Evaluation of Left Ventricular Dyssynchrony after Coronary Artery Bypass Grafting in Patients with Ischemic Left Ventricular Dysfunction

MA  Babaee Beigi; Z  Fattah; Alireza  Moaref

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Evaluation of Left Ventricular Dyssynchrony after Coronary Artery Bypass Grafting in Patients with Ischemic Left Ventricular Dysfunction

Author(s):

MA Babaee Beigi¹,

Z Fattah¹,

Alireza Moaref^1,*

1Cardiovascular Research Center, Shiraz University of Medical Scinces, Shiraz, Iran

International Cardiovascular Research Journal:Vol. 3, issue 4; e67872

Published online:Dec 31, 2009

Article type:Research Article

Received:Feb 26, 2018

Accepted:Dec 31, 2009

How to Cite:MA Babaee BeigiZ FattahAlireza MoarefEvaluation of Left Ventricular Dyssynchrony after Coronary Artery Bypass Grafting in Patients with Ischemic Left Ventricular Dysfunction.Int Cardiovasc Res J.3(4):e67872.

Abstract

Background: Ischemic left ventricular (LV) dysfunction is one of the major causes of LV dyssynchrony. This
is indicative of poor prognosis in patients with LV dysfunction and correction of ischemia by Coronary Artery
Bypass Grafting (CABG) may resynchronize LV contraction. The aim of this study was to evaluate the effect of
CABG on LV dyssynchrony, systolic and diastolic function.
Patients: The present study comprised 31 patients with ischemic LV dysfunction with Ejection Fraction (EF:25-
50%). Echocardiography with Tissue Doppler Imaging (TDI) was performed to assess LV dyssynchrony (calculated
by basal LV segment),to evaluate diastolic function by measurement of peak early diastolic mitral annular
velocity (Em) ,systolic function by measurement of peak early systolic mitral annular velocity (Sm) and Ejection
Fraction (EF) by Simpson method.
Results: Mean LV dyssychrony before CABG was 30±16 ms that decreased to 22±14 ms after operation
(P=0.04).There was also improved diastolic and systolic function after CABG ( Em 0.04m/s versus 0.05 m/s ,
P=0.01 and Sm 0.06 m/s versus 0.08 m/s P=0.01).The mean ejection fraction rose from 40±8.6% to 42±8.2%
(P=0.01).
Conclusion: CABG is associated with improvement of LV dyssynchrony, systolic and diastolic function in
patients with ischemic LV dysfunction.

Keywords

Dyssynchrony

CABG

Tissue Doppler Echocardiography

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