%0 Journal Article
%T Coronary Artery Bypass Surgery for Patients Presenting with Ventricular Arrhythmias: Propensity Matched Early and Late Outcome
%A Ahmed M. Habib
%A Azar Hussain
%A Martin Jarvis
%A Alexander Cale
%A Michael Cowen
%A Dumbor Ngaage
%A Mubarak Chaudhry
%A Mahmoud Loubani
%J World Journal of Cardiovascular Surgery
%P 40-50
%@ 2164-3210
%D 2018
%I Scientific Research Publishing
%R 10.4236/wjcs.2018.82005
%X Objectives</span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">:</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"> Patients with ischemic ventricular arrhythmia (IVA) in the form of
fibrillation or tachycardia represent a surgical challenge. Evidence in the
literature suggests that ventricular arrhythmia threatens survival even after
cardiac surgery. We aim to review the results of our patients presenting with
IVA with regard to short and long term outcome following cardiac surgery.
Methods</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">:</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"> This was a retrospective study of data entered prospectively into our
cardiac surgical database between January 1999 and September 2015. A total of
9609 patients underwent Cardiac Surgery which included 54 patients after
surviving IVA. The short-</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">and long-term outcomes were compared to a propensity matched group.
Actuarial survival was calculated using Kaplan Meier analysis. Results</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">:</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"> The 54 study group patients were propensity matched on a 1:2 basis with
a control group of non-IVA (n</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">=</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">108). The baseline preopera</span><span style=\"font-family:Verdana;\">tive
characteristics and risk factors were similar between the 2 groups and all
cases underwent CABG only. Univariate analysis showed pacing postoperatively
(33.3 vs 66.7%; p</span></span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span
%K Ischemic Ventricular Arrhythmia (IVA)
%K Ventricular Fibrillation (VF)
%K Implantable Cardioverter (ICD)
%K Coronary Artery Disease (CAD)
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=82482