Academic Editors: Karim Bendjelid and Raphael Giraud
Objective: Acute myocardial infarction (AMI) complicated by cardiogenic
shock (CS) remains associated with a high rate of mortality and disabling
morbidity. Coronary artery bypass grafting (CABG) is seldom considered in this
setting due to the fear of peri-operative complications. Here, we analysed the
outcome of CS patients undergoing CABG within 48 hours after diagnosed with AMI.
Methods: A single-center, retrospective data analysis was performed in
220 AMI patients with CS that underwent CABG within 48 hours between 01/2001 and
01/2018. Results: 141 patients were diagnosed with ST-elevation
myocardial infarction (STEMI), 79 with non-STEMI (NSTEMI). Median age was 67 (60;
72) for STEMI, and 68 (60.8; 75.0) years for NSTEMI patients (p =
0.190). 52.5% of STEMI patients and 39.2% of NSTEMI patients had suffered from
cardiac arrest (CA) pre-operatively (p = 0.049). Coronary 3-vessel
disease was present in most patients (78.0% STEMI vs 83.5% NSTEMI; p =
0.381). Percutaneous coronary interventions (PCI) were performed in 32.6% STEMI
and 27.8% NSTEMI patients (p = 0.543) prior to surgery. Time from
diagnosis to surgery was shorter in STEMI patients (3.92 (2.67; 5.98) vs 7.50
(4.78; 16.74) hours; p