TY  - JOUR
T1  - Koroner Arter Cerrahisinin Solunum Fonksiyonlarına Etkilerinin Solunum Fonksiyon Testi İle Değerlendirilmesi
TT  - Evaluation of the Effects of Coronary Artery Surgery on Pulmonary Functions by Pulmonary Function Test
AU  - Badak, Tolga Onur
AU  - İşkesen, Ahmet İhsan
PY  - 2021
DA  - June
DO  - 10.34087/cbusbed.856434
JF  - Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi
JO  - CBU-SBED
PB  - Manisa Celal Bayar Üniversitesi
WT  - DergiPark
SN  - 2147-9607
SP  - 331
EP  - 336
VL  - 8
IS  - 2
LA  - tr
AB  - Giriş ve Amaç: Kronik Obstrüktif Akciğer Hastalığı (KOAH), koroner arter bypass greft operasyonu (CABG) yapılan hastalarda sık bir komorbid hastalıktır ve insidansı %4 ile %20,5 aralığındadır. KOAH geleneksel olarak CABG için cerrahi kontraendikasyon olarak bilinir. Cerrahi teknik, anestezi ve postoperatif hasta yönetimindeki son gelişmelerden dolayı CABG artık KOAH’lı hastalarda çok yaygın bir şekilde yapılmaktadır. Ancak son çalışmalar, CABG sonrası postoperatif mortalite ve morbidite üzerine KOAH’ın çeşitli etkilerini göstermiştir. Çalışmamızda CABG ameliyatının solunum fonksiyonlarına etkisini preoperatif ve postoperatif dönemde yapılan solunum fonksiyon testi ile araştırmayı amaçladık.Gereç ve Yöntemler: Kliniğimizde izole CABG cerrahisi uygulanan 50 hasta çalışmaya dahil edildi. Preoperatif solunum fonksiyon testinde FEV1 değeri
KW  - Kronik Obstrüktif Akciğer Hastalığı
KW  - Koroner Arter Hastalığı
KW  - Solunum fonksiyon testi
N2  - Objective: Chronic obstructive pulmonary disease (COPD) is a frequent comorbid disease in patients undergoing coronary artery bypass grafting (CABG) surgery, with an incidence ranging from 4% to 20.5%. Conventionally, COPD was recognized as a surgical contraindication to CABG. Because of the recent improvements in surgical techniques, anesthesia, and postoperative management, CABG has been performed more commonly in patients with COPD. However, studies have shown the various effects of COPD on postoperative morbidity and mortality after CABG. In our study, we aimed to investigate the effect of CABG surgery on respiratory functions with the respiratory function test performed in the preoperative and postoperative periods.Material and Methods: Fifty patients who underwent isolated CABG surgery in our clinic were included in the study. 24 Patients with preoperative FEV1 value
CR  - Rabe, K.F, Watz H, Chronic obstructive pulmonary disease, Lancet,  2017, 389, 1931–1940.
CR  - Zhao, H, Li, L, Yang, G, et al., Postoperative outcomes of patients with chronic obstructive pulmonary disease undergoing coronary artery bypass grafting surgery A meta-analysis, Medicine, 2019, 98, 6.
CR  - O’Boyle, F, Mediratta, N, Chalmers, J, et al., Long-term survival of patients with pulmonary disease undergoing coronary artery bypass surgery, European Journal of Cardiothoracic Surgery, 2013, 43, 697–703.
CR  - Ho, C.H, Chen, Y.C, Chu, C.C, et al, Postoperative complications after coronary artery bypass grafting in patients with chronic obstructive pulmonary disease, Medicine, 2016, 95(8), e2926.
CR  - Samuels, L.E, Kaufman, M.S, Morris, R.J, et al., Coronary artery bypass grafting in patients with COPD, Chest, 1998, 113, 878–882.
CR  - U.S. Department of Health and Human Services. The Health Consequences of Smoking. A Report of the Surgeon General, 2004.
CR  - Türkoğlu, T. Kardiyopulmoner Bypassa Girilmeden (Off-Pump) Atan Kalpte Ve Kardiyopulmoner Bypass Kullanılarak Kardiyak Arrest İle Uygulanan Koroner Bypass Cerrahisi Sonrası Atrial Fibrilasyon Gelişiminin Karşılaştırılması [Tez]. İstanbul: Dr. Siyami Ersek Göğüs Kalp Ve Damar Cerrahisi Eğitim Ve Araştırma Hastanesi, 2004.
CR  - American Thoracic Society/European Respiratory Society statement: standards for the diagnosis and management of individuals with alpha-1 antitrypsin deficiency, American Journal of Respiratory and Critical Care Medicine, 2003, 168, 818-900.
CR  - Hnizdo, E, Sullivan, P.A, Bang, K.M, et al., Association between chronic obstructive pulmonary disease and employment by industry and occupation in the US population: a study of data from the Third National Health and Nutrition Examination Survey, American Journal of Epidemiology, 2002, 156 (8), 738-746.
CR  - Grover, F.L, Hammermeister, K.E, Burchfiel, C, Initial report of the veterans administration preoperative risk assesment study for cardiac surgery, The Annals of Thoracic Surgery, 1990, 50, 12-26.
CR  - King, R.C, Reece, T.B, Hurst, J.L, et al, Minimally invasive coronary artery grafting decreases hospital stay and cost, Annals of Surgery, 1997, 225, 805-809.
CR  - Matarese, A, Santulli, G, Angiogenesis in chronic obstructive pulmonary disease: a translational appraisal, Translational Medicine@UniSa, 2012, 3, 49–56.
CR  - Lymperopoulos, A, Rengo, G, Zincarelli, C, et al., An adrenal beta-arrestin 1-mediated signaling pathway underlies angiotensin II-induced aldosterone production in vitro and in vivo, Proceeding of the National Academy of Sciences USA, 2009, 106, 5825–5830.
CR  - Dabul, S, Bathgate-Siryk, A, Valero, T.R, et al., Suppression of adrenal barrestin1 - dependent aldosterone production by ARBs: head-to-head comparison, Scientific Reports, 2015, 5, 8116.
CR  - Kropski, J.A, Richmond, B.W, Gaskill, C.F, et al., Deregulated angiogenesis in chronic lung diseases: a possible role for lung mesenchymal progenitor cells (2017 Grover Conference Series), Pulmonary Circulation, 2018, 8, 2045893217739807.
CR  - Mascitelli, L, Pezzetta,, F, Goldstein M.R, Inhibition of the reninangiotensin system in severe COPD, European Respiratory Journal, 2008, 32, 1130, author reply 1131.
CR  - Efird, J.T, Griffin, W, O’Neal, W.T, et al., Long-term survival after cardiac surgery in patients with chronic obstructive pulmonary disease, American Journal of Critical Care, 2016, 25, 266–276.
CR  - Meszaros, K, Fuehrer, U, Grogg, S, et al, Risk factors for sternal wound infection after open heart operations vary according to type of operation, The Annals of Thoracic Surgery, 2016, 101, 1418–1425.
CR  - Morse, D.P, Indications for open-heart surgery: risks, and results, Springfield, III: Charles C Thomas, 1963.
CR  - Magovern, J.A, Sakert, T, Magovern, G.J, et al, A model that predicts morbidity and mortality after coronary artery bypass graft surgery, Journals of the American College of Cardiology, 1996, 28, 1147–1153.
CR  - Higgins, T.L, Estafanous, F.G, Loop, F.D, et al., Stratification of morbidity and mortality outcome by preoperative risk factors in coronary artery bypass patients. A clinical severity score, JAMA, 1992, 267, 2344–2348.
CR  - Gibbon, J.H, Application of a mechanical heart-lung apparatus to cardiac surgery, Minnesota Medicine, 1954, 37, 171.
CR  - Angouras, D.C, Anagnostopoulos, C.E, Chamogeorgakis, T.P, et al., Postoperative and long-term outcome of patients with chronic obstructive pulmonary disease undergoing coronary artery bypass grafting, The Annals of Thoracic Surgery, 2010, 89, 1112–1118.
CR  - Michalopoulos, A, Geroulanos, S, Papadimitriou, L, et al., Mild or moderate chronic obstructive pulmonary disease risk in elective coronary artery bypass grafting surgery, World Journal of Surgery, 2001, 25, 1507–1511.
CR  - Zheng, Z, Zhang, L, Hu, S, et al., Risk factors and in-hospital mortality in Chinese patients undergoing coronary artery bypass grafting: analysis of a large multi-institutional Chinese database, The Journal of Thoracic and Cardiovascular Surgery, 2012, 144, 355–359.
CR  - Kurulay, E, Cingoz, F, Kilic, S, et al., Supraventricular tachyarrythmia prophylaxis alter coronary artery surgery in chronic obstructive pulmonary disease patients (early amiodarone prophylaxis trial), European Journal of Cardiothoracic Surgery, 2004, 25, 224-230.
CR  - Warner, M.A, Divertie, M.B, Tinker, J.H, Preoperative cessation smoking and pulmonary complications in coronary artery bypass patients, Anesthesiology, 1984, 60, 380-383.
CR  - Güler, M, Kirali, K, Toker, M.E, et al. Different CABG methods in patients with chronic obstructive pulmonary disease, Annals of Thoracic Surgery, 2001, 71(1), 152-7.
CR  - Gass, G.D, Olsen, G.N, Preoperative pulmonary functional testing to predict postoperative morbidity and mortality, Chest, 1986, 89, 127-135.
CR  - Ried, M, Unger, P, Puehle, T, et al., Mild-to-moderate COPD as a risk factor for increased 30-day mortality in cardiac surgery, The Thoracic and Cardiovascular Surgeon, 2010, 58, 387–391.
CR  - Ozyaprak, B, Kahraman, N, The assessment of the effect of low tidal volume ventilation on postoperative respiratory functions during cardiopulmonary bypass in heart surgery, International Journal of Clinical and Experimental Medicine, 2019, 12(6), 7426-7433.
CR  - Türkay, C, Akbulut, E, Özbudak, Ö, Gölbaşı, İ, ve ark., Koroner bypass cerrahisi uygulanan hastalarda kronik obstrüktif akciğer hastalığının mortalite ve morbiditeye etkisi, Türk Göğüs Kalp Damar Cerrahisi Dergisi, 2000, 8(3), 678-681.
CR  - Rosen, A.B, Humphries, J.O, Muhlbaier, L.H, Kiefe, C.I, Kresowik, T, Peterson, E.D, Effect of clinical factors on length of stay after coronary artery bypass surgery: results of the cooperative cardiovascular Project, American Heart Journal, 1999, 138, 69-77.
CR  - Braun, S.R, Birnbaum, M.L, Chopra, P.S, Pre and postoperative pulmonary function abnormalities in coronary artery revascularization surgery, Chest, 1978, 73, 316-320.
CR  - Kandemir, Ö, Büyükateş, M, Turan, S.A, ve ark, Kronik obstrüktif akciğer hastalığının yaygın olduğu bir bölgede koroner bypass cerrahisi sonuçları, Türk Göğüs Kalp Damar Cerrahisi Dergisi, 2007, 15(2), 113-117.
UR  - https://doi.org/10.34087/cbusbed.856434
L1  - https://dergipark.org.tr/tr/download/article-file/1496122
ER  -