scholarly journals Obstructive sleep apnea-induced multi-organ dysfunction after elective coronary artery bypass surgery in coronary heart disease patients

2020 ◽  
Vol 12 (10) ◽  
pp. 5603-5616
Author(s):  
Jiayang Wang ◽  
Xinxin Wang ◽  
Wenyuan Yu ◽  
Kui Zhang ◽  
Yongxiang Wei
Keyword(s):  
Coronary Heart Disease ◽  
Obstructive Sleep Apnea ◽  
Heart Disease ◽  
Coronary Artery ◽  
Sleep Apnea ◽  
Organ Dysfunction ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Obstructive Sleep

scholarly journals Prevalence and structure of periodontal disease in patients with coronary heart disease preparing for coronary artery bypass surgery

2015 ◽  
Vol 96 (2) ◽  
pp. 170-174 ◽  
Author(s):  
S L Blashkova ◽  
A S Galyavich ◽  
E M Vasilevskaya
Keyword(s):  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Coronary Artery ◽  
Periodontal Disease ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
World Health

Aim. To study the prevalence and structure of periodontal disease in in-patients with coronary heart disease preparing for coronary artery bypass surgery.Methods. The study included 144 male in-patients with coronary heart disease who were prepared for coronary artery bypass surgery in the department of cardiac surgery. The diagnosis of periodontal disease was set according to the World Health Organization recommendations based on the comprehensive dental examination. Exclusion criteria were: diabetes mellitus, survived blood transfusions and all teeth missing. A prognostic model based on binary logistic regression method was created for estimation of risk factors on periodontal disease risk.Results.The prevalence of chronic generalized periodontitis in patients with coronary heart disease preparing for coronary artery bypass surgery reaches 73.6%. Mild (51.9%) and moderately severe (48.1%) chronic generalized periodontitis were the most common. Among the risk factors for periodontal disease patients, we have identified older age, smoking, hypertension and survived acute ischemic episodes. For the created model, χ2 value was assessed as 42.7, meaning statistical significance of pConclusion. In in-patients with coronary heart disease, prophylaxis for periodontal disease should be performed to decrease the risk for exacerbations. Using the created prognostic tool in clinical practice may be used for outlining patients with higher risk for periodontal disease.

scholarly journals OSA-induced multi-organ dysfunction after elective coronary artery bypass surgery in coronary heart disease patients

2020 ◽  
Author(s):  
Jiayang Wang ◽  
Xinxin Wang ◽  
Wenyuan Yu ◽  
Kui Zhang ◽  
Yongxiang Wei
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Organ Dysfunction ◽  
Artery Bypass ◽  
Cochrane Library ◽  
Elective Coronary Artery Bypass ◽  
Obstructive Sleep ◽  
Increased Risk

Abstract Background The aim of this study was to explore the underlying impact of obstructive sleep apnea (OSA) on postoperative parameters of multi-organ function, including cardiac and cerebral vascular, respiratory as well as renal postoperative complications, among coronary heart disease (CHD) patients following elective coronary artery bypass grafting (CABG). Methods Electronic literature databases, including PubMed, ISI Web of Science, Directory of Open Access Journals, and the Cochrane Library electronic databases, were searched manually and automatically for relevant English articles. All of the selected articles focused on a comparison of the incidence of primary and secondary outcomes in CHD patients undergoing elective CABG with and without OSA. Results A total of 13 articles met our inclusion criteria. The current study demonstrated OSA significantly increased the incidence of major adverse cardiac and cerebrovascular events (MACCEs) in CHD patients undergoing elective CABG compared with the controls (odds risk (OR), 1.97; 95% confidence interval (CI), 1.50 to 2.59, p <0.0001). In addition, OSA was associated with an increased risk of new revascularization in CHD patients undergoing elective CABG (OR, 9.47; 95% CI, 2.69 to 33.33, p <0.0001). Moreover, reintubation and tracheostomy in the OSA group was increased (OR, 3.43; 95% CI, 1.35 to 8.71; p =0.009) and 372% (OR, 4.72; 95% CI, 1.23 to 18.13; p=0.024), respectively, compared with the control group. Besides, we also confirmed OSA significantly increased the acute kidney injury (AKI) incidence by 124% (OR, 2.24; 95% CI, 1.07 to 4.72; P < 0.0001). Finally, our results demonstrated that OSA increased medical resource utilization including length of postoperative hospital stay and ICU stay. Conclusions OSA may contribute to postoperative multi-organ dysfunction among CHD patients undergoing elective CABG by increasing the incidence of MACCEs, especially new revascularization, as well as respiratory, and renal complications. Peri- and postoperative management of CHD patients with OSA may be optimized to minimize the rate of postoperative parameters of multi-organ dysfunction, further reducing the consumption of limited medical resources.

Obstructive sleep apnea is common among patients referred for coronary artery bypass grafting and can be diagnosed by portable monitoring

2012 ◽  
Vol 23 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Naury de Jesus Danzi-Soares ◽  
Pedro Rodrigues Genta ◽  
Flávia Baggio Nerbass ◽  
Rodrigo Pinto Pedrosa ◽  
Flávia Souza Nunes Soares ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Coronary Artery ◽  
Sleep Apnea ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Portable Monitoring ◽  
Artery Bypass Grafting ◽  
Obstructive Sleep

Tertiary Prevention of Ischemic Heart Disease: Post Coronary Artery Bypass Surgery

2015 ◽  
Vol 2 (4) ◽  
pp. 192-197 ◽  
Author(s):  
Shibban K Kaul ◽  
Archit Pankaj Patel ◽  
Jayant N Karbhase ◽  
Rajiv Kumar Srivastava ◽  
Sameer Sudhirchandra Kadam ◽  
...  
Keyword(s):  
Heart Disease ◽  
Coronary Artery ◽  
Ischemic Heart Disease ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Tertiary Prevention ◽  
Ischemic Heart
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