Acute heart failure in surgery of coronary artery disease

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Perioperative acute heart failure or low cardiac output syndrome occurs in 9—20% patients after coronary artery bypass surgery. It is an important postoperative complication increasing in-hospital mortality and significantly aggravating early postoperative period. Patients with multiple-vessel coronary artery disease and low left ventricular ejection fraction caused by extensive scaring lesions and hibernation of the viable myocardium comprise a separate group in coronary surgery. Complete surgical revascularization is preferred in these patients, as it improves the long-term prognosis of life. At the same time, this procedure is associated with higher risk of perioperative heart failure and in-hospital mortality. Searching for the best method reducing this risk is being continued. This review is devoted to effectiveness of coronary artery bypass grafting in patients with low left ventricular contractility, methods of preparing for surgery, the role and methods of diagnosing a viable myocardium. Risk factors of perioperative acute heart failure, methods of its diagnosis and treatment are discussed.

Keywords:

coronary artery bypass grafting

viable myocardium

perioperative acute heart failure

low cardiac output syndrome

Authors:

Gazizova V.P.

Chazov National Medical Research Center of Cardiology

Vlasova E.E.

National Medical Research Center of Cardiology

RSCI AuthorID: 289380
Scopus AuthorID: 7006174730
ORCID: 0000-0003-2925-244X

Shiryaev A.A.

Chazov National Medical Research Centre of Cardiology

ORCID: 0000-0002-3325-9743

Akchurin R.S.

Chazov National Medical Research Centre of Cardiology

ORCID: 0000-0002-2105-8258

Received:

27.07.2022

Accepted:

08.08.2022

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