Hybrid coronary revascularization in multivessel coronary artery disease: a systematic review

Nenna, Antonio; Nappi, Francesco; Spadaccio, Cristiano; Greco, Salvatore; Pilato, Michele; Stilo, Francesco; Montelione, Nunzio; Catanese, Vincenzo; Lusini, Mario; Spinelli, Francesco; Chello, Massimo

doi:10.2217/fca-2020-0244

Cited by 5 publications

(1 citation statement)

References 69 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Heart rate variability (HRV) monitoring is a non-invasive monitoring technique which has been widely utilized as an assessment method for cardiac autonomic modulation [3]. It has been shown that HRV can be a useful tool for the predication of cardiac post-surgery complications [4] [5] [6], assessing arrhythmias [7], and evaluating the effects of post-surgery therapeutic intervention [8].…”

Section: Introductionmentioning

confidence: 99%

Recovery Assessment of Open-heart Cardiac Surgery Patients Using Heart Rate Variability Parameters

Miri¹,

L�hteenm�ki²,

Tuomisto³

et al. 2022

Computing in Cardiology Conference (CinC)

View full text Add to dashboard Cite

Surgical operation causes short-term stress changing the balance of the autonomic nervous system (ANS). The ANS activity can be assessed through heart rate variability (HRV). This work aims to evaluate the recovery process of open-heart cardiac surgery patients under two postsurgery physiotherapy interventions using HRV parameters. Ten-minute ECG recordings were performed on 17 open-heart cardiac surgery patients pre-operatively (PREOP) and during three consecutive post-operative days (POD1, POD2 and POD3). The recovery process was promoted using two different physiotherapy techniques: positive expiratory pressure (PEP, N = 9) and inspiratory training (IMT, N = 8). Common HRV parameters (SDNN, LF power and SD1) were calculated for each patient and statistical analyses were performed.The results show significant differences between HRV parameters pre-and post-operatively, and there was a reduction of all three investigated HRV parameters in the POD1 for both groups. HRV parameters average values increased between POD1 to POD3 for both intervention groups indicating that patients were eventually starting to recover from the surgery. Statistically significant difference between PEP and IMT interventions was not discovered (e.g., p = 0.54 for SDNN, PREOP vs. POD3). Based on the results, all studied HRV parameters are potential indicators of the short-term recovery after cardiac surgery.

show abstract

Section: Introductionmentioning

confidence: 99%

Recovery Assessment of Open-heart Cardiac Surgery Patients Using Heart Rate Variability Parameters

Miri¹,

L�hteenm�ki²,

Tuomisto³

et al. 2022

Computing in Cardiology Conference (CinC)

View full text Add to dashboard Cite

show abstract

Association between monocyte to high-density lipoprotein cholesterol ratio and multi-vessel coronary artery disease: a cross-sectional study

Chen

Cao

et al. 2023

Lipids Health Dis

View full text Add to dashboard Cite

Background Patients with multi-vessel coronary artery disease (MV-CAD) have poorer clinical outcomes than those with single-vessel coronary artery disease (SV-CAD). Solid evidence underlines that high-density lipoprotein cholesterol (HDL-C) plays a protective role and monocyte plays a negative role in coronary artery disease (CAD). However, the monocyte to high-density lipoprotein ratio (MHR) has not been studied in relation to MV-CAD. Methods In this study, 640 patients underwent coronary angiography, of whom 225 had severe coronary artery disease. Then divide the above two groups of patients into three groups based on the MHR tertiles, respectively. Logistic regression and subgroup analysis were carried out to estimate the association between MHR and MV-CAD. The receiver operating characteristic (ROC) curve analysis was constructed by combining classic CAD risk factors with MHR in response to MV-CAD. In addition, the mediating effect of MHR between smoking and MV-CAD in suspected CAD Patients was analyzed. Results Among the three MHR groups, a statistically discrepant was observed in the number of patients with CAD, Severe-CAD and MV-CAD (PCAD < 0.001; PSevere-CAD < 0.001; PMV-CAD = 0.001) in suspected CAD patients. Furthermore, the number of patients with MV-CAD (P < 0.001) was different in Severe-CAD patients among three MHR groups. Non-CAD and CAD patients showed statistically discrepant in MHR levels (P < 0.001), and this difference also was observed between SV-CAD and MV-CAD patients (P < 0.001). In the analysis of suspected CAD patients, a significantly positive relationship was found between MHR and CAD, Severe-CAD, and MV-CAD (P for trend < 0.001). The effect of MHR on MV-CAD was consistent across all subgroups, with no significant randomized factor-by-subgroup interaction (P-interaction = 0.17–0.89). ROC analysis showed that the model constructed with MHR and classic influencing factors of CAD was superior to the model constructed solely based on classic influencing factors of CAD (0.742 vs.0.682, P = 0.002). In the analysis of Severe-CAD patients, patients with higher MHR levels had a higher risk of MV-CAD [OR (95%CI): 2.90 (1.49, 5.62), P for trend = 0.002] compared to patients with lower MHR. The trends persisted after adjusting for demographic (P for trend = 0.004) and classic influencing factors of CAD (P for trend = 0.009). All subgroup factors for patients with MV-CAD had no interaction with MHR (P-interaction = 0.15–0.86). ROC analysis showed that the model combining MHR and classic influencing factors of CAD was superior to the one including only the classic influencing factors of CAD (0.716 vs.0.650, P = 0.046). Assuming that MHR played a mediating effect between smoking and MV-CAD in suspected CAD patients. The results indicated that MHR played a partial mediating effect of 0.48 (P < 0.001). Conclusion A higher MHR was mainly associated with multi-vessel coronary artery disease and MHR partially mediated the association between smoking and MV-CAD.

show abstract

The choice of coronary revascularization method depending on comorbid pathology

Bazilevich,

Sidorov,

Kaplunovskaya

et al. 2023

jour

View full text Add to dashboard Cite

Coronary heart disease plays a leading role in global mortality statistics. Despite the obvious progress in the development of new drug regimens, surgical treatment remains an important component. The high prevalence and complexity of treatment of patients with CHD and comorbid pathology, especially diabetes mellitus and chronic kidney disease, make researchers think about proper approaches to therapy of such patients. The decision to perform revascularization is made in consultation with all Heart Team members, taking into account the results of the invasive study, the presence of complaints in the patient and his "response" to drug therapy. Percutaneous coronary interventions (PCI) are still statistically more likely to result in restenosis and repeat revascularizations than open surgery. Hybrid myocardial revascularization is an alternative method combining the advantages of coronary artery bypass and PCI and reducing the risks of both procedures adverse complications. The choice of the optimal strategy of surgical treatment in patients with comorbid pathology requires special attention.

show abstract

Hybrid coronary revascularization in multivessel coronary artery disease: a systematic review

Cited by 5 publications

References 69 publications

Recovery Assessment of Open-heart Cardiac Surgery Patients Using Heart Rate Variability Parameters

Recovery Assessment of Open-heart Cardiac Surgery Patients Using Heart Rate Variability Parameters

Association between monocyte to high-density lipoprotein cholesterol ratio and multi-vessel coronary artery disease: a cross-sectional study

The choice of coronary revascularization method depending on comorbid pathology

Contact Info

Product

Resources

About