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Investigating of Aortic Diameter affect on Mortality in Type 2 Diabetic Patients after Coronary Surgery: in our clinic experience

Year 2014, , 167 - 173, 01.05.2014
https://doi.org/10.5505/abantmedj.2014.69885

Abstract

Objective: To compare the patients with a sinotubular junction diameter SJD in the upper percentile and those with a SJD in the lower percentile in terms of the mortality rates following coronary artery bypass grafting CABG among type 2 diabetic patients with a SJD within the normal limits who had no valvular pathology. Method: One hundred and fifty-five type 2 diabetic patients with an ascending aorta diameter below the surgical limit 3.1 cm constituted Group 2. Deaths within 30 days following the surgery were included in the study. Results: Two patients in Group 1, four patients in Group 2 died. The causes of death were massive ischemic encephalopathy in one patient, multi-organ failure in three patients, and low cardiac output syndrome in two patients. Conclusion: There was no significant difference between Group 1 and Group 2 patients in terms of mortality rates after CABG 2/72 vs. 4/83, p=0.686 .

References

  • Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enter- prises: part I: aging arteries: a “set up” for vascular disease. Circulation 2003; 107: 139-46.
  • Lakatta EG, Mitchell JH, Pomerance A, Rowe GG. Human aging: changes in structure and function. J Am Coll Cardiol 1987; 10(2 Suppl A ):42-7.
  • Nichols WW, O’Rourke MF. McDonald’s Blood Flow in Arteries. 5th edition. London: Arnold; 2005.
  • O’Rourke MF, Nichols WW. Aortic diameter, aor- tic stiffness, and wave reflection increase with age and isolated systolic hypertension. Hypertension ;45:652-8. Kuller LH. Stroke and diabetes. Diabetes in Amer- ica. 2th edition. Bethesda: The National Diabetes Information Clearinghouse (NDIC) of NIDDK; 1995.
  • Eagle KA, Guyton RA, Davidoff R, Edwards FH, Ewy GA, Gardner TJ, et al. guideline update for coronary artery bypass graft surgery: a report of the American Colloge of Cardi- ology/American Heart Association task Force on Practice Guidelines (Committee to Update the 1999
  • Guidelines for Coronary Artery Bypass Graft Sur- gery). Circulation 2004;110:340-437.
  • Liotta D, Cooley DA, del Rio M, Safi HJ, Cabrol C, Pham SM, et al. A practical Textbook of Congenital and Acquired Diseases of the Aorta. Intelligent De- sign Aortic Root: Anatomy and Physiology. 2nd edition. University of Morón; 2003.
  • Van Der Linden J, Bergman P, Hadjinikolaou L. The topography of aortic atherosclerosis enhances its precision as a predictor of stroke. Ann Thorac Surg 2007; 83: 2087-92.
  • Acartürk E, Ozeren A, Sanca Y. Detection of aortic plaques by transesophageal echocardiography in patients with ischemic stroke. Acta Neurol Scand ; 92: 170-2. Olson LJ, Subramanian R, Edwards WD. Surgical pathology of pure aortic insufficiency: a study of cases. Mayo Clin Proc 1984; 59: 835-41.
  • Franklin SS, Gustin Wt, Wong ND, Larson MG, Weber MA, Kannel WB, Levy D. Hemodynamic pat- terns of age-related changes in blood pressure. The Framingham Heart Study. Circulation 1997; 96: 308
  • Franklin SS, Jacobs MJ, Wong ND, L’Italien GJ, Lapuerta P. Predominance of isolated systolic hy- pertension among middle-aged and elderly US hy- pertensives: analysis based on National Health and Nutrition Examination Survey (NHANES) III. Hyper- tension 2001; 37: 869-74.
  • Mitchell GF, Pfeffer MA. Pulsatile hemodynam- ics in hypertension. Curr Opin Cardiol 1999; 14: 361- ACC/AHA 2004
  • Dart AM, Kingwell BA. Pulse pressure–a review of mechanisms and clinical relevance. J Am Coll Cardiol 2001; 37: 975-84.
  • Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enter- prises: Part I: aging arteries: a “set up” for vascular disease. Circulation 2003; 107: 139-46.
  • Stefanadis C, Stratos C, Vlachopoulos C, Marakas S, Boudoulas H, Kallikazaros I, et al. Pressure- diameter relation of the human aorta. A new meth- od of determination by the application of a special ultrasonic dimension catheter. Circulation 1995; 92: 9.
  • Kelly RP, Tunin R, Kass DA. Effect of reduced aortic compliance on cardiac efficiency and contrac- tile function of in situ canine left ventricle. Circ Res ; 71: 490-502. Cohen GI, White M, Sochowski RA, Klein AL, Bridge PD, Stewart WJ, et al. Reference values for normal adult transesophageal echocardiographic measurements. J Am Soc Echocardiogr 1995; 8: 221
  • Aronow WS, Fleg JL. Cardiovascular disease in the elderly. 5th edition. New York: Marcel Dekker Inc; 2004.
  • Schlatmann TJ, Becker AE. Pathogenesis of dis- secting aneurysm of aorta. Comparative histopatho- logic study of significance of medial changes. Am J Cardiol 1977; 39: 21-6.
  • Loukas M, Wartmann CT, Tubbs RS, Apaydin N, Louis RG Jr, Easter L, et al. The clinical anatomy of the sinotubular junction. Anat Sci Int 2009; 84: 27
  • Juutilainen A, Lehto S, Rönnemaa T, Pyörälä K, Laakso M. Similarity of the impact of type 1 and type 2 diabetes on cardiovascular mortality in the middle-aged subjects. Diabetes Care 2008; 31: 714
  • Peppa M, Uribarri J, Vlassara H. The role of ad- vanced glycation end-products in the development of atherosclerosis. Curr Diab Rep 2004; 4: 31-6.
  • Calcutt NA, Cooper ME, Kern TS, Schmidt AM. Therapies for hyperglycaemia-induced diabetic complications: from animal models to clinical trials. Nat Rev Drug Discov 2009; 8: 417-29.
  • McClung JA, Naseer N, Saleem M, Rossi GP, Weiss MB, Abraham NG, et al. Circulating endothe- lial cells are elevated in patients with type 2 diabe- tes mellitus independently of HbA(1)c. Diabetologia ; 48: 345-50.

Tip 2 diyabetik hastalarda koroner cerrahi sonrası, aortik çapın mortalite üzerine etkisinin araştırılması: klinik deneyimimiz

Year 2014, , 167 - 173, 01.05.2014
https://doi.org/10.5505/abantmedj.2014.69885

Abstract

Amaç: Valvüler patolojisi olmayan normal sınırlarda kabul edilen aortik sinotubular junctional çap SJD ' a sahip Tip 2 diyabetik hastalarda, SJD' si üst elli persentilde kalanlar ile alt elli persentilde kalanların, Koroner arter bypas greft operasyonu KABGO sonrasında görülen mortalitelerindeki farkın istatiksel anlamlığı araştırıldı. Yöntem: : Ocak 2008 – Ağustos 2011 tarihleri arasında, Kalp ve Damar Cerrahisi KVC Kliniğinde, Assending aorta çapı cerrahi sınırın altında olan

References

  • Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enter- prises: part I: aging arteries: a “set up” for vascular disease. Circulation 2003; 107: 139-46.
  • Lakatta EG, Mitchell JH, Pomerance A, Rowe GG. Human aging: changes in structure and function. J Am Coll Cardiol 1987; 10(2 Suppl A ):42-7.
  • Nichols WW, O’Rourke MF. McDonald’s Blood Flow in Arteries. 5th edition. London: Arnold; 2005.
  • O’Rourke MF, Nichols WW. Aortic diameter, aor- tic stiffness, and wave reflection increase with age and isolated systolic hypertension. Hypertension ;45:652-8. Kuller LH. Stroke and diabetes. Diabetes in Amer- ica. 2th edition. Bethesda: The National Diabetes Information Clearinghouse (NDIC) of NIDDK; 1995.
  • Eagle KA, Guyton RA, Davidoff R, Edwards FH, Ewy GA, Gardner TJ, et al. guideline update for coronary artery bypass graft surgery: a report of the American Colloge of Cardi- ology/American Heart Association task Force on Practice Guidelines (Committee to Update the 1999
  • Guidelines for Coronary Artery Bypass Graft Sur- gery). Circulation 2004;110:340-437.
  • Liotta D, Cooley DA, del Rio M, Safi HJ, Cabrol C, Pham SM, et al. A practical Textbook of Congenital and Acquired Diseases of the Aorta. Intelligent De- sign Aortic Root: Anatomy and Physiology. 2nd edition. University of Morón; 2003.
  • Van Der Linden J, Bergman P, Hadjinikolaou L. The topography of aortic atherosclerosis enhances its precision as a predictor of stroke. Ann Thorac Surg 2007; 83: 2087-92.
  • Acartürk E, Ozeren A, Sanca Y. Detection of aortic plaques by transesophageal echocardiography in patients with ischemic stroke. Acta Neurol Scand ; 92: 170-2. Olson LJ, Subramanian R, Edwards WD. Surgical pathology of pure aortic insufficiency: a study of cases. Mayo Clin Proc 1984; 59: 835-41.
  • Franklin SS, Gustin Wt, Wong ND, Larson MG, Weber MA, Kannel WB, Levy D. Hemodynamic pat- terns of age-related changes in blood pressure. The Framingham Heart Study. Circulation 1997; 96: 308
  • Franklin SS, Jacobs MJ, Wong ND, L’Italien GJ, Lapuerta P. Predominance of isolated systolic hy- pertension among middle-aged and elderly US hy- pertensives: analysis based on National Health and Nutrition Examination Survey (NHANES) III. Hyper- tension 2001; 37: 869-74.
  • Mitchell GF, Pfeffer MA. Pulsatile hemodynam- ics in hypertension. Curr Opin Cardiol 1999; 14: 361- ACC/AHA 2004
  • Dart AM, Kingwell BA. Pulse pressure–a review of mechanisms and clinical relevance. J Am Coll Cardiol 2001; 37: 975-84.
  • Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enter- prises: Part I: aging arteries: a “set up” for vascular disease. Circulation 2003; 107: 139-46.
  • Stefanadis C, Stratos C, Vlachopoulos C, Marakas S, Boudoulas H, Kallikazaros I, et al. Pressure- diameter relation of the human aorta. A new meth- od of determination by the application of a special ultrasonic dimension catheter. Circulation 1995; 92: 9.
  • Kelly RP, Tunin R, Kass DA. Effect of reduced aortic compliance on cardiac efficiency and contrac- tile function of in situ canine left ventricle. Circ Res ; 71: 490-502. Cohen GI, White M, Sochowski RA, Klein AL, Bridge PD, Stewart WJ, et al. Reference values for normal adult transesophageal echocardiographic measurements. J Am Soc Echocardiogr 1995; 8: 221
  • Aronow WS, Fleg JL. Cardiovascular disease in the elderly. 5th edition. New York: Marcel Dekker Inc; 2004.
  • Schlatmann TJ, Becker AE. Pathogenesis of dis- secting aneurysm of aorta. Comparative histopatho- logic study of significance of medial changes. Am J Cardiol 1977; 39: 21-6.
  • Loukas M, Wartmann CT, Tubbs RS, Apaydin N, Louis RG Jr, Easter L, et al. The clinical anatomy of the sinotubular junction. Anat Sci Int 2009; 84: 27
  • Juutilainen A, Lehto S, Rönnemaa T, Pyörälä K, Laakso M. Similarity of the impact of type 1 and type 2 diabetes on cardiovascular mortality in the middle-aged subjects. Diabetes Care 2008; 31: 714
  • Peppa M, Uribarri J, Vlassara H. The role of ad- vanced glycation end-products in the development of atherosclerosis. Curr Diab Rep 2004; 4: 31-6.
  • Calcutt NA, Cooper ME, Kern TS, Schmidt AM. Therapies for hyperglycaemia-induced diabetic complications: from animal models to clinical trials. Nat Rev Drug Discov 2009; 8: 417-29.
  • McClung JA, Naseer N, Saleem M, Rossi GP, Weiss MB, Abraham NG, et al. Circulating endothe- lial cells are elevated in patients with type 2 diabe- tes mellitus independently of HbA(1)c. Diabetologia ; 48: 345-50.
There are 23 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Fatih Aygün This is me

Publication Date May 1, 2014
Published in Issue Year 2014

Cite

APA Aygün, F. (2014). Tip 2 diyabetik hastalarda koroner cerrahi sonrası, aortik çapın mortalite üzerine etkisinin araştırılması: klinik deneyimimiz. Abant Medical Journal, 3(2), 167-173. https://doi.org/10.5505/abantmedj.2014.69885
AMA Aygün F. Tip 2 diyabetik hastalarda koroner cerrahi sonrası, aortik çapın mortalite üzerine etkisinin araştırılması: klinik deneyimimiz. Abant Med J. May 2014;3(2):167-173. doi:10.5505/abantmedj.2014.69885
Chicago Aygün, Fatih. “Tip 2 Diyabetik Hastalarda Koroner Cerrahi sonrası, Aortik çapın Mortalite üzerine Etkisinin araştırılması: Klinik Deneyimimiz”. Abant Medical Journal 3, no. 2 (May 2014): 167-73. https://doi.org/10.5505/abantmedj.2014.69885.
EndNote Aygün F (May 1, 2014) Tip 2 diyabetik hastalarda koroner cerrahi sonrası, aortik çapın mortalite üzerine etkisinin araştırılması: klinik deneyimimiz. Abant Medical Journal 3 2 167–173.
IEEE F. Aygün, “Tip 2 diyabetik hastalarda koroner cerrahi sonrası, aortik çapın mortalite üzerine etkisinin araştırılması: klinik deneyimimiz”, Abant Med J, vol. 3, no. 2, pp. 167–173, 2014, doi: 10.5505/abantmedj.2014.69885.
ISNAD Aygün, Fatih. “Tip 2 Diyabetik Hastalarda Koroner Cerrahi sonrası, Aortik çapın Mortalite üzerine Etkisinin araştırılması: Klinik Deneyimimiz”. Abant Medical Journal 3/2 (May 2014), 167-173. https://doi.org/10.5505/abantmedj.2014.69885.
JAMA Aygün F. Tip 2 diyabetik hastalarda koroner cerrahi sonrası, aortik çapın mortalite üzerine etkisinin araştırılması: klinik deneyimimiz. Abant Med J. 2014;3:167–173.
MLA Aygün, Fatih. “Tip 2 Diyabetik Hastalarda Koroner Cerrahi sonrası, Aortik çapın Mortalite üzerine Etkisinin araştırılması: Klinik Deneyimimiz”. Abant Medical Journal, vol. 3, no. 2, 2014, pp. 167-73, doi:10.5505/abantmedj.2014.69885.
Vancouver Aygün F. Tip 2 diyabetik hastalarda koroner cerrahi sonrası, aortik çapın mortalite üzerine etkisinin araştırılması: klinik deneyimimiz. Abant Med J. 2014;3(2):167-73.