ISSN: 1859 - 2872
Does timing of coronary artery bypass surgery affect early outcomes in patients with non-ST-segment-elevation myocardial infarction?
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Abstract
Objective: Our study aimed to determine the impact of coronary artery bypass grafting (CABG) timing on early outcomes in patients with non-ST-segment-elevation myocardial infarction. Subject and method: A retrospective review of 307 patients with non-ST-elevation acute myocardial infarction undergoing coronary artery bypass graft surgery at Hanoi Heart Hospital (Hanoi, Vietnam) from January 1, 2020 to December 31, 2022. We devided these patients in 3 groups: Group A (CABG < 24 hours from symptom onset - 30 patients), Group B (24-72 hours - 65 patients), Group C (> 72 hours - 212 patients). The primary outcome variable was in-hospital mortality and the secondary outcome variables were in-hospital morbility. Result: There was no difference in age, gender, comorbidities between the 3 groups. Group B had the high risk with the highest Euroscore II scores (10.05%). Overall In-hospital mortality was 4.2%. This rate of the 3 groups were 6.67%, 7.7% and 2.8%, respectively, but it did not differ statistically among the 3 groups. There was no difference in the rate of reoperation for bleeding and the duration of postoperative stay between the 3 groups. Conclusion: Timing of coronary artery bypass graft surgery did not affect early results in patients with non-ST-segment-elevation myocardial infarction
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References
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