Key result
Preoperative serum lactate >4 mmol/L strongly predicted in-hospital mortality (OR 4.78; 95% CI 2.88-7.95; P<0.0001) after emergency CABG for cardiogenic shock complicating acute myocardial infarction.
Cohort (n=508)
Odds Ratio: 4.78 (95% CI 2.88–7.95)
p-value: p=<0.0001
In-hospital mortality for emergency CABG in acute myocardial infarction complicated by cardiogenic shock has significantly declined over time, though preoperative serum lactate >4 mmol/L remains a strong predictor of poor early and late outcomes.
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May refine preoperative risk assessment in emergency CABG for AMI shock; leaves open impact on selection or outcomes.
Davierwala et al. (2016) conducted a cohort in Cardiogenic shock complicating acute myocardial infarction (n=508). Preoperative serum lactate >4 mmol/L vs. Serum lactate ≤4 mmol/L was evaluated on In-hospital mortality (OR 4.78, 95% CI 2.88-7.95, p=<0.0001). Preoperative serum lactate >4 mmol/L strongly predicted in-hospital mortality (OR 4.78; 95% CI 2.88-7.95; P<0.0001) after emergency CABG for cardiogenic shock complicating acute myocardial infarction.
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