Postoperative period pecularities in patients of 70 years and older with ischemic heart disease after myocardial revasculization

• Published in: Anesteziologiia i reanimatologiia no. 2; p. 73
• Main Authors: Ziuliaeva, T P, Babaev, M A, Eremenko, A A, Zhbanov, I V, Molochkov, A V
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01.03.2013
• Subjects: Adult; Age Factors; Aged; Coronary Artery Bypass - methods; Female; Humans; Male; Middle Aged; Myocardial Ischemia - surgery; Outcome Assessment (Health Care); Postoperative Complications - epidemiology; Postoperative Complications - etiology; Postoperative Period; Retrospective Studies
• ISSN: 0201-7563

A comparative analysis of preoperative risk factors and postoperative period flow in patients older than 70 years (58 people) in comparison with control group aged 40-63 years (62 patients), undergoing myocardial revasculization was conducted. . Significantly higher rates of rhythm disturbances, arterial hypertension, lung diseases, chronic renal insufficiency, atherosclerotic carotid artery disease, lower limb atherosclerotic disease were found in patients older than 70 years preoperatively. It leads to postoperative complications and requires special preoperative correction. Complications incidence after CABG was higher by 1.7 times in patients older than 70 versus control group. The most frequent complications were: rhythm disturbances (in 5 times more often, than control group), respiratory failure (which in 70% of cases was caused by COPD), cerebral complications (in 2,5 times more often, than in control group). Myocardial revasculization surgery in elderly patients is effective treatment method and can be performed with good immediate results.