Evidence map›Paper›PMID 39840188›Full record

ArticleCureus2024

Outcomes of Coronary Artery Bypass Grafting in Patients With Impaired Left Ventricular Function and the Role of Preoperative Myocardial Viability.

Muhammad Aasim, Raheela Aziz, Atta Ul Mohsin, Raheel Khan, Ayesha Zahid, Muhammad Awais, Leonardo A Marquez Roa, Nauman Shaukat, Jibran Ikram

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Muhammad AasimCardiac Surgery, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Raheela AzizCardiovascular Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Atta Ul MohsinCardiac Surgery, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Raheel KhanCardiac Surgery, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Ayesha ZahidCardiovascular Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Muhammad AwaisCardiovascular Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Leonardo A Marquez RoaOutcomes Research, Cleveland Clinic Foundation, Cleveland, USA.
Nauman ShaukatCardiovascular Medicine, Royal Cornwall Hospitals NHS Trust, Truro, GBR.
Jibran IkramCardiovascular Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Coronary artery bypass grafting (CABG) improves outcomes in patients with ischemic left ventricular (LV) dysfunction, but accurate patient selection remains critical. Late gadolinium enhancement (LGE) on cardiac magnetic resonance (CMR) imaging aids in assessing myocardial viability, a key predictor of surgical outcomes. This study aimed to evaluate the impact of myocardial viability on postoperative outcomes in patients undergoing CABG. Methods This was a single-center prospective analysis of clinical outcomes in 37 patients with impaired LV function (mean ejection fraction: 35.59%); myocardial viability was assessed using LGE-CMR prior to CABG. Patient demographics, perioperative details, and short-term outcomes, including in-hospital mortality and recovery metrics, were analyzed. Results Patients exhibited high myocardial viability (mean: 88.16%), with an average of 2.35 non-viable segments. In-hospital mortality was 5.4% (n=2), and the mean hospital stay was six days. Patients with greater viability demonstrated better recovery and fewer complications. Multivessel coronary artery disease was prevalent (94.6%, n=35), with tailored graft configurations addressing individual anatomical and disease complexities. Conclusion LGE-CMR is a valuable tool for predicting outcomes in ischemic LV dysfunction. Myocardial viability strongly correlates with improved surgical recovery, highlighting the importance of integrating LGE-CMR into preoperative decision-making. Further studies are required to explore the long-term impact of myocardial viability on treatment outcomes and quality of life.

Indexed as

cardiac magnetic resonance (cmr) imagingcoronary artery bypass grafting (cabg)echocardiographyischemic left ventricular dysfunctionlate gadolinium enhancement (lge)myocardial viability

Identifiers

PMID39840188
PMCPMC11750051

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.