scholarly journals Factors Predicting Daily and Instrumental Living Activities in Obese and Overweight Patients After Coronary Artery Bypass Graft Surgery

2020 ◽  
Vol 26 (1) ◽  
pp. 2-13
Author(s):  
Ezzat Paryad ◽  
◽  
Alireza Balaafkandah ◽  
Atefeh Ghanbari ◽  
◽  
...  
Keyword(s):  
Coronary Artery ◽  
Carotid Artery ◽  
Coronary Artery Bypass Graft ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Male Gender ◽  
Artery Bypass Graft ◽  
Overweight People

Aims Obese or overweight people are more likely to have complications after Coronary Artery Bypass Graft (CABG) surgery. It affects the patientschr('39') postoperative abilities to perform Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). The aim of this study was to determine the factors predicting ADLs and IADLs in overweight and obese patients after CABG. Methods & Materials This analytical study with cross-sectional design was conducted over a period of 4 months on 84 patients one month after CABG, who were selected using a convenience sampling method. Data were collected using a sociodemographic form, Charlson comorbidity index, Katz Index, and Lawton IADL Scale. The collected data were analyzed in SPSS software using descriptive and inferential statistics. Findings The majority of obese and overweight patients (94%), one month after surgery, were independent of their ADLs, while most of them were in need of help in their IADLs (88.1%). Logistic regression model showed that the variables of male gender (P=0.004, OR=10.51, CI 95%=2.15-15.41) and carotid artery involvement (P=0.01, OR=0.12, CI 95%= 0.02-0.64) were the predictors of ADLs and IADLs in these patients. Conclusion Obese and overweight people have impairments in performing IADLs. It is important to pay attention to the predictors including male gender and carotid artery involvement in their return to normal life after CABG.

Preoperative Carotid Artery Screening in Patients Undergoing Coronary Artery Bypass Graft Surgery

2006 ◽  
Vol 37 (8) ◽  
pp. 987-990 ◽  
Author(s):  
Shapour Shirani ◽  
Mohammad Ali Boroumand ◽  
Seyed Hesameddin Abbasi ◽  
Negar Maghsoodi ◽  
Madjid Shakiba ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Carotid Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft

Atherosclerotic Changes in Common Carotid Artery, Common Femoral Artery, and Ascending Aorta/Aortic Arch in Candidates for Coronary Artery Bypass Graft Surgery

Angiology ◽  
2012 ◽  
Vol 63 (8) ◽  
pp. 622-629 ◽  
Author(s):  
Mohammad Kazem Tarzamni ◽  
Nazanin Eshraghi ◽  
Rohollah Fadaei Fouladi ◽  
Abbas Afrasiabi ◽  
Monireh Halimi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Carotid Artery ◽  
Coronary Artery Bypass Graft ◽  
Femoral Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Common Femoral Artery ◽  
Ascending Aorta ◽  
Artery Bypass Graft ◽  
Atherosclerotic Changes

scholarly journals Prevalence of carotid artery stenosis in ischaemic heart disease patients in Bangladesh

2019 ◽  
Vol 7 ◽  
pp. 205031211983083
Author(s):  
Dipannita Adhikary ◽  
Redoy Ranjan ◽  
Sabita Mandal ◽  
Mohammad Delwer Hossain Hawlader ◽  
Dipak Kumar Mitra ◽  
...  
Keyword(s):  
Heart Disease ◽  
Coronary Artery ◽  
Carotid Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Carotid Artery Stenosis ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Stenosis ◽  
Artery Bypass Graft

Background: Concurrent carotid artery stenosis and ischaemic heart disease rates are increasing day by day in Bangladesh. Moreover, carotid artery stenosis has been identified as a high-risk factor for postoperative ischaemic cerebral inconvenience following coronary artery bypass graft surgery. Methods: This observational cross-sectional study was performed to evaluate 200 study patients from July 2017 to June 2018. Patients with coronary artery disease scheduled for isolated elective coronary artery bypass graft surgery were included in the study, excluding those with coexisting valvular or congenital heart disease and emergency coronary artery bypass graft surgery. Results: About two-thirds of the study patients were 50–59 years old, with a mean age of 57.7 ± 3.06 years. Approximately 70% patients were male; the male:female ratio was 2.1:1. Most of the patients (74.5%) were Muslim. The majority of patients (59.0%) were overweight, and severe carotid artery stenosis was significantly higher in obese patients (p ⩽ 0.05). Furthermore, hypertension and diabetes mellitus were significantly associated with moderate to severe carotid artery stenosis (p ⩽ 0.05). Multi-vessel coronary artery disease was significantly associated with the severity of carotid artery stenosis. Bilateral carotid artery stenosis was significantly associated with the severity of carotid artery stenosis (p ⩽ 0.05). Conclusion: Routine duplex screening will identify significant carotid artery disease and will subsequently reduce the risk of perioperative stroke in ischaemic heart disease patients undergoing coronary artery bypass graft surgery.

Synchronous versus staged carotid artery stenting and coronary artery bypass graft for patients with concomitant severe coronary and carotid artery stenosis: A systematic review and meta-analysis

Vascular ◽  
2020 ◽  
Vol 28 (6) ◽  
pp. 808-815
Author(s):  
Andreas Tzoumas ◽  
Stefanos Giannopoulos ◽  
Nektarios Charisis ◽  
Pavlos Texakalidis ◽  
Damianos G Kokkinidis ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Carotid Artery ◽  
Coronary Artery Bypass Graft ◽  
Meta Analysis ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft ◽  
Artery Disease

Background Coronary artery disease requiring coronary artery bypass graft (CABG) frequently coexists with critical carotid stenosis. The most optimized strategy for treating concomitant carotid and coronary artery disease remains debatable. Objective The aim of this meta-analysis was to compare synchronous CAS and CABG versus staged CAS and CABG for patients with concomitant coronary artery disease and carotid artery stenosis in terms of peri-operative (30-day) and long-term clinical outcomes. Methods This study was performed according to the PRISMA guidelines. Eligible studies were identified through a search of PubMed, Scopus and Cochrane database until December 2019. A meta-analysis was conducted with the use of a random effects model. The I-square statistic was used to assess heterogeneity. Results Four studies comprising 357 patients were included in this meta-analysis. Patients who were treated with the synchronous approach had a statistically significant higher risk for peri-operative stoke (OR: 3.71; 95% CI: 1.00–13.69; I2 = 0%) compared tο the staged group. Peri-operative mortality (OR: 4.50; 95% CI: 0.88–23.01; I2 = 0%), myocardial infarction (MI) (OR: 1.54; 95% CI: 0.18– 13.09; I2 = 0%), postoperative bleeding (OR: 0.27;95% CI: 0.02–3.12; I2 = 0%), transient ischemic attacks (TIA) (OR: 0.60; 95% CI: 0.04– 9.20; I2 = 0.0%), acute kidney injury (AKI) (OR: 0.34; 95% CI: 0.03–4.03; I2 = 0.0%) and atrial fibrillation rates (OR:0.27; 95% CI: 0.02–3.12; I2 = 0.0%) were similar between the two groups. Synchronous CAS-CABG and staged CAS followed by CABG were associated with similar rates of late mortality (OR: 3.75; 95% CI: 0.50–27.94; I2 = 0.0%), MI (OR: 0.33; 95% CI: 0.01–12.03; I2 = 0.0%) and stroke (OR:3.58; 95% CI:0.84–15.20; I2 = 0.0%) after a mean follow-up of 47 months. Conclusion The simultaneous approach was associated with an increased risk of 30-day stroke compared to staged CAS and CABG. However, no statistically significant difference was found in long-term results of mortality, MI and stroke between the two approaches. Future studies are warranted to validate our results.

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