الفهرس Only 14 pages are availabe for public view
 |  | from | 402 |  |  |
| | | from | 402 | | |
Abstract
Surgical revascularization in patients with poor left ventricular function has historically carried a high perioperative mortality and morbidity; however, with advances in surgical technique and myocardial protection the safety of CABG in select patients with ischemic cardiomyopathy has been demonstrated.
Objectives; The aim of this study is to investigate the early surgical outcome and control of angina in patients with poor left ventricular function) EF<35%) in comparison with patients having normal left ventricular function(EF>50%) and to quantify any improvement in over all functional status of the left ventricle.
Patient and methods; This study includes 60 patients with ischaemic heart disease and prepared for elective coronary artery bypass grafting and patients were classified into two groups;First group; 30 patients with a left ventricular function <0.35.Second group; 30 patients with a left ventricular function >0.50, all patients were subjected to conventional CABG. All patient data were collected at the operative , postoperative (Hospital stay) and 6months postoperative periods. Postoperative echocardiography during hospital stay and after 3 months..
Results; There was a significant increase in stay in ITU in LVD group (57.7±42.6 hours versus 31.5±35.1 hours in GEF group). There was non significant difference in incidence of readmission to ITU, and mean of postoperative hospital stay, when both groups were compared, . There was a significant improvement in NYHA class in both groups, There was a significant improvement in EF in both groups.