World Journal of Cardiovascular Surgery, 2020, 10, 41-49
https://www.scirp.org/journal/wjcs
ISSN Online: 2164-3210
ISSN Print: 2164-3202
DOI: 10.4236/wjcs.2020.104006 Apr. 13, 2020 41 World Journal of Cardiovascular Surgery
Inotropic Requirement in Patients Undergoing
Coronary Artery Bypass Grafting (CABG) in
RSUP Dr. Hasan Sadikin Bandung in 2014-2016
Reza Widianto Sudjud, Astrella Catriona, Rudi Kurniadi Kadarsah
Department of Anesthesiology and Intensive Care, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia
Abstract
Inotropic agents are indicated to treat ventricular dysfunction that frequently
found post-CABG surgery. However, the use of inotropic isn’t free from dis-
advantageous 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 inotropic requirement in patients undergoing CABG surgery based on
age, sex, preoperative left ventricular ejection fraction (LVEF), comorbidities,
cross clamping time (CCT), and cardiopulmonary bypass (CPB) duration in
Hasan Sadikin General Hospital Bandung in 2014-2016. This study is a de-
scriptive cross-sectional study done retrospectively through medical records.
This study found the inotropic requirement post-CABG surgery was 130 pa-
tients (74.3%). The inotropic requirement based on age was 28 patients
(80.0%) > 65 years old, 112 patients (75.7%) were male, 18 patients (66.7%)
were female, 19 patients (100%) with <40% LVEF, 41 patients (85.4%) with
DM, 20 patients (90.9%) with CKD, 44 patients (93.6%) with >90 minute
CCT, 37 patients (90.2%) with >120 minute duration CPB. In conclusion,
there was a higher inotropic requirement in patients with age > 65 years old,
preoperative LVEF < 40%, DM and CKD comorbidities, CPB duration > 120
minutes and CCT > 90 minutes.
Keywords
Coronary Artery Bypass Grafting, Inotropic Requirement, Risk Factors
1. Preliminary
Coronary Artery Bypass Grafting (CABG) is an open cardiac surgery that is of-
How to cite this paper: Sudjud, R.W.,
Catriona, A. and Kadarsah, R.K. (2020)
Inotropic Requirement in Patients Under-
going Coronary Artery Bypass Grafting
(CABG) in RSUP Dr. Hasan Sadikin Ban-
dung in 2014-2016. World Journal of Car-
diovascular Surgery, 10, 41-49.
https://doi.org/10.4236/wjcs.2020.104006
Received: November 4, 2019
Accepted: April 10, 2020
Published: April 13, 2020
Copyright © 2020 by author(s) and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access