Surgical Treatment of Cardiomyopathy

Ischemic Cardiomyopathy

Ischemic heart disease is the most common cause, and at the same time, it is the main isolated risk factor that favors the increased incidence of heart failure in the world.

Several improvements incorporated in coronary artery bypass graft surgery have made the procedure safer and more effective, so patients who were previously candidates for heart transplants are now frequently revascularized. Hausmann et al. showed that, with the more comprehensive indication of myocardial revascularization in this scenario, patients with advanced heart failure due to ischemic cardiomyopathy now represent 29.3% of recipients who are candidates for transplantation in the studied center, in comparison with data from the same period by the International Society of Heart and Lung Transplantation, which indicated that 47.2% of recipients had an ischemic etiology.

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