Prevalence of carotid stenosis and incidence of ischemic stroke in patients undergoing non-coronary cardiac surgery
Rev. bras. cir. cardiovasc
;
34(5): 550-559, Sept.-Oct. 2019. tab
Article
in English
| LILACS
| ID: biblio-1042035
ABSTRACT
Abstract Introduction:
Many publications on coronary surgery and carotid stenosis (CS) can be found, but we do not have enough information about the relationship between ischemic stroke, CS and non-coronary cardiac surgery.Objectives:
To evaluate the incidence and risk factors associated with the stroke and CS ≥50% in patients undergoing non-coronary surgeries.Objectives:
We assessed 241 patients, aged 40 years or older, between 2009 and 2016, operated in Santa Casa de Misericórdia de Ponta Grossa-PR, Brazil. We perform carotid Doppler in patients 40 years of age or older before any cardiac surgery as a routine. The incidence and possible risk factors for CS ≥50% and perioperative stroke were analyzed by univariate statistical analysis.Results:
11 patients (4.56%) presented perioperative stroke. The risk factor for stroke was CS ≥50% OR=5.3750 (1.2909-22.3805), P=0.0208. Eighteen patients (7.46%) had CS ≥50% and their risk factors were extracardiac arteriopathy OR=18.6607 (6.3644-54.7143), P<0.0001; COPD OR=3.9040 (1.4491-10.5179), P=0.0071; diabetes mellitus OR=2.9844 (1.0453-8.5204), P=0.0411; recent myocardial infarction OR=13.8125 (1.8239-104.6052), P=0.0110; EuroSCORE II higher P=0.0056.Conclusion:
The incidences of stroke and CS ≥50% were 4.56% and 7.46%, respectively. The risk factor for stroke was CS ≥50% and for CS ≥50% were extracardiac arteriopathy, COPD, diabetes mellitus, recent myocardial infarction and higher EuroSCORE II.
Full text:
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Index:
LILACS (Americas)
Main subject:
Brain Ischemia
/
Carotid Stenosis
/
Stroke
/
Cardiac Surgical Procedures
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2019
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual de Ponta Grossa/BR
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