RISK-FACTORS OF DEVELOPMENT OF ACUTE PERI OPERATIVE HEART-FAILURE IN PATIENTS WITH POSTINFARCTION LEFT-VENTRICULAR ANEURYSMS

Authors
SKRIDLEVSKAYA EA AGAPOV AA SHIRYAEV AA LEPILIN MG AKCHURIN RS
Citation
Ea. Skridlevskaya et al., RISK-FACTORS OF DEVELOPMENT OF ACUTE PERI OPERATIVE HEART-FAILURE IN PATIENTS WITH POSTINFARCTION LEFT-VENTRICULAR ANEURYSMS, Kardiologia, 37(2), 1997, pp. 44-47
Citations number
17
Categorie Soggetti
Cardiac & Cardiovascular System
Journal title
Kardiologia → ACNP
ISSN journal
00229040
Volume
37
Issue
2
Year of publication
1997
Pages
44 - 47
Database
ISI
SICI code
0022-9040(1997)37:2<44:RODOAP>2.0.ZU;2-E
Abstract
Risk factors of development of acute heart failure in perioperative pe riod were studied in 42 patients with left ventricular aneurysms after myocardial infarction. Data analyzed included history and results of physical examination, ECG, chest x-ray, coronary angiography, biplane ventriculography and Tl-201 myocardial scintigraphy during exercise. T he rate of development of acute heart failure depended on the initial severity of angina and heart failure, degree and extent of coronary ar tery stenotic lesions and dimensions of myocardial scar. Conclusion wa s made that choice of surgical tactics based on thorough preoperative investigation according to the proposed protocol should diminish risk of perioperative acute heart failure in patients with postinfarction l eft ventricular aneurysms.