| Impact of gender on outcome after coronary artery bypass surgery. | |
| | |
MedLine Citation:
|
PMID: 19643848 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Following recent studies concerning the increased risk of coronary artery bypass surgery for women, the impact of sex is still a controversial issue. Between 1996 and 2006, 9,527 men and 3,079 women underwent isolated coronary artery bypass in our institute. To adjust for dissimilarities in preoperative risk profiles, propensity score-based matching was applied. Before adjustment, clinical outcomes in terms of operative mortality, arrhythmias, intensive care unit stay, and maximum creatine kinase-MB levels were significantly different for men and women. After balancing the preoperative characteristics, including height, no significant differences in clinical outcomes were observed. However, there was decreased use of internal mammary artery, less total arterial revascularization, and increasing creatine kinase-MB levels with decreasing height. This study supports the theory that female sex per se does not increase operative risk, but shorter height, which is more common in women, affects the outcome, probably due to technical difficulties in shorter patients with smaller internal mammary arteries and coronary vessels. Thus women may especially benefit from sequential arterial grafting. |
| | |
Authors:
|
Ina C Ennker; Alexander Albert; Detlef Pietrowski; Kerstin Bauer; Juergen Ennker; Ines Florath |
Related Documents
:
|
999378 - Experience with internal mammary artery grafts in 298 patients. 16463678 - Total arterial revascularization with internal mammary artery or radial artery pi graft... 12079988 - Totally robotic technique in multivessel coronary disease--is it possible? 7665368 - A technique for the venous cannulation of the mammary gland in the lactating sow. 21096878 - Mechanical properties of human coronary arteries. 18639698 - Surgical treatment of congenital pulmonary arteriovenous fistula in children. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Asian cardiovascular & thoracic annals Volume: 17 ISSN: 1816-5370 ISO Abbreviation: Asian Cardiovasc Thorac Ann Publication Date: 2009 Jun |
Date Detail:
|
Created Date: 2009-07-31 Completed Date: 2009-10-29 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9503417 Medline TA: Asian Cardiovasc Thorac Ann Country: Singapore |
Other Details:
|
Languages: eng Pagination: 253-8 Citation Subset: IM |
Affiliation:
|
Mediclin Heart Institute Lahr/Baden, 77933 Lahr, Germany. juergen.ennker@mediclin.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Angina Pectoris / epidemiology Arrhythmias, Cardiac / epidemiology Body Height Carotid Stenosis / epidemiology Coronary Artery Bypass / mortality* Creatine Kinase, MB Form / analysis Diabetes Mellitus / epidemiology Female Heart Failure / epidemiology Humans Hyperlipidemias / epidemiology Hypertension / epidemiology Intensive Care Units Length of Stay / statistics & numerical data Logistic Models Male Mammary Arteries / transplantation Middle Aged Nervous System Diseases / epidemiology Outcome Assessment (Health Care)* Severity of Illness Index Sex Factors Smoking / epidemiology Stroke Volume |
| Chemical | |
Reg. No./Substance:
|
EC 2.7.3.2/Creatine Kinase, MB Form |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Impact of coronary disease after aortic valve replacement.
Next Document: Effect on the brain of two techniques of myocardial protection.