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Table 2 Type of intervention, operative and post-operative details

From: Prognostic value of high-sensitivity cardiac troponin I early after coronary artery bypass graft surgery

 

Overall

N = 300

Type of cardiac intervention

 

CABG, n (%)

214 (71.3)

CABG + AVR, n (%)

57 (19.0)

CABG + AVR + MVR, n (%)

4 (1.3)

CABG + AVR + tricuspid valve repair, n (%)

1 (0.3)

CABG + MVR, n (%)

11 (3.7)

CABG + MVR + tricuspid valve repair, n (%)

1 (0.3)

CABG + Bentall, n (%)

4 (1.3)

CABG + Bentall + mitral valve repair, n (%)

1 (0.3)

CABG + Bentall + tricuspid valve repair, n (%)

1 (0.3)

CABG + ventricular aneurysmectomy, n (%)

1 (0.3)

CABG + AVR + ascending aorta and aortic arch replacement, n (%)

1 (0.3)

CABG + AVR + ascending aorta replacement, n (%)

1 (0.3)

CABG + MVR + AVR + ascending aorta remodeling/replacement, n (%)

3 (1.0)

Operative details

 

CABG off-pump, n (%)

7/214 (3.3)

Number of distal anastomoses

 

 1, n (%)

 2, n (%)

 3, n (%)

 4, n (%)

 5, n (%)

 6, n (%)

67 (22.3)

125 (41.7)

74 (24.7)

28 (9.3)

5 (1.7)

1 (0.3)

Left internal mammary artery graft, n (%)

270 (90)

Right internal mammary artery graft, n (%)

10 (3.3)

Saphenous vein graft, n (%)

249 (83)

Number of surgical procedures

 

 Isolated CABG, n (%)

 2 procedures, n (%)

 3 procedures, n (%)

209 (69.7)

79 (26.3)

12 (4.0)

Cardiopulmonary bypass time, minutes, median [Q1-Q3]

106 [78–133]

Aortic cross clamp time, minutes, median [Q1-Q3]

65 [47–99]

Post-operative details

 

Post-operative creatinine, mg/dl, median [Q1-Q3]

0.99 [0.82–1.23]

Post-operative hs-cTn I, ng/L, median [Q1-Q3] (patients)

 

 0 h

 3–6 h

 9–12 h

 15–18 h

 21–24 h

 33–36 h

 39–48 h

1353 [674–2469] (299)

2299 [1383–4242] (289)

2481 [1529–5409] (280)

2109 [1094–5156] (251)

1592 [814–3945] (257)

1057 [561–2940] (248)

1064 [458–3328] (162)

ECG criteria (new Q wave), n (%)

6 (2.0)

Echocardiographic criteria (new regional wall motion abnormalities), n (%)

19/299* (6.4)

Post-operative evidence of thrombotic occlusion of the graft and/or native coronary artery, n (%)

3 (1.0)

PMI, n (%)

24 (8.0)

Post-operative LVEF, %, median [Q1-Q3], (patients)

60 [50–64] (299)

Post-operative LVEF decrease ≥ 10%, n (%)

32/299* (10.7)

In-hospital composite morbidity after surgery

 

 Stroke, n (%)

3 (1.0)

 Need for renal replacement therapy, n (%)

9 (3)

 IABP/ECMO support, n (%)

6 (2.0)

 Reintervention, n (%)

7 (2.3)

In hospital all-cause death, n (%)

5 (1.7)

Time from intervention to discharge/transfer, days, median [Q1–Q3]

9 [7–13]

  1. AVR: aortic valve replacement; CABG: coronary artery bypass grafting; ECMO: extracorporeal membrane oxygenation; hs-cTn I: high-sensitivity cardiac troponin I; IABP: intra-aortic balloon pump; LVEF: left ventricular ejection fraction; MVR: mitral valve replacement; PCI: percutaneous coronary intervention; PMI: periprocedural myocardial infarction
  2. *One patient died before post-operative echocardiography could be performed