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(n=| Lچ=aiو~~wlP1yY7rIzU`'#`uUWqwL)gϳJ=qFI˦&f=̄p>stream 2014-12-18T17:40:14-03:00 2014-12-18T17:40:05-03:00 2014-12-18T17:40:14-03:00 Adobe InDesign CS5 (7.0.4) application/pdf uuid:13b470be-d737-4dad-856b-a484d48863af uuid:f2c99df5-4457-4f84-b9f8-22508cbf58e2 Adobe PDF Library 9.9 endstream endobj 24 0 obj <>stream h2P0Pw/+Q0L)61 )I30i1P`XʂTb;;{ endstream endobj 25 0 obj <>stream h2T0Pw.JM,sI,Ip220414204710050V70Pׄ/pLOJUsI-LSp6U033Ob ܘT9.n >IEE zvv5( endstream endobj 26 0 obj <>/Filter/FlateDecode/ID[<286654D37E8958458550DC6AD8B91CE4><3926BE1C6E114F499AF2C6446D85B99F>]/Info 39 0 R/Length 117/Root 41 0 R/Size 40/Type/XRef/W[1 3 1]>>stream hbb&FF7 L@)"U@$s$d|,DJpUgن)l0' f7Ha- 7 ,xKAlA0HD22\l endstream endobj startxref 116 %%EOF Riesgo inmediato y alejado de la cirugía de revascularización miocárdica en el síndrome coronario agudo - Archivo PPCT

Riesgo inmediato y alejado de la cirugía de revascularización miocárdica en el síndrome coronario agudo;
Short- and Long-term Risk of Coronary Artery Bypass Graft Surgery in Acute Coronary Syndrome

Creators:Camporrotondo, Mariano; Instituto Cardiovascular de Buenos Aires, Espinoza, Juan; Instituto Cardiovascular de Buenos Aires, Costabel, Juan Pablo; Instituto Cardiovascular de Buenos Aires, Vrancic, Mariano; Instituto Cardiovascular de Buenos Aires, Piccinini, Fernando; Instituto Cardiovascular de Buenos Aires, Camou, Juan; Instituto Cardiovascular de Buenos Aires, Bonazzi, Solange; Instituto Cardiovascular de Buenos Aires, Lupiañez, Bernardo; Instituto Cardiovascular de Buenos Aires, Benzadon, Mariano; Instituto Cardiovascular de Buenos Aires, Navia, Daniel; Instituto Cardiovascular de Buenos Aires

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Descripción

Introducción En el síndrome coronario agudo sin elevación del segmento ST (SCASEST) la angioplastia transluminal coronaria es el método de revascularización más utilizado, sin embargo, la cirugía de revascularización miocárdica (CRM) en la actualidad es una alternativa terapéutica menos compleja y de bajo riesgo que permite tratar este tipo de pacientes con buenos resultados. Objetivos El propósito de este trabajo fue comparar la evolución precoz y alejada de los pacientes sometidos a CRM según el cuadro clínico de presentación. Materiales y Métodos Entre enero de 1998 y Julio de 2013 se realizó CRM aislada en 3604 pacientes en forma consecutiva.  La población se dividió en pacientes con SCASEST (Grupo SCA; n = 2079) o con Angina Crónica Estable (Grupo ACE, n = 1525). Se efectuó un análisis de la morbimortalidad postoperatoria y al seguimiento. Resultados El grupo ACE tuvo mayor uso de mamaria bilateral (58,2% Vs. 50,3%, p=0,001) y mayor tiempo operatorio (211 Vs. 203 minutos, p=0,002). El grupo SCA presentó más bajo gasto cardiaco postoperatorio (4,5% Vs. 3,1%, p=0,043). La mortalidad hospitalaria fue mayor en los pacientes con SCA (2,8 Vs 1,8%, p=0,046). Luego de ajustar por score de riesgo no hubo diferencia estadísticamente significativa en la mortalidad hospitalaria (1.3% en ACE Vs. 1.6% en SCA, p = 0,681), ni en la tasa de complicaciones postoperatorias. La sobrevida global alejada al seguimiento a 10 años no fue diferente entre grupos (ACE 85% ± 1,3 Vs. SCA 83% ± 1,1, p =0,363). El tiempo libre de reintervención a los 10 años fue similar entre ambos grupos (ACE 89,5% ± 1,2 Vs. SCA 89,1% ± 0,9, p = 0,1680). Estos resultados se mantuvieron luego de ajustar por score de riesgo. Conclusiones Los pacientes sometidos a CRM en el contexto de un SCASEST presentaron una mayor mortalidad perioperatoria pero con una evolución a largo plazo similar a los pacientes intervenidos en forma electiva. No hubo diferencias en la mortalidad perioperatoria cuando se ajustó por score de riesgo.

Background: Percutaneous coronary intervention is the revascularization procedure most widely used in patients with non-ST-segment elevation acute coronary syndrome (NSTEACS). However, coronary artery bypass graft surgery is a therapeuticalternative which allows treating these patients with a favorable outcome.Objectives: The aim of this study was to compare in-hospital and long-term outcome of patients undergoing coronary arterybypass graft surgery according to their clinical presentation.Methods: Between January 1998 and July 2013, 3604 consecutive patients underwent isolated coronary artery bypass graftsurgery. The population was divided in patients with NSTEACS (ACS Group, n = 2079) or with chronic stable angina (CSAGroup, n = 1525). Postoperative and at follow-up morbidity and mortality were analyzed.Results: The CSA group had greater use of double mammary artery (58.2% vs. 50.3%; p = 0.001) and longer operative time(211 min vs. 203 min; p = 0.002). The ACS Group presented lower postoperative cardiac output (4.5% vs. 3.1%; p = 0.043) andhigher in-hospital mortality (2.8% vs. 1.8%; p = 0.046). After adjusting for risk score, there were no statistically significantdifferences in in-hospital mortality (1.3% in CSA vs. 1.6% in ACS; p = 0.681) or in the rate of postoperative complicationsbetween the two groups. Overall long-term survival at 10 years was not different between groups (CSA 85% ± 1.3% vs. ACS83% ± 1.1%; p = 0.363). The time-related freedom from reintervention was similar for both groups (CSA 89.5% ± 1.2% vs.ACS 89.1% ± 0.9%; p = 0.1680). These results did not change after adjusting for risk score.Conclusions: Patients with NSTEACS submitted to coronary artery bypass graft surgery presented greater perioperativemortality, but a long-term outcome similar to patients undergoing elective surgery. No difference in perioperative mortalitywas found between both groups after adjusting for risk score.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 82, No 6 (2014); 487-492, Argentine Journal of Cardiology; Vol 82, No 6 (2014); 487-492

Citación

Camporrotondo, Mariano; Instituto Cardiovascular de Buenos Aires et al., “Riesgo inmediato y alejado de la cirugía de revascularización miocárdica en el síndrome coronario agudo,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8674.

Dublin Core

Autor

Camporrotondo, Mariano; Instituto Cardiovascular de Buenos Aires
Espinoza, Juan; Instituto Cardiovascular de Buenos Aires
Costabel, Juan Pablo; Instituto Cardiovascular de Buenos Aires
Vrancic, Mariano; Instituto Cardiovascular de Buenos Aires
Piccinini, Fernando; Instituto Cardiovascular de Buenos Aires
Camou, Juan; Instituto Cardiovascular de Buenos Aires
Bonazzi, Solange; Instituto Cardiovascular de Buenos Aires
Lupiañez, Bernardo; Instituto Cardiovascular de Buenos Aires
Benzadon, Mariano; Instituto Cardiovascular de Buenos Aires
Navia, Daniel; Instituto Cardiovascular de Buenos Aires

Fuente

Revista Argentina de Cardiología; Vol 82, No 6 (2014); 487-492
Argentine Journal of Cardiology; Vol 82, No 6 (2014); 487-492

Editor

Sociedad Argentina de Cardiología

Fecha

2014-12-23

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Idioma

eng
spa

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion