Author/Authors :
Hoseinikhah, Hamid Department of Cardiac Surgery - Atherosclerosis Prevention Research Center - Faculty of Medical Science - Mashhad University of Medical Sciences, Mashhad , Morovatdar, Negar Imam Reza Clinical Research Units - Mashhad University of Medical Sciences, Mashhad , Ghorbanzadeh, Atefeh Student Research Committee - Mashhad University of Medical Sciences, Mashhad , Akbari, Mohamadreza Student Research Committee - Mashhad University of Medical Sciences, Mashhad , Safarpour, Gholamreza Department of Cardiac Surgery - Faculty of Medical Science - Hamadan University of Medical Sciences, Mashhad , Mirshahpanah, Morteza Mashhad Ferdowsi Science University, Mashhad , Moeinipour, Aliasghar Department of Cardiac Surgery - Atherosclerosis Prevention Research Center - Faculty of Medical Science - Mashhad University of Medical Sciences, Mashhad
Abstract :
Introduction: Metabolic syndrome (MS) is considered as an important risk factor
for advanced coronary artery disease. This condition can increase the mortality
and morbidity in the patients undergoing coronary artery bypass graft (CABG)
surgery. The aim of study was compared mortality and morbidity after off Pump‐
CABG surgery between patients with and without Metabolic syndrome.
Materials & Methods: This prospective cross‐sectional study was conducted on
120 patients, who underwent off‐pump CABG surgery within October 2014‐
October 2016. The participants were equally divided into two groups including the
patients with and without MS (MS and non‐MS, respectively).
Results: According to the results, 68 (56.6%) patients were male. Furthermore,
out of the 60 participants with MS, 36 (60%) cases were male. The mean ages of
the MS and non‐MS groups were 64.96±9.6 and 65.62±10.6 P=0.6 years,
respectively. No statistically significant difference was observed between the two
groups in terms of the mortality and morbidity (e.g., surgical wound infection,
length of Intensive Care Unit and hospital stay, atrial fibrillation rhythm, and
bleeding in the first 24 h). The intubation time in patients with Metabolic
Syndrome was significantly higher than patients without Metabolic Syndrome
(6.66 ± 1.97 vs 5.83 ± 1.93 respectively; P=0.007)
Conclusion: Metabolic syndrome was not associated with higher mortality
and morbidity after CABG surgery compare to patients without Metabolic
syndrome, although patients with Metabolic syndrome had higher risk for
long intubation time.
Keywords :
Coronary artery bypass graft , metabolic syndrome , Intubation , Surgery
