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Risk factors for acute myocardial infarction during the postoperative period of myocardial revascularization.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Costa, José Ribamar Júnior Oliveira, Dinaldo Cavalcanti De Bedrossian, Alexei Der Egito, Enilton Sergio Tabosa Do Romano, Edson Renato Barbosa, Marcos O. Liguori, Ieda Maria Fahran, Jorge Souza, Luis Carlos Bento De Jatene, Adib Domingos Piegas, Leopoldo Soares |
| Copyright Year | 2003 |
| Abstract | OBJECTIVE To identify risk factors for acute myocardial infarction during the postoperative period after myocardial revascularization. METHODS This was a case-control study paired for sex, age, number, type of graft used, coronary endarterectomy, type of myocardial protection, and use of extracorporeal circulation. We assessed 178 patients (89 patients in each group) undergoing myocardial revascularization, and the following variables were considered: dyslipidemia, systemic hypertension, smoking, diabetes mellitus, previous myocardial revascularization surgery, previous coronary angioplasty, and acute myocardial infarction. RESULTS Baseline clinical characteristics did not differ in the groups, except for previous myocardial revascularization surgery, prevalent in the case group (34 patients vs. 12 patients; p = 0.0002). This was the only independent predictor of risk for acute myocardial infarction in the postoperative period, based on a multivariate logistic regression analysis (p = 0.0001). Mortality and the time of hospital stay of the case group were significantly higher (19.1% vs. 1.1%; p < 0.001 and 15.7 days vs. 10.6 days; p < 0.05 respectively) than those of the control. CONCLUSION Only previous myocardial revascularization was an independent predictor of acute myocardial infarction in the postoperative period, based on multivariate logistic regression analysis. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.scielo.br/pdf/abc/v80n3/a08v80n3.pdf |
| PubMed reference number | 12856275v1 |
| Volume Number | 80 |
| Issue Number | 3 |
| Journal | Arquivos brasileiros de cardiologia |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Coronary Artery Disease Diabetes Mellitus Dyslipidemias Eighty Nine Endarterectomy Extracorporeal Circulation Hypertensive disease Myocardial Infarction Myocardial Revascularization Myocardium Patients Smoke |
| Content Type | Text |
| Resource Type | Article |
