Risk factor analysis among Egyptian patients who underwent coronary artery bypass surgery

被引:0
|
作者
Waly, HM [1 ]
Elayda, MA [1 ]
Lee, VV [1 ]
ElSaid, G [1 ]
Reul, GJ [1 ]
Hall, RJ [1 ]
机构
[1] ST LUKES EPISCOPAL HOSP,TEXAS HEART INST,DEPT ADULT CARDIOL,HOUSTON,TX 77030
关键词
cardiovascular diseases etiology; coronary artery bypass; developing countries; Egypt; myocardial revascularization; postoperative complications; risk factors;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We conducted a retrospective review of Egyptian patients who underwent coronary artery bypass graft surgery at our institution between 1980 and 1995. We examined the prevalence of coronary artery disease risk factors and evaluated the early postoperative results. We then compared these results with the corresponding data in a subset of American patients who underwent coronary artery bypass grafting at our institution in 1993. There were 290 Egyptian patients. 275 men and 15 women. The mean age was 54.5 years (range, 30 to 70 years). Angina was present in 258 (89%) of the Egyptian patients; of these, 186 (72.1%) were in Canadian Cardiovascular Society class 3 or 4. Risk factor analysis revealed a high prevalence of hyperlipidemia (69.7%), cigarette-smoking (66.6%), family history of coronary artery disease (53.1%), hypertension (46.9%), obesity (46.2%), and diabetes mellitus (32.4%). Comparisons between the 2 groups showed that the risk factors, except for hypertension, were significantly higher in the Egyptian patients, despite ?he older age of the Americans (mean, 65.5 years; range, 22 to 88 years). The prevalence of triple-vessel disease was 86.6% in the Egyptian patients and 51.0% in the American patients (p<0.001). The operative morbidity rates in the Egyptian patients were low: these included arrhythmias (13.8%), bleeding (13.4%), infection (7.6%), low cardiac output (3.4%), myocardial infarction (3.4%), and cerebrovascular accident (1.4%). The hospital mortality rate was 1.4% for the Egyptians and 1.7% for the Americans (NS). These results show that, despite the high prevalence of risk factors among Egyptian patients with coronary artery disease, coronary artery bypass grafting can be performed with low operative morbidity and mortality rates.
引用
收藏
页码:204 / 208
页数:5
相关论文
共 50 条
  • [31] Depression as a risk factor for mortality after coronary artery bypass surgery
    Blumenthal, JA
    Blumenthal, JA
    Lett, H
    Babyak, M
    White, W
    Smith, P
    Mark, D
    Jones, R
    Matthew, J
    Newman, MF
    JOURNAL OF PSYCHOSOMATIC RESEARCH, 2003, 55 (02) : 141 - 141
  • [32] Coronary artery bypass surgery in high-risk patients
    Kunt, AS
    Darcin, OT
    Andac, MH
    CURRENT CONTROLLED TRIALS IN CARDIOVASCULAR MEDICINE, 2005, 6 (1):
  • [33] Haptoglobin polymorphism, a genetic risk factor in coronary artery bypass surgery
    Delanghe, J
    Cambier, B
    Langlois, M
    DeBuyzere, M
    Neels, H
    DeBacquer, D
    VanCauwelaert, P
    ATHEROSCLEROSIS, 1997, 132 (02) : 215 - 219
  • [34] Coronary artery bypass surgery in high-risk patients
    Alper Sami Kunt
    Osman Tansel Darcın
    Mehmet Halit Andac
    Current Controlled Trials in Cardiovascular Medicine, 2005, 6
  • [35] Effect of Enhanced Recovery After Surgery Protocol on Patients Who Underwent Off-Pump Coronary Artery Bypass Graft
    Chen, Lin
    Zheng, Jing
    Kong, Dong
    Yang, Lijuan
    ASIAN NURSING RESEARCH, 2020, 14 (01) : 44 - 49
  • [36] Comparative study on the histomorphology and molecular biology of radial artery conduits in patients with diabetes mellitus who underwent coronary bypass surgery
    Zou, Liang
    Chen, Xujun
    Chen, Wen
    Li, Li
    Huang, Fuhua
    Xiang, Fei
    Chen, Xin
    DIABETES & VASCULAR DISEASE RESEARCH, 2013, 10 (03): : 208 - 215
  • [38] Initial Success Rate of Percutaneous Coronary Intervention for Chronic Total Occlusion in a Native Coronary Artery Is Decreased in Patients Who Underwent Previous Coronary Artery Bypass Graft Surgery
    Teramoto, Tomohiko
    Tsuchikane, Etsuo
    Matsuo, Hitoshi
    Suzuki, Yoriyasu
    Ito, Tsuyoshi
    Ito, Tatsuya
    Habara, Maoto
    Nasu, Kenya
    Kimura, Masashi
    Kinoshita, Yoshihisa
    Terashima, Mitsuyasu
    Asakura, Yasushi
    Matsubara, Tetsuo
    Suzuki, Takahiko
    JACC-CARDIOVASCULAR INTERVENTIONS, 2014, 7 (01) : 39 - 46
  • [39] Acute Coronary Syndromes Among Patients with Prior Coronary Artery Bypass Surgery
    Denada S. Palm
    Awa Drame
    David J. Moliterno
    David Aguilar
    Current Cardiology Reports, 2022, 24 : 1755 - 1763
  • [40] Acute Coronary Syndromes Among Patients with Prior Coronary Artery Bypass Surgery
    Palm, Denada S.
    Drame, Awa
    Moliterno, David J.
    Aguilar, David
    CURRENT CARDIOLOGY REPORTS, 2022, 24 (11) : 1755 - 1763