332 CARDIAC RISK FACTORS AS PREDICTORS OF MYOCARDIAL INJURY AFTER NON CARDIAC SURGERY

Background: Cardiac surgery (CS) may be associated with several organic repercussions responsible for the appearance of cardiac risk factors during the postoperative period. These, associated with prolonged hospital length of stay (LoS), may trigger critical manifestations in individuals undergoing this surgical procedure. To investigate the relationships between postoperative cardiac risk factors, LoS, and changes in functioning state. Methods: Patients undergoing reconstructive, substitutive, or corrective cardiac surgeries were evaluated. The presence of postoperative cardiovascular risks was assessed using the InsCor score, while LoS and functionality were collected from medical records. Results: One-hundred patients with a mean age of 59.2±12.3 years were included. Significant correlations between functionality and both the hospital and Intensive Care Unit (ICU) LoS (p<0.0001, ρ= 0.56; p=0.002, ρ=0.29, respectively), as well as between hospital LoS and the number of comorbidities (p=0.003, ρ=0.28) were found. No significant relationships were observed between the number of postoperative risk factors and LoS. Conclusions: Functionality and comorbidities are associated with increased hospital and ICU LoS in patients undergoing cardiac surgery.

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Regional Cervical Plexus Blockage for Carotid Endarterectomy in Patients with Cardiovascular Risk Factors

The Heart Surgery Forum ◽

10.1532/hsf.1385 ◽

2015 ◽

Vol 18 (4) ◽

pp. 140 ◽

Cited By ~ 2

Author(s):

Mehmet Taşar ◽

Mehmet Kalender ◽

Okay Güven Karaca ◽

Ata Niyazi Ecevit ◽

Salih Salihi ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Carotid Endarterectomy ◽

Regional Anesthesia ◽

Carotid Artery Disease ◽

Risk Groups ◽

Cardiac Risk ◽

Cervical Plexus ◽

Cardiac Risk Factors ◽

Significant Difference

Background: Carotid artery disease is not rare in cardiac patients. Patients with cardiac risk factors and carotid stenosis are prone to neurological and cardiovascular complications. With cardiac risk factors, carotid endarterectomy operation becomes challenging. Regional anesthesia is an alternative option, so we aimed to investigate the operative results of carotid endarterectomy operations under regional anesthesia in patients with cardiac risk factors. Methods: We aimed to analyze and compare outcomes of carotid endarterectomy under regional anesthesia with cardiovascular risk groups retrospectively. Between 2006 and 2014, we applied 129 carotid endarterectomy ± patch plasty to 126 patients under combined cervical plexus block anesthesia. Patients were divided into three groups (high, moderate, low) according to their cardiovascular risks. Neurological and cardiovascular events after carotid endarterectomy were compared. Results: Cerebrovascular accident was seen in 7 patients (5.55%) but there was no significant difference between groups (P > .05). Mortality rate was 4.76% (n = 6); it was higher in the high risk group and was not statistically significant (P = .180). Four patients required revision for bleeding (3.17%). We did not observe any postoperative surgical infection. Conclusion: Carotid endarterectomy can be safely performed with regional cervical anesthesia in all cardiovascular risk groups. Comprehensive studies comparing general anesthesia and regional anesthesia are needed.

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Conventional cardiac risk factors associated with trastuzumab-induced cardiotoxicity in breast cancer: Systematic review and meta-analysis

Current Problems in Cancer ◽

10.1016/j.currproblcancer.2021.100723 ◽

2021 ◽

pp. 100723

Author(s):

George Koulaouzidis ◽

Amanda E. Yung ◽

Diana E. Yung ◽

Karolina Skonieczna-Żydecka ◽

Wojciech Marlicz ◽

...

Keyword(s):

Breast Cancer ◽

Risk Factors ◽

Systematic Review ◽

Meta Analysis ◽

Cardiac Risk ◽

Factors Associated ◽

Cardiac Risk Factors

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Hypertension-induced remodelling: on the interactions of cardiac risk factors

The Journal of Physiology ◽

10.1113/jp273043 ◽

2017 ◽

Vol 595 (12) ◽

pp. 4027-4036 ◽

Cited By ~ 19

Author(s):

Jakub Tomek ◽

Gil Bub

Keyword(s):

Risk Factors ◽

Cardiac Risk ◽

Cardiac Risk Factors

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Sexual Assault While in the Military: Violence as a Predictor of Cardiac Risk?

Violence and Victims ◽

10.1891/vivi.2003.18.2.219 ◽

2003 ◽

Vol 18 (2) ◽

pp. 219-225 ◽

Cited By ~ 35

Author(s):

Susan M. Frayne ◽

Katherine M. Skinner ◽

Lisa M. Sullivan ◽

Karen M. Freund

Keyword(s):

Risk Factors ◽

Sexual Assault ◽

Women Veterans ◽

Cardiac Risk ◽

Veterans Administration ◽

Cardiac Risk Factors ◽

Military Violence ◽

Problem Alcohol Use ◽

History Of ◽

The Military

The purpose of this article is to determine whether known cardiac risk factors are more prevalent among women veterans who report having sustained sexual assault while in the military. We surveyed a random sample of 3,632 women veterans using Veterans Administration (VA) ambulatory care nationally. Obesity, smoking, problem alcohol use, sedentary lifestyle, and hysterectomy before age 40 were found to be more common in women reporting a history of sexual assault while in the military than in women without such history. An association between myocardial infarction and prior sexual assault history may be mediated in part by known cardiac risk factors.

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Cardioprotection with ICRF-187 (Cardioxane) in patients with advanced breast cancer having cardiac risk factors for doxorubicin cardiotoxicity, treated with the FDC regimen

Supportive Care in Cancer ◽

10.1007/bf00368887 ◽

1995 ◽

Vol 3 (3) ◽

pp. 176-182 ◽

Cited By ~ 6

Author(s):

Svetislav Jelić ◽

Siniša Radulović ◽

Zora Nešković-Konstantinović ◽

Miroslav Kreačić ◽

Zorana Ristović ◽

...

Keyword(s):

Breast Cancer ◽

Risk Factors ◽

Advanced Breast Cancer ◽

Cardiac Risk ◽

Advanced Breast ◽

Cardiac Risk Factors ◽

Doxorubicin Cardiotoxicity

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Impact of Worksite Wellness Intervention on Cardiac Risk Factors and One-Year Health Care Costs

The American Journal of Cardiology ◽

10.1016/j.amjcard.2009.07.007 ◽

2009 ◽

Vol 104 (10) ◽

pp. 1389-1392 ◽

Cited By ~ 62

Author(s):

Richard V. Milani ◽

Carl J. Lavie

Keyword(s):

Risk Factors ◽

Health Care ◽

Health Care Costs ◽

Cardiac Risk ◽

Worksite Wellness ◽

Cardiac Risk Factors ◽

Wellness Intervention ◽

One Year ◽

Care Costs

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Abstract 3635: Weight Loss Reverses Left Ventricular Structural Changes In Subjects With Severe Uncomplicated Obesity. A One year Follow Up Study.

Circulation ◽

10.1161/circ.116.suppl_16.ii_825 ◽

2007 ◽

Vol 116 (suppl_16) ◽

Author(s):

Oliver J Rider ◽

Jane M Francis ◽

Mohammed K Ali ◽

Monique R Robinson ◽

Stefan Neubauer

Keyword(s):

Risk Factors ◽

Weight Loss ◽

Structural Changes ◽

Total Body Weight ◽

Cardiac Risk ◽

Left Ventricular ◽

Cardiac Risk Factors ◽

Co Morbidity ◽

Lv Mass ◽

One Year

Objective Obesity has been linked to a spectrum of cardiovascular abnormalities from subclinical changes in cardiac structure to overt heart failure. Uncomplicated obesity (i.e. obesity without any other co-morbidity or cardiovascular risk factors) has been shown to cause increased LV mass and LV dilatation. Our hypothesis was that these changes are, at least in part, reversible following significant weight loss over one year. Method Forty-one obese (BMI 37.7 ± 7.4 SD) and 12 age, sex matched controls (BMI 21.6 ± 1.8 SD) with no identifiable cardiac risk factors underwent cardiac MR imaging for the assessment of LV Mass (g), LV end-diastolic volume (EDV; ml), stroke volume (SV; ml) and LV EF (%). Fourteen obese subjects underwent repeat imaging after a one year period of weight loss, averaging 14.6 ± 11.5 % total body weight. Results Obesity per se was associated with elevated LV mass (125 ± 27 vs 89 ± 23g; p<0.001), LV mass indexed to height (74.4 ± 14.3 vs 52.3 ± 11.4g/m; p<0.001) and EDV (147 ± 28 vs 119 ± 24 ml; p<0.001). ESV and SV were also elevated in obesity (47 ± 12 vs 39 ± 12ml; p=0.05, and 100 ± 14 vs 80 ± 18 ml; p<0.001, respectively). LV EF was similar between groups (p=0.83). After weight loss, there was a significant reduction in LV mass (by 16 ± 11g; 135 ± 31 vs 119 ± 28g; p<0.001), LV mass indexed to height (76.4 ± 15.7 vs 68.9 ± 12 g/m; p<0.001). EDV and ESV were significantly smaller after weight loss (146 ± 25 vs 133 ± 23 ml; p<0.001, and 43 ± 12 vs 41 ± 10 ml; p<0.001 respectively). LV EF and SV did not change significantly. Conclusion In subjects with obesity in the absence of identifiable cardiac risk factors, LV hypertrophy and LV dilatation were partially reversible after a one year period of weight loss.

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