Kosin Medical Journal

Incidence of arterial steno-occlusive disease and related factors in patients undergoing coronary artery bypass graft surgery: Seong Gyu Kim, Geun Woo Lee, Chul Ho Lee; Kosin Med J. 2022;37(2):140-145. Published online June 24, 2022; DOI: https://doi.org/10.7180/kmj.22.104

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Background
Patients who undergo coronary artery bypass graft (CABG) surgery receive regular physical examinations and medications on an outpatient basis. However, these patients are at risk of developing other vascular diseases, such as postoperative arterial steno-occlusive disease (SOD). This study investigated the incidence of SOD and related factors.
Methods
In total, 246 patients who underwent CABG surgery from January 1, 2017 to December 31, 2021 were investigated. The incidence and risk factors of vascular disease were analyzed by dividing the included patients into SOD and non-SOD groups. Laboratory tests, medical history, surgical information, and family history were investigated through an electronic chart review.
Results
Data from 193 patients who met the criteria were analyzed. SOD occurred in 19.1% of patients, and the cerebral artery (38%) was the most common artery involved, followed by the peripheral artery (32%), the coronary artery (22%), and the retinal artery (8%). Risk factors for the development of SOD included estimated glomerular filtration rate (eGFR; odds ratio [OR]=0.977, p=0.008), cholesterol (OR=1.020, p=0.001), and patients with diabetes complications (OR=5.077, p=0.010). The 3-year cumulative incidence rate was 21.6%, and the risk factors for cumulative occurrence were a low eGFR, elevated cholesterol, and complications of diabetes.
Conclusions
Low eGFR, high cholesterol, and the presence of diabetic complications before CABG surgery may be associated with postoperative vascular disease. In these cases, close monitoring, proper drug administration, and patient warnings may be required.

Citations

Citations to this article as recorded by

Why should you not overlook the postoperative evaluation of steno-occlusive arterial disease for coronary artery bypass graft patients?
Jong Hyun Baek, Haeyoung Lee
Kosin Medical Journal.2022; 37(2): 93. CrossRef

The association between T wave inversion and apical hypertrophic cardiomyopathy: Cheol Byoung Chae, Ju Hee Ha, Jun Ho Kim, Jae Joon Lee, Han Il Choi, Ki Beom Park, Jin Hee Kim, Jung Hyun Choi; Kosin Med J. 2018;33(3):328-336. Published online December 31, 2018; DOI: https://doi.org/10.7180/kmj.2018.33.3.328

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Abstract PDF PubReader: Objectives
Electrocardiograhy (ECG) is the first step in hypertrophic cardiomyopathy (HCMP) diagnosis. For various reasons, the T wave inversion (TWI) and ECG change with time and HCMP is not easy to diagnosis. The aim of this retrospective study was to investigate the association between TWI on ECG and apical HCMP.
Methods
A total of 4,730 ECGs presenting TWI from January 2011 to March 2013 in Pusan National University Hospital were enrolled. 133 patients who were examined by both echocardiography and coronary angiogram were analyzed. Patients were divided into two groups: Group A (TWI ≥ 10 mm) and Group B (5 mm ≤ TWI < 10 mm). HCMP is defined by a wall thickness ≥ 15mm in one or more LV myocardial segments. Apical HCMP is defined to be hypertrophy that is confined to LV apex. The patients who had ECGs with at least one month interval were divided 3 groups: Normal T wave, Abnormal T wave, and Persistent TWI. The prevalence of Apical HCMP and coronary artery disease (CAD) was reviewed among the three groups.
Results
In this study there were a total 133 patients, with patients divided into Group A which had 15 patients and Group B which had 118 patients. Among the 23 patients with apical HCMP, three patients were Group A and twenty patients were Group B (P = 0.769). Regarding constancy of TWI, persistent TWI group was higher in apical HCMP than in other groups (P = 0.038). CAD had no difference between groups (P = 0.889).
Conclusions
T wave negativity was not associated with incidence of apical HCMP. However, apical HCMP was diagnosed more frequently in patients with persistent TWI. Further follow up echocardiographic study is needed to evaluate the progression of apical HCMP in patients with TWI.

Spontaneous Coronary Artery Dissection in a female patient with fragile X syndrome: Hyun-Young Park, Jin-Man Cho, Dong-Hee Kim, Chang-Bum Park, Chong-Jin Kim; Kosin Med J. 2017;32(2):240-243. Published online January 19, 2017; DOI: https://doi.org/10.7180/kmj.2017.32.2.240

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Abstract PDF PubReader ePub

We report a case of Spontaneous coronary artery dissection associated with fragile X syndrome. The relationship between fragile X syndrome and Spontaneous coronary artery dissection is unclear. However, More research will need about the causes and treatment of Spontaneous coronary artery dissection.

Citations

Citations to this article as recorded by

Hypermobile Ehlers-Danlos syndrome (hEDS) phenotype in fragile X premutation carriers: case series
Nattaporn Tassanakijpanich, Forrest J McKenzie, Yingratana A McLennan, Elisabeth Makhoul, Flora Tassone, Mittal J Jasoliya, Christopher Romney, Ignacio Cortina Petrasic, Kaye Napalinga, Caroline B Buchanan, Paul Hagerman, Randi Hagerman, Emily L Casanova
Journal of Medical Genetics.2022; 59(7): 687. CrossRef
Exploring the Genetic Architecture of Spontaneous Coronary Artery Dissection Using Whole-Genome Sequencing
Ingrid Tarr, Stephanie Hesselson, Siiri E. Iismaa, Emma Rath, Steven Monger, Michael Troup, Ketan Mishra, Claire M.Y. Wong, Pei-Chen Hsu, Keerat Junday, David T. Humphreys, David Adlam, Tom R. Webb, Anna A. Baranowska-Clarke, Stephen E. Hamby, Keren J. Ca
Circulation: Genomic and Precision Medicine.2022;[Epub] CrossRef
Spontaneous Coronary Artery Dissection in Females With the Fragile X FMR1 Premutation
Forrest J. McKenzie, Nattaporn Tassanakijpanich, Kelly C. Epps, S. Kimara March, Randi J. Hagerman
JACC: Case Reports.2020; 2(1): 40. CrossRef
Cardiovascular Problems in the Fragile X Premutation
Nattaporn Tassanakijpanich, Jonathan Cohen, Rashelle Cohen, Uma N. Srivatsa, Randi J. Hagerman
Frontiers in Genetics.2020;[Epub] CrossRef

Treatment of Stent Dislodgement Complicated by Coronary Artery Dissection using Parallel Wire Technique and Small Balloon: Su Young Kim, Seung-Hee Han, Kyung Han Kim, Moo Hyun Kim, Jong Sung Park; Kosin Med J. 2013;28(1):55-60. Published online January 19, 2013; DOI: https://doi.org/10.7180/kmj.2013.28.1.55

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Abstract PDF PubReader ePub: Stent dislodgement is a rare complication of complex percutaneous coronary artery intervention and is often associated with significant morbidity. We report a case of stent dislodgement complicated by coronary artery dissection and acute total occlusion of left circumflex coronary artery. Direct expansion of the dislodged stent was performed using parallel wire technique and small balloon. An overlapping stent was implanted for remained coronary artery dissection. Coronary artery flow was restored and ST segment elevation was normalized after successful intervention.

Anomalous Origin of Right Coronary Artery from Left Main Artery with Abdominal Aortic Aneurysm: Hyun Su Kim; Kosin Med J. 2009;24(2):211-214. Published online December 31, 2009

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Treatment of Acute Myocardial Infarction in a Patient with Deformed Chest Wall After Radiation Therapy: Kang Joo Choi; Kosin Med J. 2008;23(3):111-113. Published online September 30, 2008

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Anomalies of the coronary arteries originating from the right sinus of Valsalva: Jung Ho Heo; Kosin Med J. 2007;22(1):287-290. Published online June 30, 2007

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