Long Term Results of ST-Segment Elevation Myocardial Infarction versus Non-ST-Segment Elevation Myocardial Infarction after Off-Pump Coronary Artery Bypass Grafting: Propensity Score Matching Analysis
Journal of Korean Medical Science
; : 153-159, 2012.
Article
em En
| WPRIM
| ID: wpr-156440
Biblioteca responsável:
WPRO
ABSTRACT
There is no consensus as to which acute myocardial infarction subtype poses a greater risk after coronary artery bypass grafting (CABG). We compared the early and the long term results of off-pump coronary artery bypass grafting (OPCAB) between patients with STEMI (group I, n = 83), and NSTEMI (group II, n = 237). Group I had higher EuroSCORE, prevalence of emergency surgery, preoperative intra-aortic balloon pump use, preoperative emergency percutaneous transluminal coronary angioplasty, and preoperative thrombolytic use than group II. There were no significant differences in 30-day mortality and major adverse cardiac and cerebrovascular event (MACCE) between groups. Overall 8-yr survival was 93% and 87% in groups I and II, respectively. Freedom from MACCE after 8 yr was 92% and 93% in groups I and II, respectively. After propensity score matching analysis, there were no significant differences in preoperative parameters, postoperative in-hospital outcomes, and long-term clinical outcomes. Surgical results of OPCAB in patients with acute myocardial infarction show good results in terms of long-term survival and freedom from MACCE, with no significant differences in clinical outcomes between STEMI and NSTEMI groups.
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Índice:
WPRIM
Assunto principal:
Angioplastia Coronária com Balão
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Razão de Chances
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Doença Aguda
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Intervalo Livre de Doença
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Ponte de Artéria Coronária sem Circulação Extracorpórea
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Eletrocardiografia
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Período Pré-Operatório
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Pontuação de Propensão
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Fibrinolíticos
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Infarto do Miocárdio
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
2012
Tipo de documento:
Article