Surgical myocardial revascularization: to the issue of predictors of long-term prognosis (literature review)

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Abstract

Despite the active development of measures for the prevention and treatment of cardiovascular diseases (CVD), today the mortality rate remains high. In this regard, in recent decades, there has been a pronounced progress in the field of methods of treating patients with coronary heart disease (CHD). Undoubtedly, an important role is assigned to the improvement of methods of surgical myocardial revascularization. To reduce mortality rates it is necessary to work in various directions, including the improvement of surgical techniques, active work on the early detection of CVD. It is worth to aim at delivery a system of information support for the population on the issues of maintaining and promoting health, a healthy lifestyle, and effective drug treatment for CVD. It is actual to study factors that can influence on the course of the disease after surgery.

The search for materials was carried out by analyzing open sources of English and Russian reports in the electronic databases PubMed, MEDLINE, Scopus, eLibrary, CyberLeninka, Web of Science, RSCI. A review of the literature on works aimed at identifying the most significant predictors of poor long-term prognosis after coronary artery bypass grafting (CABG) is presented. The main predictors of an unfavourable long-term prognosis after surgical myocardial revascularization include age at the time of surgery over 60–65 years, diabetes mellitus (DM), chronic kidney disease (CKD), multivessel coronary atherosclerosis, multifocal atherosclerosis (MFA), reduced fraction ejection (EF) of the left ventricle (LV) (< 50%), index coronary bypass surgery for acute coronary syndrome (ACS), a history of acute cerebrovascular accident (ACV), and myocardial infarction (MI), LV plasty.

Contribution:
Serebryakova V.N. — research concept and design, writing the text;
Kuzmichkina M.A. — writing the text.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: August 19, 2021
Accepted: January 20, 2022
Published: August 30, 2023 

About the authors

Maria A. Kuzmichkina

Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences

Author for correspondence.
Email: kuzmariakuz@gmail.com
ORCID iD: 0000-0002-5587-3947

MD, PhD, Researcher, Laboratory of registries of cardiovascular diseases, high-tech interventions and telemedicine, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences. Tomsk, 634012, Russian Federation.

e-mail: kuzmariakuz@gmail.com 

Russian Federation

Victoria N. Serebryakova

Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences

Email: noemail@neicon.ru
ORCID iD: 0000-0002-9265-708X
Russian Federation

References

  1. Kuz’michkina M.A., Serebryakova V.N. Disability and return to work among patients undergoing surgical myocardial revascularization. Sibirskiy meditsinskiy zhurnal. 2020; 35(2): 44–9. http://doi.org/10.29001/2073-8552-2020-35-2-44-49 https://elibrary.ru/tloopo (in Russian)
  2. Bokeriya L.A., Keren M.A., Enokyan L.G., Sigaev I.Yu., Merzlyakov V.Yu., Kazaryan A.V., et al. Long-term results of coronary artery bypass grafting in elderly and geriatric patients with ischemic heart disease. Annaly khirurgii. 2012; (2): 15–21. https://elibrary.ru/sckhhf (in Russian)
  3. Bokeriya L.A., Gudkova R.G. Cardiovascular Surgery. Diseases and Congenital Malformations of the Circulatory System [Serdechno-sosudistaya khirurgiya – 2014. Bolezni i vrozhdennye anomalii sistemy krovoobrashcheniya]. Moscow; 2015. (in Russian)
  4. Bokeriya L.A., Gudkova R.G., Milievskaya E.B., Kudzoeva Z.F., Pryanishnikov V.V. Cardiovascular Surgery 2016. Diseases and Congenital Malformations of the Circulatory System [Serdechno-sosudistaya khirurgiya – 2016. Bolezni i vrozhdennye anomalii sistemy krovoobrashcheniya]. Moscow; 2017. https://elibrary.ru/yqajrg (in Russian)
  5. Kuz’michkina M.A., Serebryakova V.N. Rehabilitation of patients who underwent coronary bypass surgery from the point of view of restoring labor potential. Klinicheskaya meditsina. 2020; 98(4): 266–74. http://doi.org/10.30629/0023-2149-2020-98-4-266-274 https://elibrary.ru/ybmtaq (in Russian)
  6. Kondrikova N.V., Pomeshkina S.A., Barbarash O.L. Patient after coronary artery bypass grafting. Sibirskoe meditsinskoe obozrenie. 2017; (5): 109–14. http://doi.org/10.20333/2500136-2017-5-109-114 https://elibrary.ru/zwmsur (in Russian)
  7. Bokeriya L.A., Golukhova E.Z. Long-term results of various methods of myocardial revascularization in patients with ischemic heart disease. Kreativnaya kardiologiya. 2011; (1): 61–75. https://elibrary.ru/okmevn (in Russian)
  8. Kappetein A.P., Feldman T.E., Mack M.J., Morice M.C., Holmes D.R., Ståhle E., et al. Comparison of coronary bypass surgery with drug-eluting stenting for the treatment of left main and/or three-vessel disease: 3-year follow-up of the SYNTAX trial. Eur. Heart J. 2011; 32(17): 2125–34. https://doi.org/10.1093/eurheartj/ehr213
  9. Serruys P.W., Morice M.C., Kappetein A.P., Colombo A., Holmes D.R., Mack M.J., et al. Percutaneous coronary intervention versus coronary artery bypass grafting for sever coronary artery disease. New Engl. J. Med. 2009; 360(10): 961–72. https://doi.org/10.1056/NEJMoa0804626
  10. Bokeriya L.A., Berishvili I.I., Sigaev Yu.I. Minimally Invasive Myocardial Revascularization [Minimal’no invazivnaya revaskulyarizatsiya miokarda]. Moscow; 2001 (in Russian)
  11. Al-Ruzzeh S., George S., Yacoub M., Amrani M. The clinical outcome of off-pump coronary artery bypass surgery in the elderly patients. Eur. J. Cardiothoracic. Surg. 2001; 20(6): 1152–6. https://doi.org/10.1016/S1010-7940(01)00978-2
  12. Beauford R.B., Goldstein D.J., Sardari F.F., Karanam R., Luk B., Prendergast T.W., et al. Multivessel off-pump revascularization in octogenarians: early and midterm outcomes. Ann. Thorac. Surg. 2003; 76(1): 12–7. https://doi.org/10.1016/S0003-4975(03)00014-6
  13. Racz M.J., Hannan E.L., Isom O.W., Subramanian V.A., Jones R.H., Gold J.P., et al. A comparison of short- and long-term outcomes after off-pump and on-pump coronary artery bypass graft surgery with sternotomy. J. Am. Coll. Cardiol. 2004; 43(4): 557–64. https://doi.org/10.1016/j.jacc.2003.09.045
  14. Wijeysundera D.N., Beattie W.S., Djaiani G., Rao V., Borger M.A., Karkouti K., et al. Off-pump coronary artery surgery for reducing mortality and morbidity: meta-analysis of randomized and observational studies. J. Am. Coll. Cardiol. 2005; 46(5): 872–82. https://doi.org/10.1016/j.jacc.2005.05.064
  15. Hogue C.W. Jr., Murphy S.F., Schechtman K.B., Dávila-Román V.G. Risk factors for early or delayed stroke after cardiac surgery. Circulation. 1999; 100(6): 642–7. https://doi.org/10.1161/01.CIR.100.6.642
  16. Best P.J., Reddan D.N., Berger P.B., Szczech L.A., McCullough P.A., Califf R.M., et al. Cardiovascular disease and chronic kidney disease: insights and an update. Am. Heart J. 2004; 148(2): 230–42. https://doi.org/10.1016/j.ahj.2004.04.011
  17. Shahian D.M., O’Brien S.M., Filardo G., Ferraris V.A., Haan C.K., Rich J.B., et al. The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1 – coronary artery bypass grafting surgery. Ann. Thorac. Surg. 2009; 88(1 Suppl.): S2–22. https://doi.org/10.1016/j.athoracsur.2009.05.053
  18. Charytan D.M., Yang S.S., McGurk S., Rawn J. Long and short-term outcomes following coronary artery bypass grafting in patients with and without chronic kidney disease. Nephrol. Dial. Transplant. 2010; 25(11): 3654–63. https://doi.org/10.1093/ndt/gfq328
  19. Marui A., Okabayashi H., Komiya T., Tanaka S., Furukawa Y., Kita T., et al. Impact of occult renal impairment on early and late outcomes following coronary artery bypass grafting. Interact. Cardiovasc. Thorac. Surg. 2013; 17(4): 638–43. https://doi.org/10.1093/icvts/ivt254
  20. Cooper W.A., O’Brien S.M., Thourani V.H., Guyton R.A., Bridges C.R., Szczech L.A., et al. Impact of renal dysfunction on outcomes of coronary artery bypass surgery: results from the society of thoracic surgeons national adult cardiac database. Circulation. 2006; 113(8): 1063–70. https://doi.org/10.1161/CIRCULATIONAHA.105.580084
  21. Chikwe J., Castillo J.G., Rahmanian P.B., Akujuo A., Adams D.H., Filsoufi F. The impact of moderate-to-end-stage renal failure on outcomes after coronary artery bypass graft surgery. J. Cardiothorac. Vasc. Anesth. 2010; 24(4): 574–9. https://doi.org/10.1053/j.jvca.2009.10.017
  22. Zakeri R., Freemantle N., Barnett V., Lipkin G.W., Bonser R.S., Graham T.R., et al. Relation between mild renal dysfunction and outcomes after coronary artery bypass grafting. Circulation. 2005; 112(9Suppl.): I270–5. https://doi.org/10.1161/CIRCULATIONAHA.104.522623
  23. Altarev S.S., Podaneva Yu.E., Malyshenko E.S., Ivanov S.V., Barbarash O.L. Risk factors for long-term, unfavorable prediction in patients after coronary bypass. Serdtse: zhurnal dlya praktikuyushchikh vrachey. 2015; 14(5): 263–72. https://doi.org/10.18087/rhj.2015.5.2098 https://elibrary.ru/vhgxgb (in Russian)
  24. Van Domburg R.T., Kappetein A.P., Bogers A.J. The clinical outcome after coronary bypass surgery: a 30-year follow-up study. Eur. Heart J. 2009; 30(4): 453–8. https://doi.org/10.1093/eurheartj/ehn530
  25. Chaitman B.R., Ryan T.J., Kronmal R.A., Foster E.D., Frommer P.L., Killip T. Coronary Artery Surgery Study (CASS): comparability of 10 year survival in randomized and randomizable patients. J. Am. Coll. Cardiol. 1990; 16(5): 1071–8. https://doi.org/10.1016/0735-1097(90)90534-V
  26. Bokeriya L.A., Golukhova E.Z., Sigaev I.Yu., Keren M.A. Modern approach towards surgical treatment of coronary heart disease in diabetic patients. Vestnik Rossiyskoy akademii meditsinskikh nauk. 2012; 67(1): 20–6. https://doi.org/10.15690/vramn.v67i1.105 https://elibrary.ru/oxnehn (in Russian)
  27. Aronson D., Edelman E.R. Revascularization for coronary artery disease in diabetes mellitus: angioplasty, stents and coronary artery bypass grafting. Rev. Endocr. Metab. Disord. 2010; 11(1): 75–86. https://doi.org/10.1007/s11154-010-9135-3
  28. Influence of diabetes on 5-year mortality and morbidity in a randomized trial comparing CABG and PTCA in patients with multivessel disease: the Bypass Angioplasty Revascularization Investigation (BARI). Circulation. 1997; 96(6): 1761–9. https://doi.org/10.1161/01.CIR.96.6.1761
  29. Yarbekov R.R., Sigaev I.Yu., Keren M.A., Nazarov A.A., Kazaryan A.V., Morchadze B.D. The long-term results of CABG in patients with diabetes and multivessel coronary artery disease. Byulleten’ NTsSSKh im. A.N. Bakuleva RAMN. Serdechno-sosudistye zabolevaniya. 2015; 16(1): 20–7. https://elibrary.ru/uaturn (in Russian)
  30. Ohman E.M., Bhatt D.L., Steg P.G., Goto S., Hirsch A.T., Liau C.S., et al. The reduction of atherothrombosis for continued health (REACH) registry: an international, prospectional investigation in subject at risk for atherothrombotic events-study design. Am. Heart J. 2006; 151(4): 786.e1–10. https://doi.org/10.1016/j.ahj.2005.11.004
  31. Barbarash L.S., Shafranskaya K.S., Kashtalap V.V., Barbarash O.L. The role of multifocal atherosclerosis in development of unfavorable cardiovascular outcomes in patients after coronary bypass grafting. Al’manakh klinicheskoy meditsiny. 2015; (38): 19–25. https://doi.org/10.18786/2072-0505-2015-38-19-26 https://elibrary.ru/udbtlz (in Russian)
  32. Shafranskaya K.S., Kazachek Ya.V., Kashtalap V.V. Incidence of adverse cardiovascular events in patients with polyvascular atherosclerosis of various extent undergone coronary artery bypass surgery. Meditsina v Kuzbasse. 2011; 10(3): 40–5. https://elibrary.ru/okibmt (in Russian)

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