Thorac Cardiovasc Surg 2009; 56 - MP27
DOI: 10.1055/s-0029-1191550

Quality of life after emergent surgical revascularization in acute myocardial infarction

R Quaden-Bombien 1, Ö Öztürk 1, A Hagemann 1, J Schöttler 1, S Fraund-Cremer 1, G Lutter 1, J Cremer 1
  • 1University Hospital of Schleswig-Holstein, Campus Kiel, Department of Cardiovascular Surgery, Kiel, Germany

Objective: Emergent revascularization in acute myocardial infarction (AMI) is still controversially discussed. There is little information on the long term prognosis of these patients. The aim of this study is to analyze of the quality of life and long term survival after surgical revscularization after AMI.

Methods: 202 patients were analyzed since 1/2000 to 11/2008. After seven years 158 patients are still alive. These patients survived an emergent surgical revascularization in AMI and received a questionnaire containing questions to their everyday life, restrictions caused by the operation, re-emerging of AMI, and redo-CABG. Till now, 128 patients have answered. All following data refer to these 128 patients.

Results: The survival of these 202 patients was 87.2 (n=158). Redo-CABG was necessary in 3.3% of the patients, only 1.1% showed a new myocardial infarction. A better quality of life was found in 61.5%. A good health was documented in 79.1% of the patients, 82.4% feel incerasingly powerful since the operation. Nevertheless, under physical exercise 51.7% suffered from dyspnea and 31.9% from persistent angina.

Conclusion: These data demonstrate good long-term survival and quality of life after emergent surgical revascularization.