Myocardial revascularization in dyalitic patients: in-hospital period evaluation.
Arq Bras Cardiol
; 102(2): 128-33, 2014 Feb.
Article
en En
| MEDLINE
| ID: mdl-24270865
ABSTRACT
BACKGROUND:
Coronary artery bypass grafting currently is the best treatment for dialytic patients with multivessel coronary disease, but hospital morbidity and mortality related to procedure is still high.OBJECTIVE:
Evaluate results and in-hospital outcomes of coronary artery bypass grafting in dialytic patients.METHODS:
Retrospective unicentric study including 50 consecutive and not selected dialytic patients, who underwent coronary artery bypass grafting in a tertiary university hospital from 2007 to 2012.RESULTS:
High prevalence of cardiovascular risk factors was observed (100% hypertensive, 68% diabetic and 40% dyslipidemic). There was no intra-operative death and 60% of the procedures were performed off-pump. There were seven (14%) in-hospital deaths. Postoperative infection, previous heart failure, cardiopulmonary bypass, abnormal ventricular function and surgical re-exploration were associated with increased mortality.CONCLUSION:
Coronary artery bypass grafting is feasible to dialytic patients although high in-hospital morbidity and mortality. It is necessary better understanding about metabolic aspects to plan adequate interventions.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Enfermedad de la Arteria Coronaria
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Puente de Arteria Coronaria
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Diálisis Renal
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Mortalidad Hospitalaria
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Fallo Renal Crónico
Tipo de estudio:
Etiology_studies
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Evaluation_studies
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Observational_studies
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Risk_factors_studies
Límite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2014
Tipo del documento:
Article