OP-145 THE INFLUENCE OF PERSONAL ANXIETY ON 16-YEARS INCIDENCE OF MYOCARDIAL INFARCTION MEDIATED BY SOCIAL STATUS IN FEMALE POPULATION IN RUSSIA

Abstract

Introduction: Surgical revascularization in patients with (CAD) and advanced left ventricular dysfunction has historically carried a high perioperative mortality and morbidity; however, with advances in surgical techniques and myocardial protection methods the safety of CABG surgery in those patients with poor ventricular function has been demonstrated. Those high risk patients are particularly in danger of inability to be weaned from the cardiopulmonary bypass after cardiac surgery; in those patients inotropic agents are used first, followed by the intra aortic balloon pump, if required. Objectives: The aim of the study is to assess the impact of Enoximone administration to poor cardiac function IHD patients undergoing CABG, on short term clinical outcomes. Methods: Between June 2006 and June 2011, 215 patients with ischemic heart disease with poor function i.e. ejection fraction below 30% undergoing coronary artery bypass surgery; operated upon them in Ain Shams University hospitals in Egypt. The study population was divided into two groups: • Group A consisted of 104 patients who received Enoximone (phosphodiesterase inhibitor type 3) immediately after crossclamp removal and continue till the end of the ITU stay. • Group B consisted of 111 patients who did not receive Enoximone. Exclusion criteria were hemodynamic instability, associated surgically significant valvular lesions and severe co-morbidities (renal and hepatic failure, cancer, autoimmune disease).