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Perioperative Myocardial Infarction After Coronary Artery Bypass Grafting: How to Identify?

Heart Science Journal · Vol. 4 No. 1 (2023) · hlm. 35–39

DOI
10.21776/ub.hsj.2023.004.01.6
ISSN
2721-9984, 2721-9976
Terbit
2023-01-29
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Introduction. Perioperative myocardial infarction (PMI) associated with the surgical revascularization (CABG) occurs in about 3–5% of patients. Myocardial necrosis and ischaemia after CABG are caused by direct cardiac trauma from manipulation, reperfusion injury, incomplete revascularization, hypotension, bleeding, ventricular arrhythmia, acute graft closure, inadequate perioperative myocardial protection and others.Case report. The introduced case report explains the rupture of right ventricle result in periprocedural myocardial infarction following the surgical myocardial revascularization. 62-year-old man has undergone the coronary bypass surgery with arterial graft of left mammary artery (LIMA) to left anterior descending artery (LAD) and savenous graft to left circumflex coronary artery (LCx). Early in the post-surgery period a perioperative myocardial infarction (PMI) developed, with laboratory correlation of cardio-specific enzymes elevation and ECG changes in terms of ischaemia in the diaphragmatic region. Echocardiography showed akinesia of the apex, apical septal and apical inferior segments accompanied by the decrease in ejection fraction (EF) of the left ventricle.Conclusion. Early detection of PMI may therefore, prompt institution of therapeutic measures to relieve the ischaemia and decrease the incidence and the size of PMIKey words: Perioperative Myocardial Infarction, CABG

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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya34
Indra PrasetyaUniversity of Brawijaya26
Anna Fuji RahimahUniversity of Brawijaya19
Sasmojo WiditoUniversity of Brawijaya13
Novi KurnianingsihUniversity of Brawijaya13
Budi SatrijoUniversity of Brawijaya12
Cholid Tri TjahjonoUniversity of Brawijaya12
Heny MartiniUniversity of Brawijaya9
Djanggan SargowoUniversity of Brawijaya9
Adhika Prastya WikanandaUniversity of Brawijaya5
Wella KarolinaUniversity of Brawijaya5
Valerinna YogibuanaAfiliasi tidak diketahui5
Yoga WaranugrahaUniversity of Brawijaya4
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya4
Icmi Dian RochmawatiUniversity of Brawijaya3
Puspa LestariUniversity of Brawijaya3
Olivia HandayaniUniversity of Brawijaya3
Fahmy RusnantaUniversity of Brawijaya3
Anita Surya SantosoAfiliasi tidak diketahui3
Krishna Ari NugrahaUniversity of Brawijaya3
Tri AstiawatiUniversity of Brawijaya3
Tria Yudha NugrahaUniversity of Brawijaya3
Yoseph Budi UtomoUniversity of Brawijaya2
Fitranti Suciati LaitupaUniversity of Brawijaya2
Muhammad Rizki FadlanUniversity of Brawijaya2
Muhammad Saifur RohmanAfiliasi tidak diketahui2
Dion SetiawanUniversity of Brawijaya2
Lutfi Hafiz ZunardiUniversity of Brawijaya2
N KaputrinUniversity of Brawijaya2
Nikhen NoverikeUniversity of Brawijaya2
Yuri AfifahUniversity of Brawijaya2
Gebryel Dennis SaerangUniversity of Brawijaya2
Vemmy Lian SaputriUniversity of Brawijaya2
Putri Annisa KamilaUniversity of Brawijaya2
Anna Fuji RahimahAfiliasi tidak diketahui2
Imam Mi'raj SuprayogaUniversity of Brawijaya2
Shalahuddin Suryo BaskoroUniversity of Brawijaya2

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Perioperative Myocardial Infarction After Coronary Artery Bypass Grafting: How to Identify?</dc:title>
	<dc:creator xml:lang="en">Sari, Diah Ivana</dc:creator>
	<dc:creator xml:lang="en">Anjarwani, Setyasih</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:subject xml:lang="en">Perioperative Myocardial Infarction</dc:subject>
	<dc:subject xml:lang="en">CABG</dc:subject>
	<dc:description xml:lang="en">Introduction. Perioperative myocardial infarction (PMI) associated with the surgical revascularization (CABG) occurs in about 3–5% of patients. Myocardial necrosis and ischaemia after CABG are caused by direct cardiac trauma from manipulation, reperfusion injury, incomplete revascularization, hypotension, bleeding, ventricular arrhythmia, acute graft closure, inadequate perioperative myocardial protection and others.Case report. The introduced case report explains the rupture of right ventricle result in periprocedural myocardial infarction following the surgical myocardial revascularization. 62-year-old man has undergone the coronary bypass surgery with arterial graft of left mammary artery (LIMA) to left anterior descending artery (LAD) and savenous graft to left circumflex coronary artery (LCx). Early in the post-surgery period a perioperative myocardial infarction (PMI) developed, with laboratory correlation of cardio-specific enzymes elevation and ECG changes in terms of ischaemia in the diaphragmatic region. Echocardiography showed akinesia of the apex, apical septal and apical inferior segments accompanied by the decrease in ejection fraction (EF) of the left ventricle.Conclusion. Early detection of PMI may therefore, prompt institution of therapeutic measures to relieve the ischaemia and decrease the incidence and the size of PMIKey words: Perioperative Myocardial Infarction, CABG</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2023-01-29</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1374</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2023.004.01.6</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 4 No. 1 (2023): Optimizing Outcome in Acute Cardiac Care; 35-39</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2023.004.01</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1374/237</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2023 Diah Ivana Sari, Setyasih Anjarwani, Ardian Rizal</dc:rights>
</oai_dc:dc>