Journals / Haydarpaşa Numune Medical Journal / 2020 / Cilt: 60 - Sayı: 1
Effects of Various Preoperative Factors on Surgical Results in Patients Aged 35 and below who Undergone Coronary Artery Bypass Surgery
- Pages
- 27–34
- DOI
- —
Özet
Introduction: In this study, the effects of various known cardiac risk factors on morbidity and surgical results in a population of patients aged 35 and below were studied. Methods: In this study, 130 patients [118 (90.8%) male; mean age 31.8±3.4 and 12 (9.2%) female; mean age 32.1±2.3] aged 35 and below (17-35 years of age) who underwent CABG in our center between the years of 2005 and 2016 were assessed retrospectively. Patients grouped by gender were assessed concerning cardiovascular risk factors, demographic features, some preoperative and postoperative parameters. Results: Concerning female patients, 33.3% had diabetes mellitus, whereas 25% had hypertension and a family history of coronary artery disease. As for the male patients, 50.8% had diabetes mellitus, 31.4% had hypertension, and 21.2% had a family history of coronary artery disease. The ratio of smokers in the male and female patient groups was 68.6% and 33.3%, respectively. CRP values were found to be higher in 47.7% of the patients. 33.8% of all patients (44 out of 130) had a previous myocardial infarction. Preoperatively measured mean EF value was 53%. While 94.6% of all patients (123 out of 130) were operated on an elective basis, 5.4% (7 out of 130) underwent an emergent operation. 9.2% of all patients (12 out of 130) underwent off-pump coronary artery bypass surgery, whereas, in the rest, cardiopulmonary bypass was employed. Mean number of grafts used was 2.4±1.2. Discussion and Conclusion: The findings suggest that the presence of such cardiac risk factors as hypertension, diabetes mellitus, and smoking history increase coronary artery disease risk and postoperative morbidity significantly and adversely affect life expectancy in the young patient population, irrespective of gender. Thus, it could be easily postulated that smoking is the most important preventable risk factor for early-onset of coronary artery disease.