Incidence and implications of coronary artery disease in patients undergoing valvular heart surgery: The Indian scenario.
Ann Card Anaesth
;
2013 Apr; 16(2): 86-91
Article
Dans Anglais
| IMSEAR
| ID: sea-147233
ABSTRACT
Aims and Objectives:
We evaluated the incidence and implications of coronary artery disease (CAD) in patients above 40 years presenting for valve surgery. Materials andMethods:
Between January 2009 and December 2010, coronary angiography (CAG) was performed in all such patients ( n = 140).Results:
Coronaries were normal in 119 (Group I), and diseased in 21 (Group II). In Group II, 11 patients were < 50 years, 3 were between 51 and 60 years and 7 were > 61 years. In 8 of these, only valve replacement was performed. Coronary artery bypass grafting (CABG) and aortic valve replacement was performed in 10, CABG and mitral valve replacement in 2 and CABG with mitral and aortic valve replacement in one. The number of vessels grafted in these 13 patients was 1.54 ± 0.66. Hypertension and diabetes were significant ( P < 0.05) in this group. The mortality was significant in Group II (11 vs. 6, P < 0.05). Six patients died in Group II, 5 had severe aortic stenosis and severe left ventricular hypertrophy; the sixth patient had severe mitral stenosis and was in CHF. The predominant cause of death was congestive heart failure (CHF).Conclusions:
Fifteen percentage of these patients had CAD. CAG should be performed routinely in these patients while presenting for valve surgery. Combined CABG and valve replacement carries high mortality (28.5%), especially in patients with aortic stenosis. The study suggests that the cardio-protective measures should be applied more rigorously in this subset of patients.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Maladie des artères coronaires
/
Sujet âgé
/
Femelle
/
Humains
/
Mâle
/
Pontage cardiopulmonaire
/
Pontage aortocoronarien
/
Adulte
/
Valves cardiaques
/
Inde
Type d'étude:
Etude d'incidence
Pays comme sujet:
Asie
langue:
Anglais
Texte intégral:
Ann Card Anaesth
Année:
2013
Type:
Article
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