Peripheral Vascular Disease as a Predictor of Survival After Coronary Artery Bypass Grafting: Comparison With a Matched General Population

Straten, Albert H.M. van; Firanescu, Cristina E.; Hamad, Mohamed A. Soliman; Tan, Mengwei; Woorst, Joost F.J. ter; Martens, Elisabeth J.; Zundert, André van

doi:10.1016/j.athoracsur.2009.11.036

Cited by 39 publications

(31 citation statements)

References 15 publications

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“…Более важными прогностиче-скими факторами оказались распространенность коронарного и некоронарного атеросклероза, выра- женность дислипидемии, наличие систолической дис-функции левого желудочка, что вполне ожидаемо. Так, наличие атеросклероза артерий нижних конечностей является независимым фактором риска летального исхода у больных после КШ (отношение рисков (ОР) 1,67; 95% доверительный интервал (ДИ) 1,43-1,95; p<0,0001) [9]. Даже субклинический МФА соотно-сится с неблагоприятным прогнозом у больных после КШ [10].…”

Section: Discussionunclassified

One-year results of coronary artery stenting in elderly patients

Сумин¹,

Гайфулин²,

Ivanov³

et al. 2013

Russ J Cardiol

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Aim.To study the one-year survival after coronary artery stenting (CAS) across age groups and to identify the predictors of cardiovascular events registered during the follow-up period. Material and methods. In total, 662 patients who underwent CAS were divided into 4 groups: Group I -under 60 years (n=363); Group II -60-64 years (n=140); Group III -65-69 years (n=88); Group IV -70+ years (n=71). The end-points, registered during the one-year follow-period, included death, myocardial infarction (MI), stroke (S), repeat revascularisation, and their combinations. In addition, the pre-and peri-intervention predictors of the abovementioned cardiovascular events were analysed. Results. Based on the one-year follow-up data, there was an insignificant increase in all-cause mortality among older patients. However, the difference in cardiovascular mortality across the groups was statistically significant (p for trend 0,04). In multivariate regression analyses, age was not independently associated with the risk of cardiovascular death, while atherogenic index, decreased left ventricular contractility, and post-intervention renal dysfunction were independent predictors of cardiovascular mortality. The independent predictors of combined end-point were circulatory support duration, peri-intervention S, and the lesions in two or more coronary arteries. Conclusion. In one year after CAS, 65-69-year-old patients demonstrated higher cardiovascular mortality levels, with no apparent increase in all-cause mortality and the incidence of combined end-point. Age was not an independent predictor of the one-year risk of cardiovascular events.

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Section: Discussionunclassified

One-year results of coronary artery stenting in elderly patients

Сумин¹,

Гайфулин²,

Ivanov³

et al. 2013

Russ J Cardiol

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“…Numerous studies have shown that brief transient episodes of intermittent ischemia of the arm or leg could provide potent myocardial protection experimentally and clinically. It has been reported that PAD is an independent risk factor for late mortality only after coronary artery bypass grafting [4,5] . All these studies revealed that RIPC might play an important role in cardioprotection in patients with PAD.…”

Section: Discussionmentioning

confidence: 99%

“…Because both diabetes mellitus and PAD are accepted as CAD equivalents [1] , the coexistence of PAD and CAD is associated with more extensive atherosclerosis and poor long-term survival than CAD only [2,3] . However, in some reports, short-term cardiovascular outcomes in patients with PAD have been similar to in CAD patients without PAD, particularly in the early postoperative period [4,5] . In numerous studies [6][7][8][9] , it has been suggested that transient brief episodes of intermittent ischemia of the leg, experimentally and clinically known as remote ischemic preconditioning (RIPC), can provide potent myocardial protection.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Chronic Repetitive Leg Ischemia on Left Ventricular Function and Severity of Coronary Atherosclerosis in Patients with Acute Coronary Syndrome

Gungor

Yıldırım²

2017

Med Princ Pract

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Objective: The purpose of this study was to assess the impact of the presence of peripheral arterial disease (PAD) on left ventricular (LV) function in patients with coronary artery disease (CAD) presenting with acute coronary syndrome (ACS). Subjects and Methods: The medical records of the patients who were referred to Ankara Bayindir Hospital, Ankara, Turkey, due to a first episode of ACS were reviewed. Patients with concomitant PAD and CAD (group 1) were compared with those who had CAD only (group 2). The Mann-Whitney U and χ² tests were used to compare continuous and categorical variables, respectively. Results: Baseline demographic data of 53 patients with PAD + CAD (42 men and 11 women; mean age 62.5 ± 9.5 years) and a group of 60 patients with CAD only (41 men and 19 women; mean age 59.9 ± 9.8 years) were similar, except for the serum creatinine level which was higher in group 1 than in group 2 (1.32 ± 0.34 vs. 1.03 ± 0.22 mg/dL, p < 0.001). Patients with CAD + PAD had significantly higher Gensini scores (62.6 ± 19.7 vs. 41.4 ± 26.8, p = 0.004) and more 3-vessel disease than patients with CAD alone (62.2 vs. 31.6%, p < 0.045). There was a significant difference between the 2 groups regarding the LV ejection fraction at the time of the diagnosis (52.0 ± 8.2% in the CAD + PAD group and 43.7 ± 13.3% in the CAD-alone group; p = 0.017). Conclusion: CAD concomitant with PAD was associated with preserved LV function at early stages of diagnosis in patients with ACS.

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“…• W przypadku CABG: przesiewowa ocena w kierunku LEAD za pomocą ABI, ograniczyć pobieranie żył w przypadku LEAD Zmiany poniżej tętnicy podkolanowej • Przesiewowe wykrywanie LEAD u pacjentów z CAD [366][367][368][375][376][377][378][379] • Najpierw leczenie wewnątrznaczyniowe…”

Section: Leadunclassified

“…W badaniach obserwacyjnych i metaanalizach zgodnie dowiedziono, że obecność LEAD u pacjentów z niewydolnością serca jest niezależnym wskaźnikiem predykcyjnym hospitalizacji i zgonów [376][377][378][379]403]. W badaniu Heart Failure: A Controlled Trial Investigating Outcomes of Exercise Training (HFACTION) obecność LEAD, którą stwierdzono u ok. 7% pacjentów z niewydolnością serca i frakcją wyrzutową lewej komory < 35%, wiązała się ze zwiększonym ryzykiem hospitalizacji z dowolnej przyczyny oraz zgonów (HR 1,31; p = 0,011) [376].…”

Section: Choroby Tętnic Obwodowych U Pacjentów Z Niewydolnością Sercaunclassified

2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)

Aboyans¹,

Ricco²,

Bartelink³

et al. 2017

Kardiol Pol

226

241

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Peripheral Vascular Disease as a Predictor of Survival After Coronary Artery Bypass Grafting: Comparison With a Matched General Population

Cited by 39 publications

References 15 publications

One-year results of coronary artery stenting in elderly patients

One-year results of coronary artery stenting in elderly patients

The Impact of Chronic Repetitive Leg Ischemia on Left Ventricular Function and Severity of Coronary Atherosclerosis in Patients with Acute Coronary Syndrome

2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)

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