as high in patients who have experienced a heart attack compared with the general population. Depression also makes it much more likely that CVD patients will be readmitted to the hospital and report heart-related symptoms. Yet much of the time, symptoms of depression in those with CVD go unrecognized. And as ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Anxiety and Depression Health Heart Health Source Type: blogs
The prognostic role of prior coronary artery bypass (CABG) in elderly patients admitted to hospital for an acute coronary syndrome (ACS) is unclear. Therefore, the aim of this study was to compare the prognosis of patients aged ≥75 years admitted for an ACS with or without prior history of CABG. The primary outcome of the study was a composite of overall mortality, recurrent non-fatal myocardial infarction (MI), non-fatal stroke and re-hospitalization for heart failure at 1-year follow-up. We included 2253 ACS patients, aged 81 (78-85) years enrolled in three multicentre studies (the Italian Elderly ACS study, the LADIE...
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
AbstractBiomechanical forces may play a key role in saphenous vein graft (SVG) disease after coronary artery bypass graft (CABG) surgery. Computed tomography angiography (CTA) of 430 post-CABG patients were evaluated and 15 patients were identified with both stenosed and healthy SVGs for paired analysis. The stenosis was virtually removed, and detailed 3D models were reconstructed to perform patient-specific computational fluid dynamic (CFD) simulations. Models were processed to compute anatomic parameters, and hemodynamic parameters such as local and vessel-averaged wall shear stress (WSS), normalized WSS (WSS*), low shea...
Source: Journal of Cardiovascular Translational Research - Category: Cardiology Source Type: research
Stress echocardiography – MCQ – Answer Stress echocardiography is useful when – Correct answer: d) All of the above Hibernating myocardium is viable myocardium Low dose dobutamine infusion improves the contraction of hibernating myocardial segments which are chronically ischemic. Such patients may benefit from revascularization procedures like coronary artery bypass grafting or percutaneous coronary intervention. Back to question
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Medicine MCQ - CVS Source Type: blogs
AbstractBackground and Aim of the StudyVentricular septal defect (VSD) following myocardial infarction (MI) is a relatively infrequent complication with high mortality. We sought to investigate the effect of concomitant coronary artery bypass graft (CABG) on outcomes following post ‐MI VSD repair.MethodsElectronic search was performed to identify all relevant studies published from 2000 to 2018. Sixty ‐seven studies were selected for the analysis comprising 2174 patients with post‐MI VSD. Demographic information, perioperative variables, and outcomes including survival data were extracted and pooled for systematic re...
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Coronary artery disease (CAD) has been considered a relative contraindication for concomitant cardiac surgery during lung transplantation. We investigated a cohort of older patients who underwent concomitant coronary artery bypass grafting (CABG) with lung transplantation, to determine whether surgical outcomes were acceptable.
Source: The Journal of Heart and Lung Transplantation - Category: Transplant Surgery Authors: Tags: (930) Source Type: research
Coronary artery disease (CAD) has been considered a relative contraindication for concomitant cardiac surgery during lung transplantation. We investigated a cohort of younger patients who underwent concomitant coronary artery bypass grafting (CABG) with lung transplantation, to determine whether surgical outcomes were acceptable.
Source: The Journal of Heart and Lung Transplantation - Category: Transplant Surgery Authors: Tags: (929) Source Type: research
(American College of Cardiology) In a study with the longest follow-up to date of patients with a high-risk form of heart disease known as left main coronary artery disease (LMCAD), researchers found no significant differences in rates of death, heart attack or stroke between patients who were treated with a stent and those who underwent heart bypass surgery. The research was presented at the American College of Cardiology's Annual Scientific Session Together with World Congress of Cardiology (ACC.20/WCC).
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
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