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Revascularización miocárdica en la población femenina / Myocardial revascularization in the female population
Gualis, Javier; Carrascal, Yolanda; Casquero, E; Bustamante, Juan; Di Stefano, Salvatore; Echevarría, José R; Fulquet, Enrique; Flórez, Santiago; Fiz, Luis.
Afiliación
  • Gualis, Javier; Hospital Clínico Universitario. Servicio de Cirugía Cardíaca. Valladolid. ES
  • Carrascal, Yolanda; Hospital Clínico Universitario. Servicio de Cirugía Cardíaca. Valladolid. ES
  • Casquero, E; Hospital Clínico Universitario. Servicio de Cirugía Cardíaca. Valladolid. ES
  • Bustamante, Juan; Hospital Clínico Universitario. Servicio de Cirugía Cardíaca. Valladolid. ES
  • Di Stefano, Salvatore; Hospital Clínico Universitario. Servicio de Cirugía Cardíaca. Valladolid. ES
  • Echevarría, José R; Hospital Clínico Universitario. Servicio de Cirugía Cardíaca. Valladolid. ES
  • Fulquet, Enrique; Hospital Clínico Universitario. Servicio de Cirugía Cardíaca. Valladolid. ES
  • Flórez, Santiago; Hospital Clínico Universitario. Servicio de Cirugía Cardíaca. Valladolid. ES
  • Fiz, Luis; Hospital Clínico Universitario. Servicio de Cirugía Cardíaca. Valladolid. ES
Arch. cardiol. Méx ; 77(1): 25-30, ene.-mar. 2007. tab
Article en Es | LILACS | ID: lil-566910
Biblioteca responsable: BR1.1
ABSTRACT

OBJECTIVES:

To analyze the factors that influence outcomes of surgical myocardial revascularization in the female population. PATIENTS AND

METHOD:

This is a retrospective study in which 128 woman, subjected to GABC[IBM1] from January to September 2004, were enrolled in an univariate and multivariate analysis of risk factors associated with morbidity and mortality.

Results:

The mean age was 69.19 +/- 9.05 [IBM2] years, the most frequent pathologies, comorbilities, were dyslipemia, hypertension, and myocardial infarction. Unestable angina was found in 63.28% patients and stenosis in the left main coronary artery 42.96%; NYHA III-IV in 23.43%. The EuroSCORE mean preoperative risk was [IBM3] 5.57. Twelve surgeries were emergencies. Mean of grafts was 2.57. Mortality corresponded to 5.4% in programmed surgeries, 7% global. Univariate analysis identified this risk factors releated to mortality (p < 0.05) age older than 67 years, NYHA III-IV and emergency surgery, complicated in 25.2%. Follow-up was kept in 90.8% of patients, mean follow-up time was 17.11 (+/- 14.94) months; 115 patients did not present angina. The risk factor for angina during follow-up, in the univariate analysis (p < 0.05) was not having used the left internal thoracic artery as graft for the anastomosis of the anterior descending artery.

CONCLUSIONS:

Emergency surgery, age older than 67 years, and NYHA III-IV, were independent risk factors associated with mortality in this group. The use of artery grafts associated to reduced angina during follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Puente Cardiopulmonar Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies Límite: Aged / Female / Humans / Male Idioma: Es Revista: Arch. cardiol. Méx Asunto de la revista: CARDIOLOGIA Año: 2007 Tipo del documento: Article País de afiliación: España Pais de publicación: México
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Puente Cardiopulmonar Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies Límite: Aged / Female / Humans / Male Idioma: Es Revista: Arch. cardiol. Méx Asunto de la revista: CARDIOLOGIA Año: 2007 Tipo del documento: Article País de afiliación: España Pais de publicación: México