Naslov
Adherence to guidelines improves outcomes in coronary artery surgery

Autori
Petričević, Mate

Izvornik
European Journal of Cardio-Thoracic Surgery (1010-7940) 62 (2022), 3; 197, 1

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, uvodnik, stručni

Ključne riječi
Coronary surgery ; Guidelines ; Outcomes ; Secondary prevention

Sažetak
The present study in the current issue of the EJCTS addressed the highly relevant issue of prognostic impact of secondary prevention after coronary artery bypass grafting (CABG). Unfortunately, disparities in the adherence to guideline recommended therapies after CABG still exist even though different guidelines have emerged as easily available tool to conduct the best evidence-based clinical practice. In the present analysis, authors included all participants of the TiCAB study aiming to evaluate the effect of guideline- adherent medical secondary prevention on 1-year outcome after CABG. TiCAB study enrolled coronary artery disease patients who were scheduled for CABG. The primary outcome was the composite of cardiovascular death, myocardial infarction, repeat revascularization and stroke 12 months after CABG. The main safety end-point was based on the Bleeding Academic Research Consortium classification. The need for dual antiplatelet therapy (DAPT) after surgery was considered as one of the major exclusion criteria. About 25% of patients scheduled for CABG are expected to present with an Acute Coronary Syndrome (ACS). Thus, patients requiring DAPT after CABG were unfortunately not analyzed in this study. It would be valuable to elucidate how would the inclusion of the aforementioned subgroup of patients influence the adherence to the guidelines. Furthermore, it would be even more interesting how this adherence in the DAPT subgroup would reflect the clinical outcomes, be it the composite main outcome or the main safety end-point as defined in TiCAB.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA