Feb 18, 2020

Effects and outcomes of cardiac surgery in patients with cardiometabolic syndrome

Journal of Cardiac Surgery
David ZapataOmar Lattouf

Abstract

Cardiometabolic syndrome (CMS) is diabetes mellitus (or insulin resistance) plus any two of the following risk factors: hypertension, obesity, and hyperlipidemia. The correlation of metabolic syndrome with cardiovascular disease and the increase in the prevalence of patients with risk factors have solidified the importance of continued focus on metabolic syndrome. We retrospectively evaluated single-center data to determine if there is an association between CMS and outcomes. The local Society of Thoracic Surgeons Adult Cardiac Database was queried for consecutive coronary bypass (CABG) cases from 2002 to 2010. Short and long-term outcomes were compared between groups of patients with CMS and then risk-adjusted using multiple regression models with adjusted odds ratios and hazard ratios. Of 11 021 CABG cases, 3881 (35.2%) had CMS, with an annual prevalence that increased from 32% to 40% during the study. Patients with CMS were more likely to have prior cerebrovascular diseases, strokes, renal insufficiency, and worse New York Heart Association status. Unadjusted postoperative comparisons revealed that patients with CMS had higher rates of stroke, renal failure, dialysis, deep sternal wound infection, and longer intensive care u...Continue Reading

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Mentioned in this Paper

Regression Analysis
New York Heart Association Class
Metabolic Syndrome X
Cerebrovascular Accident
Cardiac Surgery Procedures
Study
Obesity
Renal Insufficiency
Hospitals
Hypertensive Disease

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