ISCHAEMIC HEART DISEASE - SURGICAL TREATMENT AND POST-OPERATIVE COMPLICATIONS
Objective: The aim of this study is to evaluate post-operative complications after myocardial revascularisation in patients with very severe ischaemic heart disease. Men typically have a higher incidence of coronary disease than women. Ischaemic heart disease is characterised by reduced blood supply to the heart. The coronary arteries supply blood to the heart muscle, and since no alternative blood supply exists, a blockage in the coronary arteries reduces the supply of blood to the heart muscle. Myocardial infarction can cause very severe dysfunction of the left ventricle. In spite of new medical and surgical treatments, the number of patients with ischaemic disease is constantly increasing. Patients and Methods: A group of 80 patients with ischaemic heart and myocardial infarc- tion was observed, and 40 of them surgically treated in the period 2010-2013. In this study we evaluated only those surgically treated patients. The results: Post-operative complications in patients surgically treated included: ICV 2.5% (1/40); bleeding 2.5% (1/40); arrhythmia 17.5% (7/40); pleural effusion 7.5% (3/40); media- stinitis 2.5% (1/40); sepsis 2.5% (1/40); acute renal insufficiency 2.5% (1/40); multiple organ failure 7.5% (3/40); and perioperative death 2.5% (1/40). Conclusion: Surgical treatment of patients with severe ischaemic disease as a result of myocardial infarction can be performed with minimal operative and post-operative compli- cations, especially in elective cases.