Protocol-Driven Perioperative Management of Ischemic Cardiomyopathy in a Community Hospital Setting.

ABSTRACT:

Background

We describe our experience using a defined protocol for the selection, classification, and treatment of patients with ischemic cardiomyopathy (ICM) undergoing coronary artery bypass grafting (CABG), with or without additional procedures, in a nonacademic setting with expected limited resources and support staff.

Methods

From December 2021 to December 2023, 25 patients with an ejection fraction of ≤0.44 due to ICM requiring CABG were assigned to a treatment algorithm based on the preoperative classification for CABG with no device (n = 9), balloon pump (n = 2), or direct centrifugal pump (n = 14) placed in the operating room.

Results

Preliminary data of all patients with surgically revascularized ICM using the defined protocol demonstrated a predicted averag

SUBMITTER: Slusarz K 

PROVIDER: S-EPMC12712195 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature