Prognosis of different operative procedures of coronary artery bypass grafting in the senile patients / 中华外科杂志
Chinese Journal of Surgery
;
(12): 694-696, 2010.
Artigo
em Chinês
| WPRIM
| ID: wpr-360760
ABSTRACT
<p><b>OBJECTIVE</b>To investigate myocardial protection and prognosis of the different operative procedures of coronary artery bypass grafting (CABG) for the senile patients with coronary artery disease.</p><p><b>METHODS</b>From July 2008 to June 2009, 125 cases (age ≥ 65 years old) underwent CABG were divided into 3 groups.Group A (70 cases) undertook off-pump CABG, group B (33 cases) undertook on-pump beating heart CABG. group C (22 cases) undertook on-pump CABG with cardiac arrest. Serum level of cardiac troponin I (cTnI) and creatine kinase MB isoenzyme (CK-MB) activity were examined right before operation and 0, 24, 72 and 168 h after operation. The complications during perioperative period and the mortality were investigated.</p><p><b>RESULTS</b>No significant difference was found in the right before operation and 168 h after operation of the serum level of cTnI and CK-MB in the 3 groups (P > 0.05). The serum level of cTnI and CK-MB activity of group A was the lowest and group B was lower than group C. Group A was the best concerning the complications during perioperative period. The mortality of group A was lower than group B but no significant difference was found in the mortality between group A and C. No significant difference was found in the complications during perioperative period and the mortality between group B and C.</p><p><b>CONCLUSION</b>Off-pump CABG could reduce myocardial injury and the complications during perioperative period in the senile patients.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Prognóstico
/
Cirurgia Geral
/
Ponte Cardiopulmonar
/
Ponte de Artéria Coronária
/
Doença das Coronárias
/
Ponte de Artéria Coronária sem Circulação Extracorpórea
/
Métodos
Tipo de estudo:
Estudo prognóstico
Limite:
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2010
Tipo de documento:
Artigo
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