| Risk factor analysis among Egyptian patients who underwent coronary artery bypass surgery. | |
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MedLine Citation:
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PMID: 9339509 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We conducted a retrospective review of Egyptian patients who underwent coronary artery bypass graft surgery at our institution between 1980 and 1995. We examined the prevalence of coronary artery disease risk factors and evaluated the early postoperative results. We then compared these results with the corresponding data in a subset of American patients who underwent coronary artery bypass grafting at our institution in 1993. There were 290 Egyptian patients: 275 men and 15 women. The mean age was 54.5 years (range, 30 to 70 years). Angina was present in 258 (89%) of the Egyptian patients; of these, 186 (72.1%) were in Canadian Cardiovascular Society class 3 or 4. Risk factor analysis revealed a high prevalence of hyperlipidemia (69.7%), cigarette-smoking (66.6%), family history of coronary artery disease (53.1%), hypertension (46.9%), obesity (46.2%), and diabetes mellitus (32.4%). Comparisons between the 2 groups showed that the risk factors, except for hypertension, were significantly higher in the Egyptian patients, despite the older age of the Americans (mean, 65.5 years; range, 22 to 88 years). The prevalence of triple-vessel disease was 86.6% in the Egyptian patients and 51.0% in the American patients (p < 0.001). The operative morbidity rates in the Egyptian patients were low: these included arrhythmias (13.8%), bleeding (13.4%), infection (7.6%), low cardiac output (3.4%), myocardial infarction (3.4%), and cerebrovascular accident (1.4%). The hospital mortality rate was 1.4% for the Egyptians and 1.7% for the Americans (NS). These results show that, despite the high prevalence of risk factors among Egyptian patients with coronary artery disease, coronary artery bypass grafting can be performed with low operative morbidity and mortality rates. |
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Authors:
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H M Waly; M A Elayda; V V Lee; G el-Said; G J Reul; R J Hall |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 24 ISSN: 0730-2347 ISO Abbreviation: Tex Heart Inst J Publication Date: 1997 |
Date Detail:
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Created Date: 1997-12-10 Completed Date: 1997-12-10 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 204-8 Citation Subset: IM |
Affiliation:
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Department of Adult Cardiology, Texas Heart Institute, Luke's Episcopal Hospital, Houston 77030, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cause of Death Coronary Artery Bypass / mortality* Coronary Disease / etiology, mortality, surgery* Cross-Cultural Comparison* Cross-Sectional Studies Egypt / epidemiology Female Hospital Mortality Humans Incidence Male Middle Aged Postoperative Complications / etiology, mortality Retrospective Studies Risk Factors Survival Analysis |
| Comments/Corrections | |
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