Is urgent coronary artery bypass grafting a safe option in octogenarians? A developing country perspective
Zubair Luqman 1*,
Junaid Ansari 1,
Fahad Javaid Siddiqui 1,
Shahid Ahmed Sami 1
1 The Aga Khan University Hospital. Karachi, Pakistan
* To whom correspondence should be addressed. E-mail: zubair.luqman{at}aku.edu.
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Abstract |
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Life expectancy has increased during recent decades leading to a growing number of older population. The objective of this study was to evaluate the outcomes of coronary artery bypass grafting (CABG) in octogenarians and to compare the outcomes of the emergent CABG with elective surgery. Prospectively collected data from 31 consecutive octogenarian patients who underwent CABG between 1 January 2006 and 31 December 2008 were analyzed. Main outcomes of interest included mortality, length of ICU stay, length of hospital stay, priority of surgery, postoperative complications and functional status on follow-up. Fifteen patients were operated on an urgent basis. Patients operated on an urgent basis were in NYHA class III or IV preoperatively (p=0.0016). There were no significant differences in operative and postoperative variables. There were 3 in-hospital deaths and 23 patients (82%) were alive on follow-up and 19 were in functional class I or II. Quality of life assessment was performed using Seattle Angina Questionnaire and patients reported remarkable improvement in quality of life. Overall, 90% patients were not or little disabled in their daily activity. Satisfaction with their current quality of life was reported by 95% of patients. CABG may be performed in octogenarians with remarkable outcomes and improvement in quality of life. Keywords: Octogenarian; Coronary artery bypass grafting; Elderly; Aging
