PMID- 25566709
OWN - NLM
STAT- MEDLINE
DCOM- 20150908
LR  - 20181113
IS  - 0974-5181 (Electronic)
IS  - 0971-9784 (Print)
IS  - 0971-9784 (Linking)
VI  - 18
IP  - 1
DP  - 2015 Jan-Mar
TI  - Efficacy of cardiac resynchronization with defibrillator insertion in patients 
      undergone coronary artery bypass graft: a cohort study of cardiac function.
PG  - 34-8
LID - 10.4103/0971-9784.148319 [doi]
AB  - INTRODUCTION: Cardiac resynchronization therapy (CRT) is a proven therapeutic 
      method in selected patients with heart failure and systolic dysfunction which 
      increases left ventricular function and patient survival. We designed a study 
      that included patients undergoing coronary artery bypass graft (CABG), with and 
      without CRT-defibrillator (CRT-D) inserting and then measured its effects on 
      these two groups. PATIENTS AND METHODS: Between 2010 and 2013, we conducted a 
      prospective cohort study on 100 coronary artery disease patients where candidate 
      for CABG. Then based on the receiving CRT-D, the patients were categorized in two 
      groups; Group 1 ( n = 48, with CRT-D insertion before CABG) and Group 2 ( n = 52 
      without receiving CRT-D). Thereafter both of these groups were followed-up at 1-3 
      months after CABG for mortality, hospitalization, atrial fibrillation (AF), 
      echocardiographic assessment, and New York Heart Association (NYHA) class level. 
      RESULTS: The mean age of participants in Group 1 (48 male) and in Group 2 (52 
      male) was 58 +/- 13 and 57 +/- 12 respectively. Difference between Groups 1 and 2 in 
      cases of mean left ventricular ejection fraction (LVEF) changes and NYHA class 
      level was significant ( P > 0.05). Hospitalization ( P = 0.008), mortality rate ( 
      P = 0.007), and AF were significantly different between these two groups. 
      CONCLUSIONS: The results showed that the increase in LVEF and patient's 
      improvement according to NYHA-class was significant in the first group, and 
      readmission, mortality rate and AF was increased significantly in the second 
      group.
FAU - Karbasi Afshar, Reza
AU  - Karbasi Afshar R
FAU - Ramezani Binabaj, Mahdi
AU  - Ramezani Binabaj M
AD  - Students' Research Committee, Baqiyatallah University of Medical Science, Tehran, 
      Iran.
FAU - Rezaee Zavareh, Mohammad Saeid
AU  - Rezaee Zavareh MS
FAU - Saburi, Amin
AU  - Saburi A
FAU - Ajudani, Reza
AU  - Ajudani R
LA  - eng
PT  - Journal Article
PL  - India
TA  - Ann Card Anaesth
JT  - Annals of cardiac anaesthesia
JID - 9815987
SB  - IM
MH  - Adult
MH  - Aged
MH  - Atrial Fibrillation/complications
MH  - Cardiac Resynchronization Therapy/*methods
MH  - Cardiopulmonary Bypass/*methods
MH  - Cohort Studies
MH  - *Defibrillators, Implantable
MH  - Electrocardiography
MH  - Female
MH  - *Heart Function Tests
MH  - Hospital Mortality
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Care
MH  - Prospective Studies
MH  - Stroke Volume
MH  - Ventricular Function, Left
PMC - PMC4900314
COIS- Conflict of Interest: None declared.
EDAT- 2015/01/09 06:00
MHDA- 2015/09/09 06:00
PMCR- 2015/01/01
CRDT- 2015/01/09 06:00
PHST- 2015/01/09 06:00 [entrez]
PHST- 2015/01/09 06:00 [pubmed]
PHST- 2015/09/09 06:00 [medline]
PHST- 2015/01/01 00:00 [pmc-release]
AID - AnnCardAnaesth_2015_18_1_34_148319 [pii]
AID - ACA-18-34 [pii]
AID - 10.4103/0971-9784.148319 [doi]
PST - ppublish
SO  - Ann Card Anaesth. 2015 Jan-Mar;18(1):34-8. doi: 10.4103/0971-9784.148319.