Related Experiment Video

Updated: May 5, 2026

Evaluation of Coronary Flow Reserve After Myocardial Ischemia Reperfusion in Rats
06:32

Evaluation of Coronary Flow Reserve After Myocardial Ischemia Reperfusion in Rats

Published on: June 28, 2019

7.7K

Myocardial revascularization in dyalitic patients: in-hospital period evaluation

Matheus Miranda, Nelson Américo Hossne, João Nelson Rodrigues Branco

    Arquivos Brasileiros De Cardiologia
    |November 26, 2013
    PubMed

    Insights

    Coronary artery bypass grafting (CABG) is feasible for patients on dialysis with multivessel coronary disease. However, this patient group experiences high in-hospital morbidity and mortality rates, necessitating further research into metabolic factors.

    Area of Science:

    • Cardiovascular Surgery
    • Nephrology
    • Internal Medicine

    Background:

    • Coronary artery bypass grafting (CABG) is the optimal treatment for patients with multivessel coronary disease requiring dialysis.
    • However, the procedure is associated with significant hospital morbidity and mortality in this population.

    Purpose of the Study:

    • To assess the outcomes and in-hospital results of CABG in patients undergoing dialysis.
    • To identify factors associated with mortality in this high-risk group.

    Main Methods:

    • A retrospective, single-center study was conducted.
    • Included were 50 consecutive, unselected patients on dialysis who underwent CABG between 2007 and 2012 at a tertiary university hospital.

    Main Results:

    • Patients exhibited a high prevalence of cardiovascular risk factors: 100% were hypertensive, 68% diabetic, and 40% dyslipidemic.
    • No intra-operative deaths occurred, and 60% of procedures were performed off-pump.
    • Seven patients (14%) died during hospitalization. Mortality was linked to postoperative infection, prior heart failure, cardiopulmonary bypass use, impaired ventricular function, and re-exploration.

    Conclusions:

    • CABG is a viable option for dialysis patients with multivessel coronary disease, despite elevated in-hospital morbidity and mortality.
    • Further investigation into metabolic aspects is crucial for optimizing interventions and improving patient outcomes.
    Abstract

    More Related Videos

    Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock06:10

    Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

    Published on: June 12, 2021

    2.8K
    Author Spotlight: Enhancing Coronary Artery Revascularization05:25

    Author Spotlight: Enhancing Coronary Artery Revascularization

    Published on: September 15, 2023

    1.5K

    Related Concept Videos

    Acute Coronary Syndrome IV: Interprofessional Care01:28

    Acute Coronary Syndrome IV: Interprofessional Care

    IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
    525
    Cardiac Catheterization IV: Nursing Management01:26

    Cardiac Catheterization IV: Nursing Management

    Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
    1.2K
    Cardiac Catheterization I: Pre-Procedure Overview01:28

    Cardiac Catheterization I: Pre-Procedure Overview

    Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
    3.4K
    Coronary Artery Disease V: Interprofessional Care01:27

    Coronary Artery Disease V: Interprofessional Care

    Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
    450
    Hemodialysis II: Procedure and Complications01:24

    Hemodialysis II: Procedure and Complications

    DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
    2.2K
    Cardiomyopathy V: Interprofessional Care01:29

    Cardiomyopathy V: Interprofessional Care

    Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
    761