The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Jan 2025
Preoperative diabetic duration and long-term outcomes in acute myocardial infarction patients undergoing coronary artery bypass grafting.
The association between preoperative diabetes mellitus (DM) duration and outcomes of coronary artery bypass grafting (CABG) remains unclear. This study aimed to investigate the relationship between DM duration at the time of CABG and long-term outcomes, particularly patients with acute myocardial infarction (AMI). ⋯ The duration of DM prior to CABG is correlated with worse clinical outcomes. A prolonged period of DM before CABG may be a significant risk factor for poorer long-term outcomes in AMI patients.
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J. Thorac. Cardiovasc. Surg. · Jan 2025
Navigating the Future of Pediatric Cardiovascular surgery: Insights and Innovation powered by ChatGPT.
Interdisciplinary consultations are essential to decision-making for patients with congenital heart disease. The integration of artificial intelligence (AI) and natural language processing (NLP) into medical practice is rapidly accelerating, opening new avenues to diagnosis and treatment. The main objective of this study was to consult the AI trained model Chat Generative Pre-Trained Transformer (ChatGPT) regarding cases discussed during a cardiovascular surgery conference (CSC) at a single tertiary center and compare the ChatGPT suggestions with CSC expert consensus results. ⋯ ChatGPT can be used as an augmentative tool for surgical conferences to systematically summarize large amounts of patient data from electronic health records and clinical notes in seconds. In addition, our study points out the potential of ChatGPT as an AI-based decision support tool in surgery, particularly for less-complex cases. The discrepancy, particularly in complex cases, emphasizes on the need for caution when using ChatGPT in decision-making for the complex cases in pediatric cardiovascular surgery. There is little doubt that the public will soon use this comparative tool.