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Gazizova V.P.
Chazov National Medical Research Center of Cardiology
Vlasova E.E.
National Medical Research Center of Cardiology
Acute heart failure in surgery of coronary artery disease
Journal: Russian Cardiology Bulletin. 2022;17(3): 5‑13
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To cite this article:
Gazizova VP, Vlasova EE, Shiryaev AA, Akchurin RS. Acute heart failure in surgery of coronary artery disease. Russian Cardiology Bulletin.
2022;17(3):5‑13. (In Russ.)
https://doi.org/10.17116/Cardiobulletin2022170315
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:
Authors:
Gazizova V.P.
Chazov National Medical Research Center of Cardiology
Vlasova E.E.
National Medical Research Center of Cardiology
Received:
27.07.2022
Accepted:
08.08.2022
List of references:
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