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Coronary artery bypass grafting (CABG) using on-pump cardiac surgery is the standard treatment for patients with coronary artery disease. However, there is a growing number of patients treated off-pump (OP). The results of CABG on the pump are better compared with off pump, but off-pump techniques can cause hemodynamic changes, and particularly after termination of bypass, the patient is at risk of systemic hypoperfusion leading to ischemia and development of postoperative myocardial dysfunction. The aim of the study was to assess the incidence and clinical characteristics of postoperative myocardial dysfunction in patients after CABG on-pump and off-pump. The population of the study was collected from the database of the Cardiology Department of the Medical University of Lodz. The following was included in the database: patients treated with myocardial revascularization procedure (CABG), cases with a possibility of a surgical procedure using on-pump technique (CABG on-pump) and off-pump (OP). The criteria for exclusion were a preoperative diagnosis of left ventricular dysfunction, emergency or redo operations, patients with acute or chronic myocardial infarction, and patients after CABG using the on-pump technique combined with another procedure. The analysis included the following parameters: age, sex, echocardiographic parameters, medications taken pre- and postoperatively, EuroSCORE, on-pump CABG and OP. A total of 983 patients were qualified to the study. All patients underwent myocardial revascularization off-pump or on-pump (mean value of the duration of the procedure was 128 ± 13 min). The duration of CPB and the duration of aortic clamping were similar in the two groups, while the duration of the ische


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