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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
Artigo em Inglês | 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 and

Methods:

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.
Assuntos

Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Doença da Artéria Coronariana / Idoso / Feminino / Humanos / Masculino / Ponte Cardiopulmonar / Ponte de Artéria Coronária / Adulto / Valvas Cardíacas / Índia Tipo de estudo: Estudo de incidência País/Região como assunto: Ásia Idioma: Inglês Revista: Ann Card Anaesth Ano de publicação: 2013 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Doença da Artéria Coronariana / Idoso / Feminino / Humanos / Masculino / Ponte Cardiopulmonar / Ponte de Artéria Coronária / Adulto / Valvas Cardíacas / Índia Tipo de estudo: Estudo de incidência País/Região como assunto: Ásia Idioma: Inglês Revista: Ann Card Anaesth Ano de publicação: 2013 Tipo de documento: Artigo