Is chronic obstructive pulmonary disease a risk factor for epistaxis after coronary artery bypass graft surgery? : cardiovascular topic

Autor:	Mehmet Arslan, Gokhan Arslan, Faruk Cingoz, Celalettin Günay, Mehmet Ali Sahin, Bilgehan Savas Oz, Adem Güler
Rok vydání:	2014
Předmět:	COPD medicine.medical_specialty business.industry Mortality rate Pulmonary disease General Medicine Cabg surgery medicine.disease Surgical morbidity Surgery medicine.anatomical_structure Anesthesia medicine In patient Risk factor Cardiology and Cardiovascular Medicine business Artery
Zdroj:	Cardiovascular Journal Of Africa. 25:279-281
ISSN:	1680-0745 1995-1892
DOI:	10.5830/cvja-2014-061
Popis:	Background : Chronic obstructive pulmonary disease (COPD) has customarily been associated with increased surgical morbidity and mortality rates after coronary artery bypass graft surgery (CABG). The aim of this study was to determine whether there is a relationship between epistaxis and COPD after CABG surgery. Methods : There were 3 443 patients who consecutively underwent isolated CABG from January 2002 to March 2012. We retrospectively analysed the data of 27 patients (0.8%) with newly developed and serious spontaneous epistaxis, which required consultation with the Ear Nose and Throat (ENT) Department. The patients were divided into three groups according to severity of nasal bleeding. Twenty-one (77.7%) patients in the three groups had COPD. Results : There were 19 males (70%) and eight females (30%). Their ages ranged between 52 and 72 years (mean 61 ± 5). Fifty-five per cent of the patients had hypertension and 78% had COPD. The overall duration of hospital stay was six to 11 days (mean 7.9 ± 1.1). Epistaxis was seen particularly on the fourth and seventh days postoperatively and 17 patients (63%) were treated with anterior, posterior, or anterior and posterior nasal packing (group 1). Nasal bleeding was controlled with electrocautery in six patients (22%) (group 2), and four (15%) were treated with surgical excision and blood transfusions (group 3). All patients (100%) had a good recovery with no mortality. Conclusion : The high coincidence between epistaxis and COPD made us wonder whether COPD may be a risk factor for epistaxis after CABG surgery. However, we could not find any direct causative link between COPD and epistaxis in patients who had undergone CABG. Epistaxis was more common in patients with COPD and it was more serious clinically in patients who had both COPD and hypertension.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::9f55db5671fa88b1b2aff0792a37a0d1 https://doi.org/10.5830/cvja-2014-061 Zobrazit plný text záznamu