Predictors of reintervention after coronary artery bypass grafting

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dc.contributor.authorİnci, Sinan
dc.contributor.authorArslan, Şakir
dc.contributor.authorBakırcı, Eftal Murat
dc.contributor.authorTaş, Muhammed Hakan
dc.contributor.authorGündo?du, Fuat
dc.contributor.authorKarakelleoğlu, Şule
dc.date.accessioned13.07.201910:50:10
dc.date.accessioned2019-07-16T08:22:37Z
dc.date.available13.07.201910:50:10
dc.date.available2019-07-16T08:22:37Z
dc.date.issued2014
dc.departmentTıp Fakültesi
dc.descriptionPubMed ID: 24452944
dc.description.abstractAIM: Percutaneous and surgical reintervention after coronary artery bypass grafting (CABG) is frequent. The purpose of this study was to determine the predictors of reintervention in patients with symptoms of recurrent ischemia after coronary artery bypass graft surgery (CABG). PATIENTS AND METHODS: The data of 20000 patients who had coronary angiography (CAG) from 2003 to 2010 in our centre were retrospectively analysed. 485 of these patients with CABG who had CAG were included in this study. Demographic characteristics, the presence of coronary artery disease (CAD), risk factors for CAD, electro-cardiographic (ECG) changes, troponin and CKMB levels, and left ventricular function were evaluated in terms of time elapsed after CABG. RESULTS: Reintervention was performed significantly more frequent in patients with acute coronary syndrome, diabetes mellitus (DM), hypertension (HT), family history of CAD, ECG changes, positive troponin level, elevated CKMB, ejection fraction (EF) > 50% and in smoker patients (p < 0.05). Multivariate backward logistic regression analysis revealed that DM, smoking, family history of CAD, HT, ECG changes and patients with EF > 50% were found the independent predictors of reintervention. CONCLUSIONS: Reintervention after CABG is especially higher in patients with risk factors for atherosclerosis and those who have ECG changes and normal EF. Knowledge of these risk factors is useful in the determination of CAG requirement and modification of risk factors for atherosclerosis may play an important role in reducing reintervention.
dc.identifier.endpage70en_US
dc.identifier.issn1128-3602
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage66en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12451/2606
dc.identifier.volume18en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherVerduci Editore
dc.relation.ispartofEuropean Review for Medical and Pharmacological Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCoronary Artery Disease
dc.subjectReintervention
dc.subjectRisk Factors
dc.titlePredictors of reintervention after coronary artery bypass grafting
dc.typeArticle

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