0,05)ve diyabetiklerde (4,33±2,50'ye 5,57±274 yıl, p>0,05) istatistiksel olarak anlamlı bulunmadı. BACKGROUND: Patients who have prior coronary artery bypass grafting (CABG) may be admitted with acute coronary syndromes (ACS). The culprit lesion in this presentation may be identified in either bypass grafts or native arteries. This study assessed the role of graft disease in ACS in patients with previous CABG. METHODS: 24 patients (17 male, 7 female) with age 60.5±5.8 (mean±SD) who had previous CABG at least one year before and presented with ACS were admitted to this study. Coronary angiograms were performed between 1 and 26 days. The culprit vessel was identified by critical stenosis in the vessel supplying the zone with electrocardiographic changes indicating acute ischemia or infarction and by reviewing previous angiograms. Role of coronary risk factors was also examined in patients with graft disease. RESULTS AND CONCLUSION: In 20 patients (83%) with ACS, culprit vessels were bypass grafts. In female patients and in patients with coronary risk factors, such as hyperlipidemia, smoking and diabetes mellitus the time between CABG and ACS was shorter. This difference was statistically significant for female patients (2,5±1,0 vs. 6,4±2,3 years, p<0,05) and hyper cholesterolemic patients (4,21 ±2,32 vs. 7.50±1.97 years, p<0,05) whereas statistically insignificant for smokers (4,30±2,25 vs. 6.86±2,73 years. p>0,05) and diabetics (4,33±2,50 vs. 5,57±2,74years).">
[PDF] Koroner arter bypass cerrahisi sonrasında gelişen akut koroner sendromlarda greft hastalığının rolü | [PDF] The role of graft disease in acute coronary syndromes in patients with previous coronary artery bypass surgery
0,05)ve diyabetiklerde (4,33±2,50'ye 5,57±274 yıl, p>0,05) istatistiksel olarak anlamlı bulunmadı.">
0,05)ve diyabetiklerde (4,33±2,50'ye 5,57±274 yıl, p>0,05) istatistiksel olarak anlamlı bulunmadı. BACKGROUND: Patients who have prior coronary artery bypass grafting (CABG) may be admitted with acute coronary syndromes (ACS). The culprit lesion in this presentation may be identified in either bypass grafts or native arteries. This study assessed the role of graft disease in ACS in patients with previous CABG. METHODS: 24 patients (17 male, 7 female) with age 60.5±5.8 (mean±SD) who had previous CABG at least one year before and presented with ACS were admitted to this study. Coronary angiograms were performed between 1 and 26 days. The culprit vessel was identified by critical stenosis in the vessel supplying the zone with electrocardiographic changes indicating acute ischemia or infarction and by reviewing previous angiograms. Role of coronary risk factors was also examined in patients with graft disease. RESULTS AND CONCLUSION: In 20 patients (83%) with ACS, culprit vessels were bypass grafts. In female patients and in patients with coronary risk factors, such as hyperlipidemia, smoking and diabetes mellitus the time between CABG and ACS was shorter. This difference was statistically significant for female patients (2,5±1,0 vs. 6,4±2,3 years, p<0,05) and hyper cholesterolemic patients (4,21 ±2,32 vs. 7.50±1.97 years, p<0,05) whereas statistically insignificant for smokers (4,30±2,25 vs. 6.86±2,73 years. p>0,05) and diabetics (4,33±2,50 vs. 5,57±2,74years).">
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