A RETROSPECTIVE COHORT STUDY TO UNDERSTAND THE AGE, GENDER AND RISK FACTORS PATTERN IN PATIENTS ATTENDING FOR CARDIAC REHABILITATION (CR) AFTER CORONARY ARTERY BYPASS GRAFTING (CABG) SURGERY

2021 ◽  
pp. 57-60
Author(s):  
Md Anwar Sadat Halder ◽  
Saumen Kumar De
Keyword(s):  
Risk Factors ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Cardiac Rehabilitation ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Cabg Surgery ◽  
Study Population

Introduction: Throughout the world, cardiovascular disease is a leading cause of not only morbidity but also mortality too. Myocardial infarction is the primary reason for admission in cardiac rehabilitation unit, patients of Coronary artery bypass Graft (CABG) surgery along with other cardiac condition like valve surgery, post PTCA (Percutaneous Transluminal Coronary Angioplasty) are also being referred for cardiac rehabilitation. Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG) surgery, is a surgical procedure for partially obstructed coronary artery (the "target vessel"). The purpose is to restore normal blood ow to the partially obstructed coronary artery. Our study is an attempt to understand the age, gender and risk factors pattern in patients attending for cardiac rehabilitation after Coronary Artery Bypass Grafting (CABG) Surgery. Material And Methods: This Retrospective Cohort Study was conducted in the Department of Physical Medicine and Rehabilitation of Institute of Post Graduate Medical Education and Research (IPGME & R) and SSKM Hospitals, Kolkata after getting Institutional ethical committee clearance and informed consent. Relevant data regarding medical, personal history and demographics collected from the patients attended for cardiac rehabilitation (CR) after coronary artery bypass grafting (CABG) surgery between January, 2014 to June, 2015 (18 months) were being used for analysis. Results: Data were summarised by routine descriptive statistics. Maximum number of patients are in the age group of 51-60 years. Most of study population are male (90%). Study showed show 42.5 % are smoker, 37.5 % diabetic, 27.5 % are obese, 82.5 % are dyslipidaemic, 57.5 % are hypertensive. Conclusion: Our study shows most of our patient is male of 5th decade. Minimum age is 46-year, maximum age is 71 years with the mean age 55.4 years. most of study population are male (90%). Among the study population, 42.5 % are smoker, 37.5 % diabetic, 27.5 % are obese, 82.5 % are dyslipidaemic, 57.5 % are hypertensive. Hence male sex is an important risk factor for coronary artery disease. Early and aggressive attention to these risk factors e.g., smoking, diabetes, obesity, dyslipidaemia, hypertension could drastically reduce the need for coronary procedures such as angioplasty, stent, and bypass surgeries.

Mortality Risk Factors in Chronic Renal Failure Patients after Coronary Artery Bypass Grafting

Renal Failure ◽  
2007 ◽  
Vol 29 (7) ◽  
pp. 823-828 ◽  
Author(s):  
Beril Akman ◽  
Ayse Bilgic ◽  
Gulsah Sasak ◽  
Siren Sezer ◽  
Atilla Sezgin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Failure ◽  
Coronary Artery ◽  
Chronic Renal Failure ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Mortality Risk ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

scholarly journals Is Periodontitis a Predictor for an Adverse Outcome in Patients Undergoing Coronary Artery Bypass Grafting? A Pilot Study

2021 ◽  
Vol 10 (4) ◽  
pp. 818
Author(s):  
Stefan Reichert ◽  
Susanne Schulz ◽  
Lisa Friebe ◽  
Michael Kohnert ◽  
Julia Grollmitz ◽  
...  
Keyword(s):  
Risk Factor ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Surface Area ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Cabg Surgery

Periodontitis is a risk factor for atherosclerosis and coronary vascular disease (CVD). This research evaluated the relationship between periodontal conditions and postoperative outcome in patients who underwent coronary artery bypass grafting (CABG). A total of 101 patients with CVD (age 69 years, 88.1% males) and the necessity of CABG surgery were included. Periodontal diagnosis was made according to the guidelines of the Centers for Disease Control and Prevention (CDC, 2007). Additionally, periodontal epithelial surface area (PESA) and periodontal inflamed surface area (PISA) were determined. Multivariate survival analyses were carried out after a one-year follow-up period with Cox regression. All study subjects suffered from periodontitis (28.7% moderate, 71.3% severe). During the follow-up period, 14 patients (13.9%) experienced a new cardiovascular event (11 with angina pectoris, 2 with cardiac decompensation, and 1 with cardiac death). Severe periodontitis was not significant associated with the incidence of new events (adjusted hazard ratio, HR = 2.6; p = 0.199). Other risk factors for new events were pre-existing peripheral arterial disease (adjusted HR = 4.8, p = 0.030) and a history of myocardial infarction (HR = 6.1, p = 0.002). Periodontitis was not found to be an independent risk factor for the incidence of new cardiovascular events after CABG surgery.

Abstract 120: Regional Variation in Infection Rates after Coronary Artery Bypass Grafting

2013 ◽  
Vol 6 (suppl_1) ◽  
Author(s):  
Donald Likosky ◽  
Mallika Kommareddi ◽  
Theodore Boeve ◽  
Steven Harrington ◽  
Robert Holmes ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Case Mix ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Cabg Surgery ◽  
Medical Centers ◽  
Cannulation Site

Introduction: Healthcare acquired infections (HAIs) are a leading cause of morbidity and mortality after cardiac surgery. Prior work has identified a number of patient-related risk factors associated with HAIs. Hypothesis: We hypothesized that rates of HAIs would differ across institutions, in part attributed to differences in case mix. Methods: We enrolled 27,663 patients undergoing isolated coronary artery bypass grafting (CABG) surgery at 33 medical centers in Michigan between 1/1/2008 - 6/30/2012. Overall HAIs included pneumonia, sepsis/septicemia, deep sternal wound, thoracotomy, and harvest/cannulation site infections. We excluded patients presenting with endocarditis. Predicted rates of HAIs were estimated using multivariable logistic regression. Results: Overall rate of HAI was 5.3% (1454 of 27,663) [pneumonia: 3.7% (n=1020), sepsis/septicemia: 1.0% (n=266), deep sternal wound: 0.7% (n=184), harvest/cannulation site: 0.6% (n=163), multiple infections: 0.6% (n=169)]. While predicted risk of HAI differed in absolute terms by 4.1% across centers (4.2% - 8.3%, min:max), observed rates varied from 1.3% to 20.8%, p<0.01 (Figure). Conclusions: There was a 16-fold variability in rates of HAIs across medical centers among patients undergoing isolated CABG surgery. This variability could not be explained by patient case mix. Future work should focus on the impact of other factors (e.g. organizational and systems of clinical care) on risk of HAIs.

scholarly journals Risk factors for the return of mitral regurgitation after coronary artery bypass grafting and mitral valve reconstruction in patients with ischemic cardiomyopathy

2021 ◽  
Author(s):  
Iuliia Kareva ◽  
Vidadiue Efendiev ◽  
Alexey Nesmachnyy ◽  
Sardor Rakhmonov ◽  
Alexander Chernyavskiy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Mitral Insufficiency ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

Background and Aim: We aimed to identify risk factors for recurrent mitral regurgitation in two surgical treatment groups: isolated coronary artery bypass grafting (CABG) and CABG combined with mitral valve (MV) repair in patients with moderate ischemic mitral regurgitation (IMR). Methods: A single-centre, prospective, randomised study, which included 76 patients with ICM and moderate mitral regurgitation (MR). Study included two groups: isolated CABG and CABG with MV repair (MVR). Isolated annuloplasty was used to correct mitral insufficiency in the CABG + MVR group. Results: Isolated CABG or CABG combined with MVR in patients with ICM does not lead to a statistically significant decreasing of MR in the long-term period compared to baseline values. However, in one year after surgery, the degree of MR after combined surgery is lower than the initial values. The identification of predictors of the progression of IMR in ICM made it possible to determine the threshold values for the effectiveness of MVR, and the assessment of echocardiographic predictors for annuloplasty helps to choose the right surgical tactic of patients. Conclusions: Coronary revascularization with surgical of IMR in patients with ICM does not increase the number of complications in the early postoperative period compared to the group of isolated CABG. In patients with ICM and moderate MR after isolated CABG, the progression of MR (MR of the 3rd degree, initially 0%, after 12 months 31%, after 36 months 71%; p <0.001) was observed even with an initially moderate expansion of the fibrous ring of the MV.

scholarly journals Impact of cardiac rehabilitation on ventricular repolarization indices following coronary artery bypass grafting

2021 ◽  
Vol 29 (2) ◽  
pp. 143-149
Author(s):  
Ömer Taşbulak ◽  
Ahmet Anıl Şahin ◽  
Serkan Kahraman
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Cardiac Rehabilitation ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Rehabilitation Program ◽  
Ventricular Repolarization ◽  
Bypass Grafting ◽  
Cardiac Rehabilitation Program ◽  
Artery Bypass Grafting

Background: The aim of this study was to evaluate the effect of cardiac rehabilitation on electrocardiographic changes in patients undergoing isolated coronary artery bypass grafting. Methods: Between January 2016 and July 2019, a total of 625 patients (485 males, 140 females; mean age: 59.6 years; range, 50.6 to 68.6 years) who underwent isolated coronary artery bypass grafting and survived were retrospectively analyzed. The patients were divided into two groups according to the participation in the cardiac rehabilitation program as follows: the Rehab(+) group (n=363) and the Rehab(-) group (n=262). Electrocardiographic parameters of both groups were compared. Results: There was a significant decrease in the electrocardiographic findings of heart rate (p<0.001), QTc (p<0.001), Tpe duration (p<0.001), Tpe/QT ratio (p<0.001), and Tpe/QTc ratio (p<0.001) in the Rehab(+) group before and after surgery. There was a significant decrease in the Rehab(+) group, compared to the Rehab(-) group, in terms of parameters of QT interval (p=0.001), QTc (p=0.017), Tpe duration (p<0.001), Tpe/QT ratio (p<0.001), and Tpe/QTc ratio (p<0.001). Conclusion: Cardiac rehabilitation program after coronary artery bypass grafting decreases ventricular repolarization indices of electrocardiography. Based on these changes, postoperative cardiac rehabilitation program may reduce the risk of ventricular arrhythmia and sudden cardiac death during follow-up.

Risk Factors for Late Stroke After Coronary Artery Bypass Grafting

2005 ◽  
Vol 14 (12) ◽  
pp. 48-49
Author(s):  
T. Schachner ◽  
A. Zimmer ◽  
G. Nagele ◽  
G. Laufer ◽  
J. Bonatti
Keyword(s):  
Risk Factors ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting
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