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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew

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IMPACT FACTOR 2016 (Open Medicine): 0.294
IMPACT FACTOR 2016 (Central European Journal of Medicine): 0.116

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Open Access
Online
ISSN
2391-5463
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In This Section
Volume 7, Issue 3 (Jun 2012)

Issues

Coronary artery bypass surgery in patients with low EuroSCORE preoperative risk

Marija Zdravkovic
  • Clinical Hospital Center Bezanijska Kosa, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Email:
/ Miljko Ristic
  • The Clinic for Cardiovascular Surgery, Clinical Center Serbia, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Email:
/ Mirjana Krotin
  • Clinical Hospital Center Bezanijska Kosa, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Email:
/ Natasa Milic
  • Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Email:
/ Ivan Soldatovic
  • Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Email:
/ Ivana Nedeljkovic
  • The Clinic for Cardiovascular Surgery, Clinical Center Serbia, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Email:
/ Jovan Peruničić
  • The Clinic for Cardiovascular Surgery, Clinical Center Serbia, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Email:
/ Darko Zdravkovic
  • Clinical Hospital Center Bezanijska Kosa, Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Email:
Published Online: 2012-03-29 | DOI: https://doi.org/10.2478/s11536-011-0164-4

Abstract

Patients with EuroSCORE <2 are usually considered to have a low surgical risk and the lowest mortality. In our study preoperative factors in a group of 250 consecutive low-risk patients (EuroSCORE<2), who underwent first isolated coronary artery by-pass surgery during 1999 and 2000., were analyzed. Cumulative follow-up period was 1178.48 patient-years and the primary clinical outcome was all-cause mortality. Patients’ average age was 59.2±7.5 yr. The following preoperative risk factors of increased 5-year mortality were identified: older age (P<0.001), smoking, prior non-recent myocardial infarction and reinfarction, anteroseptal localization of myocardial infarction (P<0.001), poor ejection fraction<=35% (P<0.001), dilatative cardiomyopathy (P<0.001), wall motion systolic index 〉2 (P<0.001), left atrial dilatation (P<0.001), mitral regurgitation more than 2+ (P<0.001), presence of left main disease, triple vessel coronary artery disease (P<0.001), absence of collaterals (P<0.001) and presence of more than 3 distal anastomoses. Through the present study it has been shown that it is possible to identify a subgroup of patients with low operative mortality and excellent 5-year survival after surgical treatment for coronary artery bypass surgery using preoperative clinical, echocardiographic, coronarographic and intraoperative data, even in difficult conditions of the civil war in the region.

Keywords: Cardiac surgery; Coronary artery bypass; Preoperative risk prediction; EuroSCORE

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About the article

Published Online: 2012-03-29

Published in Print: 2012-06-01


Citation Information: Open Medicine, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-011-0164-4.

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© 2012 Versita Warsaw. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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