Perioperative Glycemic Control for Patients Undergoing Coronary Artery Bypass Grafting

Abstract

Coronary artery bypass grafting (CABG), as a gold standard treatment for coronary artery disease, has been widely adopted all around the world. Meanwhile, it’s also well known that diabetes is an independent risk factor for postoperative mortality. However, hyperglycemia often occurs perioperatively, regardless of whether the patient has diabetes or not. Perioperative stress hyperglycemia is harmful to patients undergoing cardiac surgery and has a clear correlation with increased inflammatory response, and clinical adverse events, especially for patients with diabetes. Thus, proper perioperative blood glycemic control can reduce the short-term and long-term mortality and the incidence of complications in patients undergoing CABG.