Revascularization in Severe Left Ventricular Dysfunction: Does Myocardial Viability Even Matter?
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Revascularization in Severe Left Ventricular Dysfunction: Does Myocardial Viability Even Matter?
Left ventricular dysfunction is a powerful prognostic predictor in patients with coronary artery disease and increasing number of patients with CAD and ischemic left ventricular (LV) dysfunction is a major clinical problem. Congestive heart failure is a frequent complication which is associated with significant health care costs and two-third of cases have ischemic cardiomyopathy. In such patie...
متن کاملRevascularization in severe left ventricular dysfunction.
The highest-risk patients with heart failure with reduced ejection fraction are those with ischemic cardiomyopathy and severe left ventricular systolic dysfunction (ejection fraction≤35%). The cornerstone of treatment is guideline-driven medical therapy for all patients and implantable device therapy for appropriately selected patients. Surgical revascularization offers the potential for improv...
متن کاملComplete revascularization in patients with severe left ventricular dysfunction.
OBJECTIVE This study evaluates whether patients with coronary artery disease and severely depressed left ventricular ejection fraction (LVEF) benefit from complete revascularization by multivessel coronary artery bypass. METHODS From April 1994 to May 2002, 42 patients who underwent coronary artery bypass grafting (CABG) at our institution had impaired left ventricular (LV) function [an eject...
متن کاملResults of revascularization in patients with severe left ventricular dysfunction.
OBJECTIVE In patients with coronary disease and poor left ventricular function, bypass grafting remains a surgical challenge. This study evaluates experience in 125 consecutive patients with ejection fraction less than 20% (study group). METHODS Preoperative viability studies were not used for patient selection. Clinical data were prospectively collected. The average age of the study subjects...
متن کاملMyocardial viability and survival in ischemic left ventricular dysfunction.
BACKGROUND The assessment of myocardial viability has been used to identify patients with coronary artery disease and left ventricular dysfunction in whom coronary-artery bypass grafting (CABG) will provide a survival benefit. However, the efficacy of this approach is uncertain. METHODS In a substudy of patients with coronary artery disease and left ventricular dysfunction who were enrolled i...
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ژورنال
عنوان ژورنال: Clinical Medicine Insights: Cardiology
سال: 2015
ISSN: 1179-5468,1179-5468
DOI: 10.4137/cmc.s18755