The results of coronary artery surgery in women and men under the age of 45

Abstract

Background: This study aims to investigate possible risk factors with the morbidity and mortality rates in women and men under the age of 45 undergoing coronary artery bypass graft (CABG) surgery. Methods: Between August 2009 and May 2012, a total of 230 patients (189 males, mean age 41.4±3.4 years; range 35 to 45 years; 41 females, mean age 41.9±3.0; range 32 to 45 years) under the age of 45 who underwent CABG in our clinic were included. Patients were divided into two groups according to their gender and a comparative analysis was performed. Results: The mean age was 41.9 years (range, 32 to 45 years) in women and 41.4 years (range, 35 to 45 years) in men. Unstable angina pectoris (p<0.001), hypertension (p<0.001), dyslipidemia (p=0.009) ischemic mitral regurgitation (p=0.03), mitral valve annuloplasty (p=0.03), postoperative atrial fibrillation, (p=0.031) and wound infections (p<0.001) were statistically significant with female gender. Syntax score (p<0.001), smoking (p=0.002), chronic obstructive pulmonary disease (p<0.001), number of distal anastomoses (p<0.001), ejection fraction (p<0.001) were statistically significant associated with male gender. In-hospital mortality rates were similar in men and women. There was no significant difference in the early-and midterm survival rates of female and male patients following surgery. The mean postoperative follow-up was 18.2±9.5 months in women and 31.6±19.3 months in men. Conclusion: Our study results suggest that the incidence of traditional risk factors including dyslipidemia and hypertension is higher in women.

Koroner bypass cerrahisi geçiren hastalarda 1-yıllık mortaliteyi öngörmede lojistik EuroSCORE, SYNTAX ve EuroSCORE II’nin karşılaştırılması

“…Considering INTERHEART study, it has been reported that the risk of developing DM and MI in men and women increased two times more than others regardless of ethnic background 15 . Kaya et al have found that there was no statistically significant difference between short and medium-term life expectancy of women and men following CABG surgery 16 . Given gender distribution of the groups, no statistically significant difference has found to be between oneyear mortality rates and females and males.…”

The Effect of HbA1c Level on Gender-Specific Long-Term Morbidity and Mortality After Isolated Coronary Bypass in Poorly Controlled Diabetic Patients

“…However, CAD is seen more often as a male disease than female disease [22]. In the past 10 years, there has been a marked increase in CABG operations in females, and currently, 1 out of every 3 CABG operations is performed on a female patient [23].In this study, females comprised 35% of the study groups. We did not determined difference among the four groups regarding mortality and the 2 nd intervention.…”