Diabetes mellitus and morbidity and mortality risks after coronary artery bypass surgery

被引:43
作者
Risum, O
Abdelnoor, M
Svennevig, JL
Levorstad, K
Gullestad, L
Bjornerheim, R
Simonsen, S
NitterHauge, S
机构
[1] UNIV OSLO,RIKSHOSP,DEPT SURG A,OSLO,NORWAY
[2] UNIV OSLO,RIKSHOSP,DEPT MED B,OSLO,NORWAY
[3] UNIV OSLO,RIKSHOSP,DEPT RADIOL,OSLO,NORWAY
来源
SCANDINAVIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | 1996年 / 30卷 / 02期
关键词
coronary artery bypass grafting; diabetes mellitus; risk factors; survival;
D O I
10.3109/14017439609107245
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Of 1025 patients (912 men, 113 women) who underwent coronary artery bypass grafting and were followed up for a mean of 7.4 years, 45 (4.4%) had diabetes mellitus. (The prevalence of diabetes in the general Norwegian population is 1.8-2%). Early mortality was not significantly greater among diabetics than in non-diabetics (2.2 vs 3.1%, odds ratio-OR-0.44, confidence interval-CI-0.05-3.56). Diabetic patients had no increased risk of perioperative myocardial infarction (OR = 0.87, CI 0.36-2.10) or of low-output syndrome necessitating intraortic balloon pumping (OR = 0.42, CI 0.55-3.05), and no excess incidence of late non-fatal myocardial infarction (relative risk = 0.69, CI 0.10-1.28) or late chronic heart failure (OR = 2.50, CI 0.5-11.0). Long-term mortality was increased in the diabetic patients (relative risk 1.87, CI 1.60-2.14). Thus diabetes did not entail heightened risk of early mortality, perioperative myocardial infarction or low-output syndrome. Nor was there excess risk of recurrent angina pectoris, late non-fatal myocardial infarction or chronic heart failure among the diabetic patients, but the late mortality risk was increased.
引用
收藏
页码:71 / 75
页数:5
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