TITLE:
Inotropic Requirement in Patients Undergoing Coronary Artery Bypass Grafting (CABG) in RSUP Dr. Hasan Sadikin Bandung in 2014-2016
AUTHORS:
Reza Widianto Sudjud, Astrella Catriona, Rudi Kurniadi Kadarsah
KEYWORDS:
Coronary Artery Bypass Grafting, Inotropic Requirement, Risk Factors
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.10 No.4,
April
13,
2020
ABSTRACT: Inotropic agents are indicated to treat ventricular dysfunction that frequently found post-CABG surgery. However, the use of inotropic isn’t free from disadvantageous side effects and is related to higher morbidity and mortality in post-CABG surgery patients. Several risk factors are known to affect higher need for inotropic agents’post-CABG surgery. This study aims to discover the inotropicrequirement in patients undergoing CABG surgery based on age, sex, preoperative left ventricular ejectionfraction(LVEF),comorbidities,cross clamping time (CCT), and cardiopulmonary bypass (CPB) duration in Hasan Sadikin General Hospital Bandung in 2014-2016. This study is a descriptive cross-sectional study done retrospectively through medical records. This study found the inotropicrequirementpost-CABG surgery was130 patients (74.3%). The inotropicrequirementbased on age was28 patients (80.0%) > 65 years old,112 patients (75.7%) weremale, 18 patients (66.7%) werefemale, 19 patients (100%) with LVEF, 41patients (85.4%) with DM, 20 patients (90.9%) with CKD, 44patients (93.6%) with >90 minute CCT, 37patients (90.2%) with >120 minute duration CPB. In conclusion, there was a higher inotropicrequirement inpatients with age > 65 yearsold,preoperative LVEFcomorbidities,CPB duration > 120 minutes and CCT > 90 minutes.