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Abstract

Background: To assess and compare mid-term outcomes and the quality of life (QoL) in patients with multivessel coronary artery disease (MVD) and moderate ischemic mitral regurgitation (IMR), treated with either coronary artery bypass grafting (CABG; group I) or CABG + mitral annulo-plasty (CABG+MA; group II) in 12-months follow-up after surgery.
Methods: We prospectively analyzed 74 patients (50.7% female, 66 [67–72] years) with at least moderate IMR, 3–24 weeks after myocardial infarction (MI). The effective regurgitation orifice (ERO) was used for a quantitative IMR assessment. To evaluate QoL we used a Short Form-36 (SF-36) questionnaire.
Results: Patients in group II spent more time in the hospital, expired more infection complications and received more often in-hospital complications requiring use amines and intra-aortic balloon pump as compared to those in group I. Analysis of SF-36 showed that all patients treated surgically notable improved their QoL during 12 months of follow-up.
Conclusions: We observed a significant improvement in QoL among patients with MVD in 12 months follow-up after surgery irrespective of treatment type.
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Bibliography

1. Neumann F.J., Sousa-Uva M., Ahlsson A., Alfonso F., Banning A.P., Benedetto U., et al.: 2018 ESC/ EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019; 40 (2): 87–165.
2. Baumgartner H., Falk V., Bax J.J., De Bonis M., Hamm C., Holm P.J., et al.: 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2017; 38 (36): 2739–2791.
3. Hays R.D.: The Medical Outcomes Study (MOS) Measures of Patient Adherence. Retrieved April 19, 2004, from the RAND Corporation web site: http://www.rand.org/health/surveys/MOS.adherence.measures.pdf.
4. Cerqueira M., Weissman N., Dilsizian V., et al.: Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart. Circulation. 2002; 105 (4): 539–542.
5. Lang R., Bierig M., Devereux R., et al.: Recommendations for Chamber Quantification: A Report from the American Society of Echocardiography’s Guidelines and Standards Committee and the Chamber Quantification Writing Group, Developed in Conjunction with the European Association of Echocardiography, a Branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005; 18: 1440–1463.
6. Yiu S.F., Enriquez-Sarano M., Tribouilloy C., Seward J.B., Tajik A.J.: Determinants of the degree of functional mitral regurgitation in patients with systolic left ventricular dysfunction: A quantitative clinical study. Circulation 2000; 102: 1400–1406.
7. Srichai M.B., Grimm R.A., Stillman A.E., Gillinov A.M., Rodriguez L.L., Lieber M.L., et al.: Ischemic mitral regurgitation: impact of the left ventricle and mitral valve in patients with left ventricular systolic dysfunction. Ann Thorac Surg. 2005;80 (1): 170–178.
8. Kang D.H., Kim M.J., Kang S.J., Song J.M., Song H., Hong M.K., et al.: Mitral valve repair versus revascularization alone in the treatment of ischemic mitral regurgitation. Circulation. 2006; 114 (1 Suppl): I499–I503.
9. Kim B.J., Kim Y.S., Kim H.J., Ju M.H., Kim J.B., Jung S.H., et al.: Concomitant mitral valve surgery in patients with moderate ischemic mitral regurgitation undergoing coronary artery bypass grafting. J Thorac Dis. 2018; 10 (6): 3632–3642.
10. Bouchard D., Jensen H., Carrier M., Demers P., Pellerin M., Perrault L.P., et al.: Effect of systematic downsizing rigid ring annuloplasty in patients with moderate ischemic mitral regurgitation. J Thorac Cardiovasc Surg. 2014; 147 (5): 1471–1477.
11. Chan K.M., Punjabi P.P., Flather M., Wage R., Symmonds K., Roussin I., et al.: Coronary artery bypass surgery with or without mitral valve annuloplasty in moderate functional ischemic mitral regurgitation: final results of the Randomized Ischemic Mitral Evaluation (RIME) trial. Circulation. 2012; 126 (21): 2502–2510.
12. Fattouch K., Guccione F., Sampognaro R., Panzarella G., Corrado E., Navarra E., et al.: POINT: Efficacy of adding mitral valve restrictive annuloplasty to coronary artery bypass grafting in patients with moderate ischemic mitral valve regurgitation: a randomized trial. J Thorac Cardiovasc Surg. 2009; 138 (2): 278–285.
13. Borger M.A., Alam A., Murphy P.M., Doenst T., David T.E.: Chronic ischemic mitral regurgitation: repair, replace or rethink? Ann Thorac Surg. 2006; 81 (3): 1153–1161.
14. Sundt T.M.: Surgery for ischemic mitral regurgitation. N Engl J Med. 2014; 371 (23): 2228–2289.
15. Wagner A.K., Gandek B., Aaronson N.K., et al.: Cross-cultural comparison of the content of SF-36 translations across 10 countries: result from the IQOLA Project. International Quality of Life Assessment. J Clin Epidemiol 1998; 51: 925–932.
16. Simchen E., Galai N., Braun D., et al.: Sociodemographic and clinical factors associated with low quality of life one year after coronary bypass operations: the Israeli coronary artery bypass study (ISCAB). J Thorac Cardiovasc Surg. 2001; 121: 909–919.
17. Permanyer M., Brotons C., Cascant P., et al.: Assessment of quality of life related health 2 years after coronary surgery. Med Clin (Barc). 1997; 108: 446–451.
18. Al-Ruzzeh S., Athanasiou T., Mangoush O., Wray J., Modine T., George S., Amrani M.: Predictors of poor mid-term health related quality of life after primary isolated coronary artery bypass grafting surgery. Heart. 2005 Dec; 91 (12): 1557–1562.
19. Westlake C., Dracup K., Creaser J., et al.: Correlates of health-related quality of life in patients with heart failure. Heart Lung 2002; 31: 85–93.
20. Smith P.K., Puskas J.D. Ascheim D.D., Voisine P., Gelijns A.C., Moskowitz A.J., et al.: Surgical treatment of moderate ischemia mitral regurgitation. N Engl J Med. 2014; 371: 2178–2188.
21. Baig K., Harling L., Papanikitas J., Attaran S., Ashrafian H., Casula R., et al.: Does coronary artery bypass grafting improve quality of life in elderly patients? Interact Cardiovasc Thorac Surg. 2013; 17 (3): 542–553.
22. Jokinen J.J., Hippeläinen M.J., Turpeinen A.K., Pitkänen O., Hartikainen J.E.: Health-related quality of life after coronary artery bypass grafting: a review of randomized controlled trials. J Card Surg. 2010; 25 (3): 309–317.
23. Dunning J., Waller J.R., Smith B., Pitts S., Kendall S.W., Khan K.: Coronary artery bypass grafting is associated with excellent long-term survival and quality of life: a prospective cohort study. Ann Thorac Surg. 2008; 85: 1988–1993.
24. Rijnhart-de Jong H., Haenen J., Bol Raap G., et al.: Determinants of non-recovery in physical health- related quality of life one year after cardiac surgery: a prospective single Centre observational study. J Cardiothorac Surg. 2020; 15 (1): 234. doi: 10.1186/s13019-020-01273-1
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Authors and Affiliations

Radosław Piątkowski
1
Jakub Kucharz
2
Monika Gawałko
1 3 4
Monika Budnik
1
Katarzyna Wołosiewicz
5
Barbara Kozub
6
Janusz Kochanowski
1
Marcin Grabowski
1
Grzegorz Opolski
1

  1. 1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
  2. Department of Uro-Oncology, Maria Skłodowska-Curie, National Research Institute of Oncology, Warsaw, Poland
  3. Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands
  4. Institute of Pharmacology, West German Heart and Vascular Centre, University Duisburg-Essen, Germany
  5. 1st Department of Pediatrics, Bielanski Hospital, Warsaw, Poland
  6. Department of Ophthalmology, Medical Centre for Postgraduate Education, Warsaw, Poland

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