Preoperative, Multidisciplinary Clinical Optimization of Patients with Severely Depressed Left Ventricular Ejection Fraction Who Are Undergoing Coronary Artery Bypass Grafting

doi:10.1007/s40119-020-00207-1

Review

. 2021 Jun;10(1):57-66.

doi: 10.1007/s40119-020-00207-1. Epub 2020 Dec 23.

Preoperative, Multidisciplinary Clinical Optimization of Patients with Severely Depressed Left Ventricular Ejection Fraction Who Are Undergoing Coronary Artery Bypass Grafting

Islam Mohammad Shehata¹, Tiffany D Odell², Amir Elhassan³, Maxim Spektor⁴, Ivan Urits^{5

6}, Omar Viswanath^{6

7

8

9}, George M Jeha¹⁰, Elyse M Cornett⁶, Alan D Kaye¹¹

Affiliations

¹ Department of Anesthesiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
² Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA, USA.
³ Department of Anesthesiology, Desert Regional Medical Center, Palm Springs, CA, USA.
⁴ Department of Surgery, Desert Regional Medical Center, Palm Springs, CA, USA.
⁵ Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.
⁶ Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA.
⁷ Department of Anesthesiology, University of Arizona College of Medicine, Phoenix, Phoenix, AZ, USA.
⁸ Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA.
⁹ Valley Anesthesiology and Pain Consultants, Envision Physician Services, Phoenix, AZ, USA.
¹⁰ Louisiana State University Health Sciences Center, New Orleans, LA, USA.
¹¹ Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA. akaye@lsuhsc.edu.

PMID: 33367988
PMCID: PMC8126524
DOI: 10.1007/s40119-020-00207-1

Review

Preoperative, Multidisciplinary Clinical Optimization of Patients with Severely Depressed Left Ventricular Ejection Fraction Who Are Undergoing Coronary Artery Bypass Grafting

Islam Mohammad Shehata et al. Cardiol Ther. 2021 Jun.

. 2021 Jun;10(1):57-66.

doi: 10.1007/s40119-020-00207-1. Epub 2020 Dec 23.

Authors

Islam Mohammad Shehata¹, Tiffany D Odell², Amir Elhassan³, Maxim Spektor⁴, Ivan Urits^{5

6}, Omar Viswanath^{6

7

8

9}, George M Jeha¹⁰, Elyse M Cornett⁶, Alan D Kaye¹¹

Affiliations

¹ Department of Anesthesiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
² Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA, USA.
³ Department of Anesthesiology, Desert Regional Medical Center, Palm Springs, CA, USA.
⁴ Department of Surgery, Desert Regional Medical Center, Palm Springs, CA, USA.
⁵ Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.
⁶ Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA.
⁷ Department of Anesthesiology, University of Arizona College of Medicine, Phoenix, Phoenix, AZ, USA.
⁸ Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA.
⁹ Valley Anesthesiology and Pain Consultants, Envision Physician Services, Phoenix, AZ, USA.
¹⁰ Louisiana State University Health Sciences Center, New Orleans, LA, USA.
¹¹ Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA. akaye@lsuhsc.edu.

PMID: 33367988
PMCID: PMC8126524
DOI: 10.1007/s40119-020-00207-1

Erratum in

Correction to: Preoperative, Multidisciplinary Clinical Optimization of Patients with Severely Depressed Left Ventricular Ejection Fraction Who Are Undergoing Coronary Artery Bypass Grafting.
Shehata IM, Odell TD, Elhassan A, Spektor M, Urits I, Viswanath O, Jeha GM, Cornett EM, Kaye AD. Shehata IM, et al. Cardiol Ther. 2021 Dec;10(2):609-610. doi: 10.1007/s40119-021-00235-5. Cardiol Ther. 2021. PMID: 34292505 Free PMC article. No abstract available.

Abstract

Coronary artery bypass grafting (CABG) remains a routine operation despite major advancements in angioplastic procedures. Around 200,000 CABG procedures are performed annually in the U.S. Patients who are not candidates for angioplasty intervention often have advanced coronary disease and comorbidities that raise the risk of heart failure with decreased ejection fraction to around 25%. Over the years, significant developments in various preoperative interventions have occurred; in this paper, we suggest a multidisciplinary preoperative algorithm that can be included in a regularly scheduled multidisciplinary care plan.

Keywords: Cardiomyopathy; Coronary artery bypass; Low ejection fraction; Preoperative optimization.

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Figures

**Fig. 1**
Schematic representing a multidisciplinary preoperative algorithm that can be included in a regularly scheduled multidisciplinary care plan

See this image and copyright information in PMC

References

1. Sun LY, Tu JV, Bader Eddeen A, Liu PP. Prevalence and long-term survival after coronary artery bypass grafting in women and men with heart failure and preserved versus reduced ejection fraction. J Am Heart Assoc. 2018;7(12):e008902. doi: 10.1161/JAHA.118.008902. - DOI - PMC - PubMed
1. Topkara VK, Cheema FH, Kesavaramanujam S, Mercando ML, Cheema AF, Namerow PB, Argenziano M, Naka Y, Oz MC, Esrig BC. Coronary artery bypass grafting in patients with low ejection fraction. Circulation. 2005;112(9_supplement):I–344. doi: 10.1161/CIRCULATIONAHA.104.526277. - DOI - PubMed
1. Velazquez EJ, Lee KL, Jones RH, Al-Khalidi HR, Hill JA, Panza JA, Michler RE, Bonow RO, Doenst T, Petrie MC, Oh JK. Coronary-artery bypass surgery in patients with ischemic cardiomyopathy. N Engl J Med. 2016;374(16):1511–1520. doi: 10.1056/NEJMoa1602001. - DOI - PMC - PubMed
1. Wolff G, Dimitroulis D, Andreotti F, Kołodziejczak M, Jung C, Scicchitano P, Devito F, Zito A, Occhipinti M, Castiglioni B, Calveri G. Survival benefits of invasive versus conservative strategies in heart failure in patients with reduced ejection fraction and coronary artery disease: a meta-analysis. Circ Heart Fail. 2017;10(1):e003255. doi: 10.1161/CIRCHEARTFAILURE.116.003255. - DOI - PubMed
1. El Baz N, Middel B, Van Dijk JP, Boonstra PW, Reijneveld SA. Coronary artery bypass graft (CABG) surgery patients in a clinical pathway gained less in health-related quality of life as compared with patients who undergo CABG in a conventional-care plan. J Eval Clin Pract. 2009;15(3):498–505. doi: 10.1111/j.1365-2753.2008.01051.x. - DOI - PubMed

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[1] Sun LY, Tu JV, Bader Eddeen A, Liu PP. Prevalence and long-term survival after coronary artery bypass grafting in women and men with heart failure and preserved versus reduced ejection fraction. J Am Heart Assoc. 2018;7(12):e008902. doi: 10.1161/JAHA.118.008902. - DOI - PMC - PubMed

[2] Sun LY, Tu JV, Bader Eddeen A, Liu PP. Prevalence and long-term survival after coronary artery bypass grafting in women and men with heart failure and preserved versus reduced ejection fraction. J Am Heart Assoc. 2018;7(12):e008902. doi: 10.1161/JAHA.118.008902. - DOI - PMC - PubMed

[3] Topkara VK, Cheema FH, Kesavaramanujam S, Mercando ML, Cheema AF, Namerow PB, Argenziano M, Naka Y, Oz MC, Esrig BC. Coronary artery bypass grafting in patients with low ejection fraction. Circulation. 2005;112(9_supplement):I–344. doi: 10.1161/CIRCULATIONAHA.104.526277. - DOI - PubMed

[4] Topkara VK, Cheema FH, Kesavaramanujam S, Mercando ML, Cheema AF, Namerow PB, Argenziano M, Naka Y, Oz MC, Esrig BC. Coronary artery bypass grafting in patients with low ejection fraction. Circulation. 2005;112(9_supplement):I–344. doi: 10.1161/CIRCULATIONAHA.104.526277. - DOI - PubMed

[5] Velazquez EJ, Lee KL, Jones RH, Al-Khalidi HR, Hill JA, Panza JA, Michler RE, Bonow RO, Doenst T, Petrie MC, Oh JK. Coronary-artery bypass surgery in patients with ischemic cardiomyopathy. N Engl J Med. 2016;374(16):1511–1520. doi: 10.1056/NEJMoa1602001. - DOI - PMC - PubMed

[6] Velazquez EJ, Lee KL, Jones RH, Al-Khalidi HR, Hill JA, Panza JA, Michler RE, Bonow RO, Doenst T, Petrie MC, Oh JK. Coronary-artery bypass surgery in patients with ischemic cardiomyopathy. N Engl J Med. 2016;374(16):1511–1520. doi: 10.1056/NEJMoa1602001. - DOI - PMC - PubMed

[7] Wolff G, Dimitroulis D, Andreotti F, Kołodziejczak M, Jung C, Scicchitano P, Devito F, Zito A, Occhipinti M, Castiglioni B, Calveri G. Survival benefits of invasive versus conservative strategies in heart failure in patients with reduced ejection fraction and coronary artery disease: a meta-analysis. Circ Heart Fail. 2017;10(1):e003255. doi: 10.1161/CIRCHEARTFAILURE.116.003255. - DOI - PubMed

[8] Wolff G, Dimitroulis D, Andreotti F, Kołodziejczak M, Jung C, Scicchitano P, Devito F, Zito A, Occhipinti M, Castiglioni B, Calveri G. Survival benefits of invasive versus conservative strategies in heart failure in patients with reduced ejection fraction and coronary artery disease: a meta-analysis. Circ Heart Fail. 2017;10(1):e003255. doi: 10.1161/CIRCHEARTFAILURE.116.003255. - DOI - PubMed

[9] El Baz N, Middel B, Van Dijk JP, Boonstra PW, Reijneveld SA. Coronary artery bypass graft (CABG) surgery patients in a clinical pathway gained less in health-related quality of life as compared with patients who undergo CABG in a conventional-care plan. J Eval Clin Pract. 2009;15(3):498–505. doi: 10.1111/j.1365-2753.2008.01051.x. - DOI - PubMed

[10] El Baz N, Middel B, Van Dijk JP, Boonstra PW, Reijneveld SA. Coronary artery bypass graft (CABG) surgery patients in a clinical pathway gained less in health-related quality of life as compared with patients who undergo CABG in a conventional-care plan. J Eval Clin Pract. 2009;15(3):498–505. doi: 10.1111/j.1365-2753.2008.01051.x. - DOI - PubMed

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Preoperative, Multidisciplinary Clinical Optimization of Patients with Severely Depressed Left Ventricular Ejection Fraction Who Are Undergoing Coronary Artery Bypass Grafting

Affiliations

Preoperative, Multidisciplinary Clinical Optimization of Patients with Severely Depressed Left Ventricular Ejection Fraction Who Are Undergoing Coronary Artery Bypass Grafting

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