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Published on: March 27, 2018
Coronary risk factors in patients underwent coronary artery bypass grafting
Nasser Safaei1, Hossein Alikhah, Younes Abadan
1Department of Cardiothoracic Surgery, Shahid Madani Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
Insights
Coronary Artery Disease risk factors vary by age and gender in Coronary Artery Bypass Grafting patients. Understanding these differences is key for targeted prevention and treatment strategies.
Area of Science:
- Cardiology
- Public Health
Background:
- Coronary Artery Disease (CAD) risk escalates with the number of identified risk factors.
- Coronary Artery Bypass Grafting (CABG) is a significant intervention for advanced CAD.
Purpose of the Study:
- To evaluate the prevalence and differences in CAD risk factors among patients undergoing CABG surgery.
- To compare risk factor profiles between different age groups (<45 vs. >65 years) and genders (male vs. female).
- To analyze trends in risk factor presentation over a five-year period.
Main Methods:
- Retrospective analysis of 700 patients who underwent CABG between 2003 and 2007.
- Inclusion criteria: patients aged <45 or >65 years.
- Comparison of risk factor prevalence across demographic subgroups.
Main Results:
- No significant difference in the total number of risk factors between younger (<45) and older (>65) age groups.
- Smoking and dyslipidemia were more common in patients <45 years.
- Hypertension and diabetes mellitus were more prevalent in patients >65 years.
- Dyslipidemia, diabetes, and hypertension were more common in female patients compared to males.
- Certain risk factors demonstrated a greater impact on one gender over the other.
Conclusions:
- CAD risk factors exhibit distinct patterns based on age and gender in CABG patients.
- The findings highlight the need for tailored prophylactic and therapeutic interventions for specific demographic groups.
- Individualized risk factor management is crucial for optimizing outcomes in CABG surgery patients.
Abstract:
Coronary Artery Disease (CAD) risk increases with increasing number of risk factors. This study was aimed to assess different coronary risk factors among Coronary Artery Bypass Grafting (CABG) surgery patients. A total of 700 patients younger than 45 or older than 65 years and underwent CABG in Tabriz Shahid Madani Heart Center since 2003 to 2007 were enrolled. We examined the probable differences of CAD risk factors between male and female groups and age groups. We also assessed the change of risk factors presentation in last 5 years. There was not significant difference between risk factor numbers in <45 and >65 years groups, but smoking and dyslipidemia was more prevalent in patients < 45 than > 65 years old. Hypertension and diabetes mellitus was more prevalent in patients > 65 old than < 45 years old; also differences were found between males and females patients, so that dyslipidemia, diabetes and hypertension were more prevalent in women than men. Some risk factors were recognized as acting more on one gender than the other. Also, the majority of patients have one or more risk factors, but different age and gender groups may have different risk factors that suggest the need for exact programming for appropriate prophylactic and therapeutic interventions in all groups.
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