Frequency of intra-aortic balloon pump insertion and associated factors in coronary artery bypass Grafting in a tertiary care hospital

  • Imtiaz Ahmad Northwest General Hospital and Research Center Peshawar, Pakistan.
  • Mujahid Ul Islam Northwest General Hospital and Research Center Peshawar, Pakistan.
  • Mujeeb Ur Rehman Rehman Medical Institute Peshawar
  • Bahauddin Khan Northwest General Hospital and Research Center Peshawar, Pakistan.
Keywords: IABP, Frequency, Cardiac Surgery, CABG, Left Ventricular Dysfunction

Abstract

Objective: To find the incidence of intra-aortic balloon pump (IABP) induction and factors associated with its insertion in coronary artery bypass grafting (CABG).

Methods: This retrospective observational non interventional study was conducted at Cardiac Surgery Department, North West General Hospital and Research Center, Peshawar from December 2018 to March 2020. The total sample size was 360 patients who underwent coronary artery bypass grafting (CABG). The research was piloted in the cardiac operation theatre then cardiac intensive care unit (CICU) of Northwest General Hospital and Research center Hayatabad Peshawar. Data was collected from 360 patients scheduled for CABG. Total numbers of patients in whom IABP was inserted and factors associated with IABP insertions were noted. All the information was collected on a specifically prepared Form. Data was entered and evaluated in statistical package for social sciences form 25.

Results: In this study, a total of 360 patients were observed who underwent coronary artery bypass grafting (CABG). We determined the frequency of IABP induction and the factors related to it. Gender distribution among patients who were assisted with IABP was 43% female and 57% male. IABP induction was done for most of moderately to severely reduced ejection fraction patients. Other factors related to patients who required IABP support were previous myocardial infarction 100%, hypertension 86%, diabetes mellitus 64%, coronary end-arterectomy 21% and smoking 7%. The results were analyzed. We have used the (SPSS) version 25 and Chi-square test for analysis in which the P-value less than 0.00001 is statistically significant.

Conclusion: Incidence of insertion of IABP among CABG population was 3.9% in our hospital. It is an essential support to post CABG patient with left ventricular dysfunction after cardiopulmonary bypass with moderate to severely reduced ejection fraction, Myocardial infarction, hypertension, diabetes mellitus. Smoking and endarterectomy were not significantly related to IABP induction in our study. Multicenter study is still required to find out the other factors governing the IABP insertion.

Abbreviations:
CABG: Coronary Artery Bypass Grafting Surgery, EF: Ejection Fraction, CAD: Coronary Artery Disease,
PCI: Percutaneous Coronary Intervention, ICU: Intensive Care Unit, IABP: Intra-aortic Balloon Pump,
CICU: Cardiac Intensive Care Unit, MI: Myocardial Infarction.

doi: https://doi.org/10.12669/pjms.37.2.3614

How to cite this:
Ahmad I, Mujahid Ul Islam, Mujeeb Ur Rehman, Khan B. Frequency of intra-aortic balloon pump insertion and associated factors in coronary artery bypass Grafting in a tertiary care hospital. Pak J Med Sci. 2021;37(2):---------.  doi: https://doi.org/10.12669/pjms.37.2.3614

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Imtiaz Ahmad, Northwest General Hospital and Research Center Peshawar, Pakistan.

Dr. Imtiaz ahmad is the first author.

Mujahid Ul Islam, Northwest General Hospital and Research Center Peshawar, Pakistan.

second author

Mujeeb Ur Rehman, Rehman Medical Institute Peshawar

Dr. Mujeeb Ur Rehman is the correspondance and third author.

Bahauddin Khan, Northwest General Hospital and Research Center Peshawar, Pakistan.

fourth author

Published
2021-01-01
How to Cite
Ahmad, I., Islam, M., Rehman, M., & Khan, B. (2021). Frequency of intra-aortic balloon pump insertion and associated factors in coronary artery bypass Grafting in a tertiary care hospital. Pakistan Journal of Medical Sciences, 37(2). https://doi.org/10.12669/pjms.37.2.3614
Section
Original Articles