Low left ventricular ejection fraction, complication rescue, and long-term survival after coronary artery bypass grafting
The Journal of Thoracic and Cardiovascular Surgery Apr 24, 2020
Omer S, Adeseye A, Jimenez E, et al. - Researchers investigated the correlation between low left ventricular ejection fraction (LVEF), complication rescue, and long-term survival after isolated coronary artery bypass grafting. Veterans Affairs Surgical Quality Improvement Program data were used to perform national cohort study of 61,477 patients who underwent isolated coronary artery bypass grafting (2000-2016). Among these patients, 6,586 (10.7%) had a perioperative complication and 2,056 (3.3%) had multiple complications. Greater odds of complications were observed in correlation with decreasing ejection fraction when compared with LVEF ≥ 35%. A dose–response relationship was observed between decreasing LVEF and overall risk of death. Patients who were rescued from complications had decreases in 10-year survival, regardless of LVEF. Among those rescued after multiple complications, association was no longer observed between LVEF and risk of death.
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