Prediction of myocardial contractility after coronary bypass surgery according to preoperative contrast-enhanced magnetic resonance imaging and echocardiography

N.A. Kryukov

Almazov National Medical Research Center

ORCID: 0000-0001-6185-645X

A.V. Ryzhkov

Almazov National Medical Research Centre

ORCID: 0000-0001-5226-1104

I.V. Sukhova

Almazov National Medical Research Center

ORCID: 0000-0002-7313-5307

P.V. Ananevskaya

Almazov National Medical Research Center

ORCID: 0000-0003-4725-9477

V.A. Fokin

Almazov National Medical Research Center

ORCID: 0000-0001-7885-9024

M.L. Gordeev

Almazov National Medical Research Center

SPIN RSCI: 6776-3079
Scopus AuthorID: 7003704352
ORCID: 0000-0001-5362-3226

Prediction of myocardial contractility after coronary bypass surgery according to preoperative contrast-enhanced magnetic resonance imaging and echocardiography

Authors:

N.A. Kryukov, A.V. Ryzhkov, I.V. Sukhova, P.V. Ananevskaya, V.A. Fokin, M.L. Gordeev

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(4): 75‑81

DOI: 10.17116/hirurgia202404175

Downloaded: 16

To cite this article:

Kryukov NA, Ryzhkov AV, Sukhova IV, Ananevskaya PV, Fokin VA, Gordeev ML. Prediction of myocardial contractility after coronary bypass surgery according to preoperative contrast-enhanced magnetic resonance imaging and echocardiography. Pirogov Russian Journal of Surgery. 2024;(4):75‑81. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202404175

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To establish the criteria for reversibility of myocardial contractility in patients with coronary artery disease (CAD) after coronary artery bypass grafting considering data of cardiac magnetic resonance imaging (MRI) and echocardiography.

MATERIAL AND METHODS

We studied the results of coronary artery bypass grafting in 186 patients with CAD complicated by reduced left ventricular ejection fraction (<30%). All patients underwent cardiac MRI and echocardiography before surgery. Immediate and long-term results were evaluated according to echocardiography and MRI data.

RESULTS

We confirmed the previously established predictors of improvement in left ventricular contractility: diastolic IVST ≥10.5 mm and PWT ≥9.5 mm, score of LV myocardium damage according to MRI with delayed contrast enhancement (p<0.05). Multivariate analysis makes it possible to calculate prognostic index and obtain information about further myocardial contractility after revascularization with an error of 6%.

CONCLUSION

Echocardiography and contrast-enhanced cardiac MRI are valuable to assess morphological and functional state of the left ventricle in patients with ischemic cardiomyopathy and preoperatively determine functional reserve of the myocardium.

Keywords:

myocardial viability

coronary artery disease

ischemic cardiomyopathy

coronary artery bypass grafting

direct revascularization

Authors:

N.A. Kryukov

Almazov National Medical Research Center

ORCID: 0000-0001-6185-645X

A.V. Ryzhkov

Almazov National Medical Research Centre

ORCID: 0000-0001-5226-1104

I.V. Sukhova

Almazov National Medical Research Center

ORCID: 0000-0002-7313-5307

P.V. Ananevskaya

Almazov National Medical Research Center

ORCID: 0000-0003-4725-9477

V.A. Fokin

Almazov National Medical Research Center

ORCID: 0000-0001-7885-9024

M.L. Gordeev

Almazov National Medical Research Center

SPIN RSCI: 6776-3079
Scopus AuthorID: 7003704352
ORCID: 0000-0001-5362-3226

Received:

20.08.2023

Accepted:

30.10.2023

List of references:

Bakaeen FG, Ravichandren K, Blackstone EH, Houghtaling PL, Soltesz EG, Johnston DR, Mick SL, Navia JL, Tong MZ, McCurry KR, Akhrass R, Abdallah M, Pettersson GB, Smedira NM, Roselli EE, Gillinov AM, Svensson LG. Coronary artery target selection and survival after bilateral internal thoracic artery grafting. JACC: Journal of the American College of Cardiology. 2020;75:258-268. https://doi.org/10.1016/j.jacc.2019.11.026
The Multicenter Post Infarction Research Group. Risk stratification and survival after myocardial infarction. The New England Journal of Medicine. 1983;309:331-336. https://doi.org/10.1056/nejm198308113090602
Orlandini A, Castellana N, Pascual A, Botto F, Cecilia Bahit M, Chacon C, Luz Diaz M, Diaz R. Myocardial viability for decision-making concerning revascularization in patients with left ventricular dysfunction and coronary artery disease: A meta-analysis of non-randomized and randomized studies. International Journal of Cardiology. 2015;182:494-499. https://doi.org/10.1016/j.ijcard.2015.01.025
Hwang H, Yeom S, Park E, Lee W, Jang M, Kim K. Serial cardiac magnetic resonance imaging after surgical coronary revascularization for left ventricular dysfunction. The Journal of Thoracic and Cardiovascular Surgery. 2020;159(5):1798-1805. https://doi.org/10.1016/j.jtcvs.2019.04.109
Patel H, Mazur W, Williams K, Kalra D. Myocardial viability—State of the art: Is it still relevant and how to best assess it with imaging? Trends in Cardiovascular Medicine. 2018;28(1):24-37. https://doi.org/10.1016/j.tcm.2017.07.001
Kryukov NA, Ryzhkov AV, Sukhova IV, Ananyevskaya PV, Fokin VA, Gordeev ML. Possibilities of magnetic resonance imaging in predicting of the critical reduction of left ventricle contractile function in patients with coronary artery disease after direct myocardial revascularization. Russian Journal of Cardiology. 2019;3:69-75. (In Russ.). https://doi.org/10.15829/1560-4071-2019-3-69-75
Kryukov NA, Ryzhkov AV, Suhova IV, Kucherenko VS, Fokin VA, Gordeev ML. Evaluation of changes in regional and global contractile function of the left ventricle in patients with coronary heart disease after direct myocardium revascularization based on results of delayed contrast enhancement MRI and echocardiography. Bulletin of Pirogov National Medical & Surgical Center. 2019;2(14):67-71. (In Russ.). https://doi.org/10.25881/BPNMSC.2019.28.85.015
Asai T. Commentary: Ischemic left ventricular dysfunction needs durable complete surgical coronary revascularization. The Journal of Thoracic and Cardiovascular Surgery. 2020;159(5):1806. https://doi.org/10.1016/j.jtcvs.2019.05.047
Souto A, Souto R, Teixeira I, Nacif M. Myocardial Viability on Cardiac Magnetic Resonance. Arquivos Brasileiros de Cardiologia. 2017;108(5):458-469. https://doi.org/10.5935/abc.20170056
Glaveckaite S, Valeviciene N, Palionis D, Puronaite R, Serpytis P, Laucevicius A. Prediction of long-term segmental and global functional recovery of hibernating myocardium after revascularisation based on low dose dobutamine and late gadolinium enhancement cardiovascular magnetic resonance. Journal of Cardiovascular Magnetic Resonance. 2014;16(1):83. https://doi.org/10.1186/s12968-014-0083-z
Braunwald E, Rutherford JD. Reversible ischemic left ventricular dysfunction: evidence for the «hibernating myocardium». JACC: Journal of the American College of Cardiology. 1986;8:1467-1470. https://doi.org/10.1016/s0735-1097(86)80325-4
Velazquez EJ, Lee KL, Jones RH, Al-Khalidi HR, Hill JA, Panza JA, Michler RE, Bonow RO, Doenst T, Petrie MC, Oh JK, She L, Moore VL, Desvigne-Nickens P, Sopko G, Rouleau JL; STIC ES Investigators. Coronary-Artery Bypass Surgery in Patients with Ischemic Cardiomyopathy. New England Journal of Medicine. 2016;374(16):1511-1520. https://doi.org/10.1056/nejmoa1602001
Ryan M, Morgan H, Chiribiri A, Nagel E, Cleland J, Perera D. Myocardial viability testing: all STICHed up, or about to be REVIVED? European Heart Journal. 2022;13;43(2):118-126. https://doi.org/10.1093/eurheartj/ehab729
Maron DJ, Hochman JS, Reynolds HR, Bangalore S, O’Brien SM, Boden WE, Chaitman BR, Senior R, López-Sendón J, Alexander KP, Lopes RD, Shaw LJ, Berger JS, Newman JD, Sidhu MS, Goodman SG, Ruzyllo W, Gosselin G, Maggioni AP, White HD, Bhargava B, Min JK, Mancini GBJ, Berman DS, Picard MH, Kwong RY, Ali ZA, Mark DB, Spertus JA, Krishnan MN, Elghamaz A, Moorthy N, Hueb WA, Demkow M, Mavromatis K, Bockeria O, Peteiro J, Miller TD, Szwed H, Doerr R, Keltai M, Selvanayagam JB, Steg PG, Held C, Kohsaka S, Mavromichalis S, Kirby R, Jeffries NO, Harrell FE Jr, Rockhold FW, Broderick S, Ferguson TB Jr, Williams DO, Harrington RA, Stone GW, Rosenberg Y; ISCHEMIA Research Group. Initial invasive or conservative strategy for stable coronary disease. The New England Journal of Medicine. 2020;382:1395-1407. https://doi.org/10.1056/nejmoa1915922
Rosenblum JM, Binongo J, Wei J, Liu Y, Leshnower BG, Chen EP, Miller JS, Macheers SK, Lattouf OM, Guyton RA, Thourani VH, Halkos ME, Keeling WB. Priorities in coronary artery bypass grafting: is midterm survival more dependent on completeness of revascularization or multiple arterial grafts? The Journal of Thoracic and Cardiovascular Surgery. 2021;161:2070-8.e6. https://doi.org/10.1016/j.jtcvs.2019.11.125
Weiss AJ, Insler JE, Bakaeen FG. Commentary: When possible, revascularize all the important coronary vessels at a minimum. The Journal of Thoracic and Cardiovascular Surgery. 2021;6:S0022-5223(21)01018-7. https://doi.org/10.1016/j.jtcvs.2021.07.002

Close metadata