Analysis of Predictors of 30-Day Mortality for Patients Undergoing Surgical Repair of Post-Myocardial Infarction Ventricular Septal Defect
Yelizaveta Lebedieva
Interventional Cardiology Department, SI, Amosov National Institute of Cardiovascular Surgery NAMS of Ukraine, Kyiv, Ukraine.
Chacón-Lozsán Francisco *
Intensive Care Unit, National Institute of Pulmonology of Korányi, 16 Petőfi St. district IV, Budapest 1042, Hungary.
Ramil Aliyev
Head of Department of Cardiovascular Surgery, Hospital, Zeferan, Baku, Azerbaijan.
Mykhailo Grusha
Biology Department, Bogomolets National Medical University, Kyiv, Ukraine.
*Author to whom correspondence should be addressed.
Abstract
Aims: Despite the existence of numerous studies devoted to predictors of 30-day mortality in patients with post-myocardial infarction (MI) ventricular septum defect (VSD), the choice of surgical treatment tactics for post-MI VSD remains an item of discussion. The purpose of the research was to determine the most significant risk factors of 30-day mortality in patients with post-MI VSD in order to optimize the tactics of such patients’ surgical repair.
Study design: The retrospective analysis of the results of a comprehensive examination and surgical treatment of 88 in-patients with post-MI VSD for the period of 2002-2019 was carried out.
Results: As follows of the research findings, independent predictors of 30-day mortality in patients with post-MI VSD were determined. The predictors identified were combined into a Scoring system to stratify the risk of surgical failure in patients with post-MI VSD. Modelling the surgery outcomes makes it possible to optimize the tactics of surgical treatment of patients with post-MI VSD.
Conclusion: we have identified the most significant predictors of 30-day mortality in patients with post-MI VSD. The Score designed for mortality risk assessment is easy in use compared to other existing tools used in clinical practices when planning the surgical intervention in post-MI VSD patients. This Score may allow the stratification of post-MI VSD patients.
Keywords: Ischemic heart disease, myocardial infarction, ventricular septum defect, ventricular septum, mortality