Document Detail


Variability in lipid profile before and after coronary artery bypass grafting (CABG).
MedLine Citation:
PMID:  15852742     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate changes in total cholesterol, low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol, and triglycerides in serum of Pakistani patients before, immediately after and 5 days post CABG. METHOD: Serum samples from 31 consecutive Pakistani angina patients undergoing CABG at the Aga Khan University Hospital were analyzed for total cholesterol, LDL cholesterol, HDL cholesterol and triglycerides using kit methods. RESULTS: Immediately after CABG, there is a significant decline in the mean levels of serum cholesterol, LDL cholesterol, HDL cholesterol and triglycerides. However, 5 days post CABG, there is a significant increase in the concentrations of total cholesterol (P = 0.01) and LDL cholesterol (P = 0.001) in nondiabetic angina patients (n = 13). Among the diabetic group of patients (n = 18), the levels of total cholesterol, LDL cholesterol, HDL cholesterol and triglycerides went back to the pre-operative levels within 5 days post CABG. Compared to European patients, Pakistani patients tend to have very low levels of HDL cholesterol (24.9 +/- 7.1 mg/dl) and high levels of triglycerides (185 +/- 50 mg/dl) on day 5 post CABG. CONCLUSION: Since risk of mortality following CABG increases with low level of HDL cholesterol and high level of triglycerides, close monitoring and treatment of high lipid levels of Pakistani patients following CABG is necessary to prevent further coronary events.
Authors:
M Perwaiz Iqbal; Hasanat Mohammad Sharif; Naseema Mehboobali
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  55     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-04-27     Completed Date:  2005-06-21     Revised Date:  2008-02-12    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  95-8     Citation Subset:  IM    
Affiliation:
Department of Biological and Biomedical Sciences, The Aga Khan University, Karachi.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angina Pectoris / blood,  complications,  drug therapy
Cholesterol, HDL / blood*,  deficiency
Cholesterol, LDL / blood*
Coronary Artery Bypass*
Diabetic Angiopathies / blood,  complications
Female
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
Male
Middle Aged
Pakistan
Postoperative Care
Postoperative Period*
Reference Values
Risk Factors
Triglycerides / blood*
Chemical
Reg. No./Substance:
0/Cholesterol, HDL; 0/Cholesterol, LDL; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Triglycerides

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


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