55. Coronary artery bypass graft for cardiogenic shock post STEMI patients

摘要

Cardiogenic shock (CS) complicating AMI continues to have a high mortality of 60–80% despite early revascularization and adjunctive therapies. AMI-CS complicates 5–7% of cases of STEMI and is a leading cause of hospital death AMI. We studied the outcome of CABG for AMI-CS patients. From 10-2013 to 9-2015, 24 patients with post STEMI cardiogenic shock were admitted and underwent emergency CABG. Mean pre-operative ejection fraction (EF) was 29.7 ± 8.4%. 8 patients were on IABP pre-operatively. Operative mortality rate was 21%. Survival rate was 79% and mean follow-up of 10.21 ± 4.8 months. CABG should be considered for patients with AMI complicated by cardiogenic shock when PCI can not be done.