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- 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
- 1,788 View
- 18 Download
- 1 Citations
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Abstract
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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
- Why should you not overlook the postoperative evaluation of steno-occlusive arterial disease for coronary artery bypass graft patients?
The Role of Vitamin D in Menopausal Medicine - Mijin Kim, Tae-Hee Kim, Hae-Hyeog Lee, Heung Yeol Kim, Min-Jung Oh
- Kosin Med J. 2016;31(2):97-102. Published online January 20, 2016
- DOI: https://doi.org/10.7180/kmj.2016.31.2.97
- 791 View
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Abstract
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Abstract Menopause is the time at which menstruation stops in women. After menopause, women are more susceptible to some diseases, especially osteoporosis and cardiovascular disease. Vitamin D has a protective effect against osteoporosis by facilitating the absorption of calcium and affecting parathyroid hormone. Vitamin D also affects cardiovascular function by lowering the blood pressure, which affects the renin–angiotensin system and alters the low-density lipoprotein receptor activity. This paper discusses supplemental vitamin D in postmenopausal women with osteoporosis and cardiovascular disease.
Women, Stress and Heart Health: Mindfulness-Based Stress Reduction and Cardiovascular Disease - Kyoung-Im Cho
- Kosin Med J. 2016;31(2):103-112. Published online January 20, 2016
- DOI: https://doi.org/10.7180/kmj.2016.31.2.103
- 1,347 View
- 39 Download
- 2 Citations
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Abstract
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Abstract Psychological stress including depression and anxiety are independent risk factors for cardiovascular disease morbidity and mortality, especially in women. Emotional regulation plays a mediating role in the development of depression and physical illness, and can alter resting physiologic responses associated with the stress response. Mindfulness-based stress reduction (MBSR) is a structured group program that employs mindfulness meditation to alleviate suffering associated with physical, psychosomatic, and psychiatric disorders. MBSR was originally developed for the management of chronic pain, which is now used widely to reduce psychological morbidity associated with chronic illnesses and to treat emotional and behavioral disorders. In cardiovascular disease, MBSR may be helpful for controlling several risk factors for coronary heart disease such as hypertension, type 2 diabetes mellitus, dyslipidemia, oxidative and psychosocial stress, obesity, and smoking, and improvements in submaximal exercise responses and heart rate variability. Although the most effective mode of stress reduction therapy is yet to be established, increasing recognition is being given to MBSR therapy.
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Citations
Citations to this article as recorded by- Psychosomatic Approach to Fibromyalgia Syndrome: Concept, Diagnosis and Treatment
Sang-Shin Lee
Kosin Medical Journal.2021; 36(2): 79. CrossRef - Investigating the effect of meditation on spiritual wellbeing of Type-2 diabetic amputees: A clinical trial study
Ali Heydari Movahed, Fakhri Sabouhi, Reza Mohammadpourhodki, Sepideh Mahdavi, Sima Goudarzian, Malihe Amerian, Mona Mohtashami, Mansoure Kheiri, Malihe Imeni
Heliyon.2020; 6(11): e05567. CrossRef
- Psychosomatic Approach to Fibromyalgia Syndrome: Concept, Diagnosis and Treatment
- Clinical Features of Upper Gastrointestinal Bleeding in Patients with Chronic Renal Failure
- Won Moon
- Kosin Med J. 2007;22(1):120-124. Published online June 30, 2007
- 199 View
- 0 Download
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