title: Early and late results following emergency isolated myocardial revascularization during hypothermic fibrillatory arrest.
abstract: From January, 1982, through November, 1985, 127 consecutive patients had emergency isolated myocardial revascularization during hypothermic fibrillatory arrest. Mean age was 62.3 years; 27 patients (21.2%) were older than 70 years. Mean ejection fraction was 0.49, with 20 (15.7%) less than 0.35. Intraaortic balloons were present in 109 patients (85.8%). Nitroglycerin was given intravenously to 97 patients (76.3%), and thrombolytic therapy had been used in 12 patients (9.4%). Indications for operation were postinfarction ischemia in 61 patients (48.0%), preinfarction unstable angina in 44 (34.6%), acute ischemia following failed percutaneous angioplasty in 14 (11.0%), and cardiogenic shock in 8 (6.3%). Operation was performed within 1 week of an acute infarction in 47 patients. Mean number of grafts per patient was 4.1. There was 1 hospital death (0.8%) and 1 perioperative myocardial infarction (0.8%). Actuarial survival at 45 months was 90.8 +/- 2.9%. Mean New York Heart Association Classification for the 117 long-term survivors was 1.12.
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007036:Hypothermia, Induced / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*