Benefits and Risks of Delayed Surgery for Ventricular Septal Rupture after Acute Myocardial Infarction

Furui, Masato; Sakurai, Yoshihiko; Kakii, Bunpachi; Asanuma, Mai; Nishioka, Hiroaki; Yoshida, Takeshi

doi:10.1536/ihj.21-581

Cited by 7 publications

(9 citation statements)

References 25 publications

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“…Although various operative procedures and strategies in surgery timing have been devised, operative mortality remains high. [21,22,28] Therefore, investigating the risk factors and preventing subsequent complications may be important in reducing associated mortality.…”

Section: Discussionmentioning

confidence: 99%

“…The copyright holder for this this version posted October 30, 2022. ; https://doi.org/10.1101/2022.10.28.22281657 doi: medRxiv preprint operative procedures and strategies in surgery timing have been devised, operative mortality remains high. [21,22,28] Therefore, investigating the risk factors and preventing subsequent complications may be important in reducing associated mortality.…”

Section: Discussionmentioning

confidence: 99%

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Potential risk polarization for acute myocardial infarction during the COVID-19 pandemic: Single-center experiences in Osaka, Japan

Furui

Kawajiri

Yoshida

et al. 2022

Preprint

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This study compared the time course and outcomes of acute myocardial infarction, including mechanical complications and hospital mortality, before and after the coronavirus disease 2019 (COVID-19) pandemic at a regional core hospital in South Osaka, Japan. Moreover, it identified predictors for hospital mortality and mechanical complications. In total, 503 patients who underwent emergency percutaneous coronary intervention between January 2011 and December 2021 at our institution were examined retrospectively. The time course of acute myocardial infarction, mechanical complications, and mortality rate before and after the COVID-19 emergency declaration were compared. Overall, 426 patients with ST-segment elevation myocardial infarction and 77 patients with non-ST-segment elevation myocardial infarction were identified. For patients with ST-segment elevation myocardial infarction, the onset-to-door time was longer (181 vs. 156 min, P = 0.001) and mechanical complications were worse (7.8% vs. 2.6%, P = 0.025) after the emergency declaration of COVID-19 than before the pandemic. Age, low ejection fraction, out-of-hospital cardiac arrest, and mechanical complications were identified as independent risk factors for hospital mortality among patients with ST-segment elevation myocardial infarction, using multivariable analysis. Post-declaration, age, walk-ins, referrals, and intra-aortic balloon pump use were independent predictors of mechanical complications among patients with ST-segment elevation myocardial infarction. Onset-to-door time and mechanical complication rate increased after the COVID-19 declaration among patients with ST-segment elevation myocardial infarction. Arrival by walk-in and a referral that caused treatment delay were identified as independent risk factors for mechanical complication, in addition to age, use of intra-aortic balloon pump, and post-declaration of COVID-19. Therefore, the risks posed by the COVID-19 pandemic might have a polarization tendency resulting from the relief or worsening of cardiac symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Potential risk polarization for acute myocardial infarction during the COVID-19 pandemic: Single-center experiences in Osaka, Japan

Furui

Kawajiri

Yoshida

et al. 2022

Preprint

Self Cite

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“…Furui and colleagues observed retrospectively that the VSR defect diameter and Qp/Qs ratio in the early repair group and delayed repair group increased with time. 1) They concluded that the benefit of waiting exceeds the risk given the greater clinical outcomes following delayed repair. Several concerns have been raised.…”

Section: To the Editormentioning

confidence: 99%

“…The authors compared predominantly the clinical characteristics obtained just before the surgical repair between the two groups (early versus delay). 1) It would be of great interest to compare variables obtained before and after acute myocardial infarction in order to identify risk factors for early repair. Such knowledge would be useful to estimate the optimal repair timing beforehand.…”

Section: To the Editormentioning

confidence: 99%

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Letter by Nakamura, <i>et al</i>. Regarding Article, "Benefits and Risks of Delayed Surgery for Ventricular Septal Rupture after Acute Myocardial Infarction"

Imamura

2022

Int. Heart J.

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Delayed Ventricular Septal Rupture Repair After Myocardial Infarction: An Updated Review

Arsh,

Pahwani,

Arif Rasool Chaudhry

et al. 2023

Current Problems in Cardiology

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Benefits and Risks of Delayed Surgery for Ventricular Septal Rupture after Acute Myocardial Infarction

Cited by 7 publications

References 25 publications

Potential risk polarization for acute myocardial infarction during the COVID-19 pandemic: Single-center experiences in Osaka, Japan

Potential risk polarization for acute myocardial infarction during the COVID-19 pandemic: Single-center experiences in Osaka, Japan

Letter by Nakamura, <i>et al</i>. Regarding Article, "Benefits and Risks of Delayed Surgery for Ventricular Septal Rupture after Acute Myocardial Infarction"

Delayed Ventricular Septal Rupture Repair After Myocardial Infarction: An Updated Review

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