The Surgical Treatment Of Ischemic Cardiomyopathy - The Two Treatment Strategies Compared

Objective:The aim of this study is to review the experience of using cardiac transplantation and non-transplantation procedure treating ischemic heart disease,and to provide proper criteria of the treatment.Methods:Between Jan of 2000 and Jan of 2008,86 patients with ischemic heart disease comprised the study group.The patients were divided into two groups(transplantation group,n=12;and non-transplantation group,n=74) according to the preoperative tests(such as coronary artery angiography, echocardiography,radioisotope scanning and dobutamine stress test).The cardiac function data were analyzed before and after operation.Results:In the transplantation group,the operative mortality rate was 0,while it is 10.8%in the other group.The follow-up mortality rate was lower in the non-transplantation group,3.0%Vs 8.3%respectively.There is no difference of re-hospitalization and survival rate between two groups.The cardiac function improved postoperatively in both groups.The diameter of the left ventricular decreased markedly.Conclusions:Selected patients with ischemic heart disease,potentially eligible for transplantation,can be managed by the non-transplantation surgery.In those patients post-operative quality of life is satisfactory, with comparable survival and low risk of re-hospitalization.