Hung DQ, Minh NT, Vo HL, et al. - Researchers sought to compare a large variety of pre-, intra-and post-operative parameters between in-hospital mortality patients and in-hospital survival patients in this first largest cohort of emergency coronary artery bypass grafting (CABG) from one large institution in Vietnam. Also, they inquired about the risk factors of in-hospital mortality in patients receiving emergency CABG. Participants were 71 patients in total with a mean age 68.68 years (± 9.28, range 38– 86). A relatively high hospital mortality rate was identified following emergency CABG. Diabetes, reduced ejection fraction (EF), EF below 30%, cardiogenic shock, increased systolic pulmonary artery pressure, increased NT-ProBNP, and Euroscore II, all were documented as preoperative risk factors for in-hospital mortality. The following were revealed as in-hospital mortality’s postoperative risk factors: postextubation respiratory failure needing mechanical ventilation, ventricular fibrillation, dialysis-necessitating acute renal failure, pneumonia, bacterial sepsis, gastrointestinal bleeding, and prolonged mechanical ventilation time. Prolonged CPB time in surgery and postoperative ventricular fibrillation were significant predictors determining in-hospital mortality. Significant factors together with other earlier recognized risk factors should be the targets of an optimal preventive strategy in emergency CABG management, so that in-hospital mortality can be attenuated.