RISK-FACTORS FOR STROKE AFTER CORONARY-ARTERY BYPASS

被引:106
作者
LYNN, GM
STEFANKO, K
REED, JF
GEE, W
NICHOLAS, G
机构
[1] LEHIGH UNIV,DEPT SURG,CEDA CREST & I-78,POB 689,BETHLEHEM,PA 18015
[2] LEHIGH UNIV,RES DEPT,BETHLEHEM,PA 18015
[3] LEHIGH UNIV,VASC LAB,BETHLEHEM,PA 18015
关键词
D O I
10.1016/S0022-5223(19)33878-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To determine the prevalence of stroke after coronary artery bypass grafting and to evaluate risk factors, we reviewed the records of 1000 patients undergoing coronary bypass within a 1-year time period. Demographic and perioperative data were evaluated by chi2 analysis. A history of diabetes, evidence of mural thrombus, positive oculopneumoplethysmography findings, increased age, aortic calcification, and postoperative arrhythmias all correlated with increased risk of permanent neurologic deficit for the patient undergoing coronary bypass. Risk factors were analyzed with stepwise logistic regression. A history of diabetes, presence of mural thrombi, and aortic calcification carried a higher probability that the patient would have a permanent neurologic deficit.
引用
收藏
页码:1518 / 1523
页数:6
相关论文
共 20 条
  • [1] ASYMPTOMATIC CAROTID DISEASE IN THE CARDIOVASCULAR SURGICAL PATIENT - IS PROPHYLACTIC ENDARTERECTOMY NECESSARY
    BARNES, RW
    MARSZALEK, PB
    [J]. STROKE, 1981, 12 (04) : 497 - 500
  • [2] BERGUER R, 1979, ANN SURG, V180, P39
  • [3] FATAL CEREBRAL EMBOLISM FOLLOWING AORTO-CORONARY BYPASS GRAFT SURGERY
    BOUNDS, JV
    SANDOK, BA
    BARNHORST, DA
    [J]. STROKE, 1976, 7 (06) : 611 - 614
  • [4] A 4-YEAR EXPERIENCE WITH PREOPERATIVE NONINVASIVE CAROTID EVALUATION OF 2026 PATIENTS UNDERGOING CARDIAC-SURGERY
    BRENER, BJ
    BRIEF, DK
    ALPERT, J
    GOLDENKRANZ, RJ
    PARSONNET, V
    FELDMAN, S
    GIELCHINSKY, I
    ABEL, RM
    HOCHBERG, M
    HUSSAIN, M
    [J]. JOURNAL OF VASCULAR SURGERY, 1984, 1 (02) : 326 - 338
  • [5] BRENNER BJ, 1987, J VASC SURG, V51, P269
  • [6] BRESLAU PJ, 1981, J THORAC CARDIOV SUR, V82, P765
  • [7] NEUROLOGIC COMPLICATIONS OF OPEN-HEART SURGERY - COMPUTER-ASSISTED ANALYSIS OF 531 PATIENTS
    BREUER, AC
    FURLAN, AJ
    HANSON, MR
    LEDERMAN, RJ
    LOOP, FD
    COSGROVE, DM
    GHATTAS, MA
    ESTAFANOUS, FG
    [J]. CLEVELAND CLINIC QUARTERLY, 1981, 48 (01): : 205 - 206
  • [8] BREUER AC, 1981, ANN NEUROL, V10, P103
  • [9] BRONTHWAITE NA, 1985, THORAX, V30, P258
  • [10] COFFEY CE, 1982, CIRCULATION, V66, P45