Predictors of Cardiorespiratory Complications in Patients with Ischemic Heart Disease After Coronary Artery Bypass Grafting
Kamenskaya, O.V.; Klinkova, A.S.; Meshkov, I.O.; Lomivorotov, V.V.; Cherniavsky, A.M.
Kardiologiia 57(4): 5-9
2017
ISSN/ISBN: 0022-9040 PMID: 28762899 Document Number: 692026
To elucidate predictors of cardiorespiratory complications during the early postoperative period after coronary artery bypass grafting (CABG) in patients with ischemic heart disease (IHD). We examined 180 patients with IHD (mean age 59.3+/-1.23years). Prior to surgery we assessed their clinical and functional status including state of respiratory function. Predictors of complications were determined by univariate logistic regression analysis. Early postoperative complications in this group of patients were atrial fibrillation, prolonged mechanical ventilation, and cognitive disorders. Main predictors of these complications were preoperative abnormalities of respiratory function (presence of chronic obstructive pulmonary disease, decreased efficiency of pulmonary ventilation), and concomitant diseases such as type 2 diabetes and multifocal atherosclerosis.