PMID- 19750849
OWN - NLM
STAT- MEDLINE
DCOM- 20091002
LR  - 20171116
IS  - 0030-9982 (Print)
IS  - 0030-9982 (Linking)
VI  - 59
IP  - 9
DP  - 2009 Sep
TI  - Coronary artery bypass surgery in old age group: is age itself a barrier?
PG  - 587-9
AB  - OBJECTIVE: To analyse the data retrospectively and identify risk factors that may 
      adversely affect mortality in patients aged seventy years and older with coronary 
      artery bypass graft (CABG). METHODS: From Jan 2003 to Oct 2007, 63 consecutive 
      patients of 70 years or older underwent primary isolated CABG on cardiopulmonary 
      bypass (CPB) in Department of Surgery, Liaquat National Hospital. Forty one (65%) 
      were male. The mean age was 72.7 +/- 3 years (range 70 to 81 years). 
      Preoperatively 83% were in New York Heart Association (NYHA) class III or IV. 
      Left main stem (LMS) lesion (> 70%) was present in 20 (32%). Renal impairment 
      (RI) with creatinine more then 2 mg/dl was present in 9 (14%) patients. History 
      of prior stroke was present in 7 (11%). Emergency surgery (within 48 hours after 
      Myocardial Infarct (MI)) was performed in 33 (52%) patients. RESULTS: The overall 
      hospital mortality (30 days) was 9.5%. The mean Parsonet score was 23 +/- 3, and 
      10 +/- 3 in those who died or survived respectively. Mean intensive care unit 
      stay was 2.3 +/- 0.7 days, mean ward stay was 6 +/- 3 days. Preoperative LMS 
      lesion or MI less then 48 hours, poor left ventriculal function, prolonged CPB 
      time and post operative stroke were the significant independent predictors of 
      operative morality. CONCLUSION: CABG can be performed in a selected elderly 
      population. Careful attention to risk factors associated with high mortality can 
      be helpful in improving post-operative morality. Age in itself may not be 
      responsible for high morality.
FAU - Dar, Mudassir Iqbal
AU  - Dar MI
AD  - Liaquat National Hospital, Stadium Road, Karachi, Pakistan.
FAU - Dar, Asim Hassan
AU  - Dar AH
FAU - Almani, Khalil
AU  - Almani K
FAU - Atta-ul-Mannan
AU  - Atta-ul-Mannan
FAU - Khan, Abdul Qadeer
AU  - Khan AQ
FAU - Rizwani, Gazala Hafeez
AU  - Rizwani GH
FAU - Ahmad, Mansoor
AU  - Ahmad M
LA  - eng
PT  - Journal Article
PL  - Pakistan
TA  - J Pak Med Assoc
JT  - JPMA. The Journal of the Pakistan Medical Association
JID - 7501162
SB  - IM
MH  - Aged
MH  - Contraindications
MH  - *Coronary Artery Bypass/mortality
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Pakistan/epidemiology
MH  - Prognosis
MH  - Retrospective Studies
EDAT- 2009/09/16 06:00
MHDA- 2009/10/03 06:00
CRDT- 2009/09/16 06:00
PHST- 2009/09/16 06:00 [entrez]
PHST- 2009/09/16 06:00 [pubmed]
PHST- 2009/10/03 06:00 [medline]
AID - 1791 [pii]
PST - ppublish
SO  - J Pak Med Assoc. 2009 Sep;59(9):587-9.