| Early and late results following emergency isolated myocardial revascularization during hypothermic fibrillatory arrest. | |
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MedLine Citation:
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PMID: 2949716 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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From January, 1982, through November, 1985, 127 consecutive patients had emergency isolated myocardial revascularization during hypothermic fibrillatory arrest. Mean age was 62.3 years; 27 patients (21.2%) were older than 70 years. Mean ejection fraction was 0.49, with 20 (15.7%) less than 0.35. Intraaortic balloons were present in 109 patients (85.8%). Nitroglycerin was given intravenously to 97 patients (76.3%), and thrombolytic therapy had been used in 12 patients (9.4%). Indications for operation were postinfarction ischemia in 61 patients (48.0%), preinfarction unstable angina in 44 (34.6%), acute ischemia following failed percutaneous angioplasty in 14 (11.0%), and cardiogenic shock in 8 (6.3%). Operation was performed within 1 week of an acute infarction in 47 patients. Mean number of grafts per patient was 4.1. There was 1 hospital death (0.8%) and 1 perioperative myocardial infarction (0.8%). Actuarial survival at 45 months was 90.8 +/- 2.9%. Mean New York Heart Association Classification for the 117 long-term survivors was 1.12. |
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Authors:
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C W Akins |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 43 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1987 Feb |
Date Detail:
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Created Date: 1987-03-13 Completed Date: 1987-03-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 131-7 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angioplasty, Balloon Emergencies* Female Follow-Up Studies Humans Hypothermia, Induced / adverse effects, methods* Male Middle Aged Myocardial Infarction / complications, surgery* |
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