Document Detail


Early complications and long-term survival in severely obese coronary bypass patients.
MedLine Citation:
PMID:  7486423     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our objective was to describe the short-term morbidity of coronary artery bypass operations and the effect of surgery plus aggressive cardiac rehabilitation on the long-term prognosis of severely obese patients with coronary artery disease. We investigated an inception cohort of 28 consecutive severely obese patients with three-vessel coronary disease followed on average for 51 months. The patients' age, preoperative and postoperative weight, risk factors, and cholesterol were measured. We performed coronary artery bypass surgery, then began aggressive cardiac rehabilitation programs. We recorded intraoperative data, perioperative deaths, complications, readmissions, and lengths of stay. Also, New York Heart classifications and use of anti-anginal or cholesterol-lowering medications were noted. All patients were followed up. Despite high morbidity, long-term function and survival of severely obese CABG patients compares favorably with that of average patients. However, aggressive behavior modification fails to alter their postoperative weight or risk profile, placing them at risk for both second CABG procedures and continued obesity-related disease occurrences.
Authors:
T Rohs; P Polanski; S C Just; W Gordon; J O Just-Viera
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  61     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1995-11-30     Completed Date:  1995-11-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  949-53     Citation Subset:  IM    
Affiliation:
Division of Thoracic and Cardiovascular Surgery, St. Joseph Mercy Hospital, Pontiac, Michigan, USA.
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MeSH Terms
Descriptor/Qualifier:
Behavior Therapy
Cohort Studies
Coronary Artery Bypass* / mortality
Coronary Disease / complications,  mortality,  surgery*
Female
Humans
Male
Middle Aged
Morbidity
Obesity, Morbid / complications*,  mortality,  prevention & control
Postoperative Complications / epidemiology*,  mortality
Prognosis
Risk Factors
Survival Analysis
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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