| OPCAB in acute coronary syndrome: predictors of intra-aortic balloon pump use. | |
| | |
MedLine Citation:
|
PMID: 20503829 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
AIM: Acute coronary syndrome (ACS) patients undergoing offpump coronary artery bypass (OPCAB) often require intra-aortic balloon pump (IABP) support. Indications and timing of IABP insertion are controversial. A study was done to determine criteria for predicting the use of IABP in these patients. METHOD: 46 patients were operated for ACS within one week of event between January 2004 and July 2006 and categorized into, Unstable angina (UA) (n=25), with ongoing pain after late admission to emergency room (>6 hours) and acute myocardial infarction (AMI) (n=21) with AMI within 7 days of event. RESULTS: There was no statistical difference in the demographic data of two groups. UA group had higher incidence of mitral regurgitation preoperatively (p = 0.004) which improved postoperatively (p = 0.1). IABP was usedpreoperatively more in AMI group (10 vs. 6, p = 0.03). Multivariate analysis revealed pressure ratio of mean pulmonary and systemic arteries as a predictor of IABP use (p = 0.01, odds ratio 19.4, 95% CI 1.9-190). There is a significant positive correlation (r = 0.519) between IABP use and ratio of mean pulmonary and systemic arterial pressures (p = 0.004) with cutoff value at 0.40. CONCLUSION: Ratio of mean pulmonary and systemic artery of > 0.40 indicates preoperative use of IABP to complete the operation safely. |
| | |
Authors:
|
Amit Chaudhary; Shantanu Pande; Surendra K Agarwal; Udgeath Dhir; Satyendra Tewari |
Related Documents
:
|
3159939 - Management of congenital stenosis of a branch pulmonary artery with balloon dilation an... 3155589 - Morphologic changes induced by dilation of the pulmonary valve anulus with overlarge ba... 2423269 - Balloon dilatation of calcific aortic stenosis in elderly patients: postmortem, intraop... 1417249 - New side-holed sheath for intraaortic balloon pumping to maintain limb perfusion. 1008349 - An improved pulmonary angiographic technique using a balloon-tipped catheter. 17669889 - The way the intra-aortic balloon catheter moves within the aorta as a possible mechanis... 11565659 - Off-pump bypass grafting is safe in patients with left main coronary disease. 14992939 - Total right ventricular dependent coronary circulation in pulmonary atresia with intact... 17110679 - Contrast-enhanced mr angiography at 3t in the evaluation of intracranial aneurysms: a c... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Indian heart journal Volume: 61 ISSN: 0019-4832 ISO Abbreviation: Indian Heart J Publication Date: 2009 May-Jun |
Date Detail:
|
Created Date: 2010-05-27 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0374675 Medline TA: Indian Heart J Country: India |
Other Details:
|
Languages: eng Pagination: 249-53 Citation Subset: IM |
Affiliation:
|
Department of Cardiovascular and Thoracic Surgery and Cardiology Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, UP, India. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Predictors of embolic events in pediatric infective endocarditis.
Next Document: Treatment of patients with coronary artery disease with biodegradable polymer based paclitaxel-eluti...