scholarly journals Relationship Between the Pleural Effusion and Mean Platelet Volume After Coronary Artery Bypass Graft

2018 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Safa Gode ◽  
Kursat Oz ◽  
Onur Sen ◽  
Ersin Kadirogullari ◽  
Taner Iyigun ◽  
...  
2016 ◽  
Vol 12 (1) ◽  
pp. 53-56
Author(s):  
Md Amirul Hasan ◽  
Md Abul Quashem ◽  
Sharmin Jahan

Introduction: The Mean Platelet Volume (MPV) is a marker of platelet size with increased platelet activation. An elevated MPV is associated with major cardiac adverse events after Coronary Artery Bypass Graft (CABG) surgery. Effect of preoperative MPV on outcome of in-hospital patients after coronary artery bypass graft surgery was investigated in this study. Objective: To investigate the association of preoperative MPV with in-hospital outcome of patients after CABG surgery. Materials and Methods: An observational prospective study was carried out in the Department of Cardiovascular Surgery, National Institute of Cardiovascular Diseases (NICVD), Dhaka during the period from July 2012 to June 2014. Preoperative mean platelet volume was obtained prospectively in 81 consecutive patients undergoing conventional coronary artery bypass surgery. The patients were divided into two groups according to normal and elevated MPV at 10.60 femtolitre (fL) cut off level. Postoperative mortality and major adverse events were recorded in the early postoperative period. Results: Combined adverse events including post operative Myocardial Infarction (MI), arrhythmia, bleeding and death occurred in 27 patients (33.3%) during the early follow-up. The preoperative mean platelet volume levels were found to be associated with postoperative adverse events (p<0.05). In multivariate logistic regression models, the preoperative mean platelet volume levels was found strong independent predictor of combined adverse events after surgery (OR 1.968, p=0.008). Conclusion: Mean platelet volume is simple, readily available and cost effective tool and useful in predicting the postoperative adverse events in patients undergoing coronary artery bypass graft surgery. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 53-56


CHEST Journal ◽  
2003 ◽  
Vol 124 (4) ◽  
pp. 219S
Author(s):  
Ioannis T. Kalomenidis ◽  
Yubiao Guo ◽  
Michael Hawthorne ◽  
Randal Barnette ◽  
Kenneth B. Parkes ◽  
...  

1995 ◽  
Vol 50 (5) ◽  
pp. 305-309 ◽  
Author(s):  
M. Meysman ◽  
D.F. Schoors ◽  
M. Noppen ◽  
W. Vincken ◽  
Ph. Dewilde

2018 ◽  
Vol 4 (3) ◽  
pp. 167
Author(s):  
Maria Rossolatou ◽  
Dimitris Papageorgiou ◽  
Georgia Toylia ◽  
Georgios Vasilopoulos

Introduction: The postoperative pleural effusion (PE) is common in patients who undergo cardiac surgery. Most of these effusions develop as a consequence of the surgical procedure itself and follow a generally benign course. The characteristics of PE and the factors predisposing factors should be documented further.Aim: The aim of this study was to determine the prevalence of PE after cardiac surgery. And also to determine whether this prevale is related to the type of cardiac surgery.Material and Methods: This retrospective study was conducted at a large private hospital in Athens. The sample of the study was all adult patients who undergo coronary artery bypass graft (CABG), valve replacement or a combination of these surgeries. A special form was made to record patients’ demographic and clinical data. Descriptive statistics and correlation studies were performed with the SPSS 22.0, at significant level a=0.05.Results: Among the 118 patients, who included in this study, 42.4% underwent CABG surgery, 29.7% valve surgery, and 28% a combination of two types of surgery. Postoperative pleural effusion was developed in 40% of those who underwent CABG, 42.9% of those who underwent cardiac valve surgery, and 42.4% of those who underwent in both types of surgeries. The mean time development of PE was 6.65 days for the CABG group, 4.8 days for the valve group and 8.7 days for the CABG +valve group. There was no statistically significant difference in the demographic and clinical data of patients with pleural effusion according the type of cardiac surgery.Conclusions: Postoperative PE is a common complication at cardiac surgery and is more common in patients undergoing surgical recuperation of valve.


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