Đặc điểm lâm sàng, cận lâm sàng của bệnh nhân trước và theo dõi sau phẫu thuật cầu nối chủ vành có tuần hoàn ngoài cơ thể

A prospective method was used to study 171 consecutive patients undergoing CABG Surgery at Hanoi Heart Hospital from June 2016 to August 2018. Results: The group of stable coronary artery disease 119 (69.6%) patients, the group of acute coronary syndrome 52 (30.4%) patients. The men was 3.6 times higher than that of women (p<0.05). The Euroscore II score (0.6 - 6.42) and typical chest pain were higher in the acute coronary syndrome group (p<0.05). Acute coronary syndrome patient's had a higher rate of postoperative EF reduction than stable coronary artery disease patients (p < 0.05). Stable coronary artery disease patients had CK. CKMB. Troponin T hs increased postop than acute coronary syndrome patient's, ProBnP increased postop in both groups (p<0.05). The time of mechanical ventilation, use of inotropic drugs, and re-operating hemostasis were increased in the acute coronary syndrome group compared with stable coronary artery disease (p<0.05). The rate of reoperation for hemostasis (3.5%), the group of acute coronary syndromes patients was higher (7.7% vs 1.7%), the postoperative mortality rate was 2.3% up to 30 days. Conclusion: The men was higher than that of women, and heart failure increased postop than preop in both echocardiography and laboratory tests. Acute coronary syndrome patients had a higher rate of bleeding re­operating hemostasis than stable coronary artery disease patient's.