Gender Differences in Stroke Risk Among the Elderly After Coronary Artery Surgery

Gotō, Tomoko; Baba, Tomoko; Ito, Asuka; Maekawa, Kengo; Koshiji, Takaaki

doi:10.1213/01.ane.0000263279.07361.1f

Cited by 30 publications

(12 citation statements)

References 21 publications

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“…37 Goto et al revealed that female patients were significantly more likely than male patients to have significant intracranial arterial stenosis, whereas male patients had significantly more severe atherosclerosis of the ascending aorta than female patients. 38 These studies suggest that the distribution and plaque characteristics of atherosclerosis causing postoperative cerebrovascular complications may differ between the genders.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Clinical and Angiographic Outcomes After Coronary Artery Bypass Surgery

Fukui

Takanashi

2010

Circ J

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Background:The impact of gender on outcome after coronary artery bypass grafting (CABG) is controversial. The aim of this study was to compare the differences of clinical and angiographic outcomes between female and male patients after CABG. Methods and Results:The records of 954 patients who underwent isolated CABG between 2004 and 2009 were reviewed. There were 188 female and 766 male patients. Female patients were smaller (P<0.0001) and had a more unstable status (P=0.0024) preoperatively compared with the male patients. Left internal thoracic artery (ITA) use was identical in both genders. However, the right ITA (P=0.006) and radial artery (P<0.0001) use were less frequent in females compared with that in males. Consequently, the use of saphenous vein grafts (SVGs) was more frequent in females than in males (P<0.0001). Mortality was similar between the genders (1.0% vs 1.1%). Although the rate of major complications was not significantly different between the genders (12.2% vs 9.5%), the cerebrovascular event rate was higher in females compared with that in males (4.3% vs 1.6%; P= 0.0432). Patency rates of arterial grafts were not significantly different between the genders; however, those of SVGs were lower in females than those in males (88.6% vs 96.1%; P=0.0003). Conclusions:The clinical outcomes of females after CABG were comparable with those of males. (Circ J 2010; 74: 2103 - 2108

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Section: Discussionmentioning

confidence: 99%

Gender Differences in Clinical and Angiographic Outcomes After Coronary Artery Bypass Surgery

Fukui

Takanashi

2010

Circ J

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“…The difference could be attributed to reported gender difference in risk profiles between males and females. Males, in literature, are associated with smoking, heavy alcohol intake and higher risk of peripheral vascular diseases [28].…”

Section: Social Demographic Data Of Stroke Patients In Kenyamentioning

confidence: 99%

Care process for stroke patients in kenya: mixed study

Kingau¹

2018

Health Edu Care

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Background: Longer-term impairments and activity limitations secondary to stroke can cause inability to return to work, and decreased social participation. Upon stroke episode, patients follow a series of care pathways implemented by healthcare professionals. However, this pathway differs in developing and developed countries. The purpose of this study is to determine the physiotherapy stroke rehabilitation pathway in Kenya.

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“…Atherosclerosis of the ascending aorta is an established risk factor for stroke and has been implicated to be associated with neurocognitive dysfunction by some but not all investigations [1, 2, 7, 25, 26]. Several lines of evidence suggest that the distribution and plaque characteristics of atherosclerosis differ between sexes [9, 11]. …”

Section: Commentmentioning

confidence: 99%

“…Thus, risk stratification for women is mostly based on data obtained primarily from men, despite the findings that women present for cardiac operation with a different distribution of atherosclerotic and vascular risk factors for brain injury [9–12]. We have previously assessed sex-specific risk factors for stroke after cardiac operation [4, 6].…”

mentioning

confidence: 99%

Risk Factors for Neurocognitive Dysfunction After Cardiac Surgery in Postmenopausal Women

Hogue¹,

Fucetola²,

Hershey³

et al. 2008

The Annals of Thoracic Surgery

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Gender Differences in Stroke Risk Among the Elderly After Coronary Artery Surgery

Cited by 30 publications

References 21 publications

Gender Differences in Clinical and Angiographic Outcomes After Coronary Artery Bypass Surgery

Gender Differences in Clinical and Angiographic Outcomes After Coronary Artery Bypass Surgery

Care process for stroke patients in kenya: mixed study

Risk Factors for Neurocognitive Dysfunction After Cardiac Surgery in Postmenopausal Women

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