Mortality and Morbidity Results Of Early Correlation Coronary Bypass Operations after Acute Myocardial Infarction

Abstract

In acute myocardial infarction (AMI) cases, mortality is highest in the first minutes of symptoms. Clinical observations emphasize the importance of providing myocardial reperfusion as soon as possible. Patients undergoing acute myocardial infarction (AMI) are initially treated medically. It has been shown that thrombolytic agents reduce mortality and protect ventricular function when used early. Together, thrombolytic therapy and angioplasty can provide the integrity and continuity of the coronary artery during MI. The aim of the study: Patients with acute ST-segment elevation MI (STEMI) or acute non-ST segment elevation MI (NSTEMI) who were hospitalized for acute coronary angiography and isolated from coronary angiographies within 6 hours underwent elective coronary artery bypass surgery (CABS). The aim of this study is to compare the morbidity and mortality results of coronary artery disease after coronary angiography. Patients and methods: 139 patients who underwent CABS between November 2011 and January 2013 were included in the study. 17 female, 62 male patients underwent early CABS after acute MI, 79 patients (group 1) with STEMI and NSTEMI with a mean age of 61.4 ± 1, The mean age was 60.1 ± 1 in the group consisting of 17 female and 43 male, and 60 patients (group 2) who did not undergo NSTEMI underwent early CABS. Result: The increase in inotropic use and intensive care unit stay was statistically significant in patients with acute MI. There was no statistically significant difference between the two groups in terms of 24-hour drainage amounts, excretion times, postoperative atrial fibrillation, cerebrovascular events and infection rates. There was no significant difference in total mortality. Interpretation: CABS operation; It can be performed safely and successfully with acceptable mortality and morbidity rates in selected patients in the early period after acute MI.

Keywords: Acute myocardial infarction, Early - stage coronary artery bypass surgery.

Special Issue of Health Sciences

DOI: 10.7176/JSTR/6-03-01