Myocardial revascularization before abdominal aortic surgery in patients with ischemic heart disease

We retrospectively analyzed 2 cohorts of patients treated in two clinics implementing different strategies of preoperative examination and lowering of perioperative cardiac risk. Patients in clinic 1 (group I, n=86, mean age 59.4+/-7.7 years) were subjected to coronary angiography (CAG) and if indic...

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Published inKardiologiia Vol. 53; no. 4; p. 62
Main Authors Sumin, A N, Korok, E V, Panfilov, S D, Evdokimov, D O, Bezdenezhnykh, A V, Kislov, E E, Ivanov, S V, Barbarash, L S
Format Journal Article
LanguageRussian
Published Russia (Federation) 2013
Subjects
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - surgery
Coronary Angiography
Electrocardiography
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Myocardial Ischemia - complications
Myocardial Ischemia - diagnostic imaging
Myocardial Ischemia - surgery
Myocardial Revascularization - methods
Postoperative Complications - epidemiology
Postoperative Complications - prevention & control
Retrospective Studies
Russia - epidemiology
Survival Rate - trends
Vascular Surgical Procedures - methods
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Summary:We retrospectively analyzed 2 cohorts of patients treated in two clinics implementing different strategies of preoperative examination and lowering of perioperative cardiac risk. Patients in clinic 1 (group I, n=86, mean age 59.4+/-7.7 years) were subjected to coronary angiography (CAG) and if indicated - to preventive myocardial revascularization. In patients of clinic 2 (group II, n=95, mean age 54.3+/-6.5 years) only medical therapy was used. In group I CAG was performed in 90%, and myocardial revascularization - in 28% of patients. Total number of complications and hospital mortality were significantly higher in group II compared with group I (20 vs. 8%, p=0.023; 10.5 vs. 2.3%, =0.026). Myocardial infarction was the cause of 6 deaths (6.3%) in group II, while in group I there were no cardiac complications. Thus compared to control group strategy with routine CAG and preventive myocardial revascularization before abdominal aortic surgery was associated with less perioperative complications, myocardial infarctions, and lower mortality.
ISSN:0022-9040