Usefulness of low-dose Dobutamine echocardiography for selection of patients with severely depressed left ventricular function for coronary bypass grafting

被引:3
|
作者
Ay, T
Pasquet, A
Robert, A
D'Hondt, AM
Noirhomme, P
Goenen, M
Melin, JA
Vanoverschelde, JLJ
机构
[1] Catholic Univ Louvain, Sch Med, Div Cardiol, B-1200 Brussels, Belgium
[2] Catholic Univ Louvain, Sch Med, Div Nucl Med, B-1200 Brussels, Belgium
[3] Catholic Univ Louvain, Sch Med, Div Intens Care, B-1200 Brussels, Belgium
[4] Catholic Univ Louvain, Sch Med, Div Cardiothorac Surg, B-1200 Brussels, Belgium
来源
AMERICAN JOURNAL OF CARDIOLOGY | 2002年 / 90卷 / 03期
关键词
D O I
10.1016/S0002-9149(02)02473-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To evaluate the prognostic impact of preoperative low-dose dobutamine echocardiography in coronary patients with an ejection fraction <25%, we compared the outcome of 62 patients who underwent bypass surgery and 42 coronary patients who underwent heart transplantation. Our data indicate that bypass surgery provides survival benefits only when significant amounts of viable myocardium are detected preoperatively by low-dose dobutamine echocardiography and that whenever myocardial viability is not detected, heart transplantation should probably be the preferred therapeutic option.
引用
收藏
页码:319 / +
页数:6
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