[Predictors of Cardiorespiratory Complications in Patients With Ischemic Heart Disease After Coronary Artery Bypass Grafting].

Autor: Kamenskaya OV; Acad. E.N. Meshalkin Novosibirsk State Research Institute of Circulaton Pathology, Novosibirsk, Russia., Klinkova AS; Acad. E.N. Meshalkin Novosibirsk State Research Institute of Circulaton Pathology, Novosibirsk, Russia., Meshkov IO; Acad. E.N. Meshalkin Novosibirsk State Research Institute of Circulaton Pathology, Novosibirsk, Russia., Lomivorotov VV; Acad. E.N. Meshalkin Novosibirsk State Research Institute of Circulaton Pathology, Novosibirsk, Russia., Cherniavsky AM; Acad. E.N. Meshalkin Novosibirsk State Research Institute of Circulaton Pathology, Novosibirsk, Russia.
Jazyk: ruština
Zdroj: Kardiologiia [Kardiologiia] 2017 Apr; Vol. 57 (4), pp. 5-9.
Abstrakt: Purpose: to elucidate predictors of cardiorespiratory complications during the early postoperative period after coronary artery bypass grafting (CABG) in patients with ischemic heart disease (IHD).
Material and Methods: We examined 180 patients with IHD (mean age 59.3+/-1.23years). Prior to surgery we assessed their clinical and functional status including state of respiratory function. Predictors of complications were determined by univariate logistic regression analysis.
Result and Conclusions: Early postoperative complications in this group of patients were atrial fibrillation, prolonged mechanical ventilation, and cognitive disorders. Main predictors of these complications were preoperative abnormalities of respiratory function (presence of chronic obstructive pulmonary disease, decreased efficiency of pulmonary ventilation), and concomitant diseases such as type 2 diabetes and multifocal atherosclerosis.
Databáze: MEDLINE