A Turkish Perspective on Coronary Artery Bypass Surgery and Percutaneous Coronary Artery Intervention in Chronic Heart Failure Patients

Kozdag G., Ertas G., Emre E., Yaymaci M., Celikyurt U., KAHRAMAN G., ...Daha Fazla

ANGIOLOGY, cilt.64, sa.2, ss.125-130, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 64 Sayı: 2
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1177/0003319711436074
  • Dergi Adı: ANGIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.125-130
  • Anahtar Kelimeler: coronary revascularization, coronary artery bypass graft surgery, stent implantation, chronic heart failure, coronary artery disease, ISCHEMIC CARDIOMYOPATHY, MYOCARDIAL-INFARCTION, RANDOMIZED TRIAL, REVASCULARIZATION, DISEASE, SURVIVAL, MANAGEMENT, OUTCOMES
  • Kocaeli Üniversitesi Adresli: Evet

Özet

The impact of coronary revascularization methods (coronary artery bypass graft [CABG] surgery and stent implantation) on clinical outcome has not been determined yet in patients with systolic heart failure (SHF). We examined outcomes in patients discharged from our hospital after hospitalization for decompensated SHF. Of 637 patients with SHF (mean age, 64 +/- 13 years; mean ejection fraction, 26.5% +/- 9%), 402 patients (63%) had coronary artery disease (CAD) and 235 patients (37%) had no CAD; 223 patients (35%) died because of cardiovascular reasons during follow-up. Patients who had stenting alone and patients who had CABG surgery and stenting had better prognosis than patients with CAD but no revascularization procedure (P < .001 and P = .013, respectively). In the patients with SHF having CAD who had stenting and CABG surgery + stenting may have better prognosis compared with patients with CAD who had no revascularization procedure in their past.