Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Impact of chronic obstructive pulmonary disease in patients with coronary artery disease submitted to coronary artery bypass graft
Session:
Posters 5 - Écran 01 - Isquemia/SCA
Speaker:
André de Lima Antunes
Congress:
CPC 2018
Topic:
H. Interventional Cardiology and Cardiovascular Surgery
Theme:
26. Cardiovascular Surgery
Subtheme:
26.1 Cardiovascular Surgery – Coronary Arteries
Session Type:
Posters
FP Number:
---
Authors:
Antunes de Lima Antunes; Filipe Leite; Carlos Branco; David Prieto; Pedro Engrácia Antunes; Manuel Antunes
Abstract
<p><strong>Introduction:</strong> The association between chronic obstructive pulmonary disease (COPD) and coronary artery disease (CAD) as long been recognized, as such it is included in most risk prediction models. Still the extent of such association remains mostly unknown.</p> <p><strong>Objectives:</strong> To analyze patients submitted to isolated CABG, comparing those with COPD and those without, in terms of severity of disease, risk factors, surgical outcomes and complications.</p> <p><strong>Methods:</strong> The records of 11545 consecutive patients were identified and retrieved for analysis from our institutional prospective CABG registry since January 1st 1990 to December 31st 2016.</p> <p><strong>Results: </strong>The prevalence of COPD was 3.5% (403 patients). Considering CAD risk factors, there was no difference in terms of prevalence of diabetes, arterial hypertension or previous acute coronary syndromes. The prevalence of smoking was significantly higher in the group of COPD (59.3% vs. 47.3%; P<0.001) such as dyslipidemia (68.9% vs. 60.8%; P=0.001) and cerebral or peripheral arterial disease (P<0.05). The use of internal mammary artery was less frequent in the group of COPD (P<0.001). The extracorporeal circulation time was greater in COPD patients (62.9±27.4 vs. 60.9±26.0; P=0.004). There was no significantly difference in the operative mortality. The incidence of inotropic or mechanical support or reoperation due to haemorrhage was similar between the two groups. A significant difference existed in the number of pulmonary complications (6.7% vs. 1.6%; P=0.001), of acute respiratory failure (2.9% vs. 1.6%; P<0.001) and of acute renal lesion (7.4% vs. 4.1%; P=0.027). The mean hospital stay was significantly higher in the COPD group (8.4 ± 7.6 days vs. 7.3 ± 6.1; P<0.001).</p> <p><strong>Conclusion:</strong> Although the COPD is usually reported as an important risk factor in CABG for mortality, in this study we presented similar results about mortality. However COPD is associated with worse CAD, more risk factors and complications. This requires better preoperative optimization and more careful surgery and postoperative period. </p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site
