Dysunction of Respiratory System in Patients With Coronary Artery Disease After Planned Coronary Artery Bypass Grafting

Баздырев, Е. Д.

doi:10.17802/2306-1278-2017-2-65-78

Cited by 3 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…У пациентов после кардиохиругических оперативных вмешательств наблюдается снижение всех показателей функции легких, особенно таких параметров дыхания как объемные показатели: форсированная жизненная емкость легких (ФЖЕЛ), жизненная емкость вдоха (ЖЕЛ) и интегральный показатель бронхиальной проходимости -ОВФ 1 . Более выраженная дыхательная дисфункция в постоперационном периоде выявляется у пациентов с исходно сниженными показателями и в некоторых случаях требует более длительной искусственной вентиляции легких (ИВЛ), или в позднем периоде госпитализации возникает необходимость реинтубации [28,30].…”

Section: госпитальная летальность и постоперационные осложненияunclassified

Impact of chronic obstructive pulmonary disease in patients undergoing coronary artery bypass graft surgery

Atamas

Аntonyuk

2021

Bûlletenʹ fiziologii i patologii dyhaniâ

View full text Add to dashboard Cite

Introduction. Cardiovascular disease is the leading cause of morbidity, disability and mortality in modern society. Coronary artery disease (CAD) and chronic obstructive pulmonary disease (COPD) are the most common comorbid pathology that worsens the quality of life and prospective prognosis of patients.Aim. The literature review is focused on postoperative outcomes of patients with COPD undergoing coronary artery bypass grafting surgery (CABG).Results. The review presents national and international data the prevalence of COPD in patients having CABG. The issues of risk stratification of comorbid patients in cardiac surgery are considered. It is shown that patients with CAD in combination with COPD are more at risk of various complications after CABG. COPD increases the chances of a complicated course of the in-hospital period by 2.1 times and risk of death in the long-term period after CAPG by 1.8 times. Patients with COPD are at a higher risk of developing postoperative pneumonia, respiratory failure, stroke, kidney failure, and wound infection of the sternum. Long-term 5-year and 10-year survival after CABG is lower in patients with COPD. The longterm adverse prognosis depends on the severity of the bronchial obstruction. Achievements in the field of cardiac surgery have had a significant impact on the results of surgical interventions in the comorbid course of CAD and COPD. Intensive pulmonary rehabilitation after surgery and effective drug therapy can improve the outcomes after CABG in patients with COPD. Hybrid coronary revascularization and minimally invasive coronary surgery appear to be viable alternatives to conventional CABG, offering a less invasive approach to coronary revascularization, which may be especially beneficial to high-risk patients with COPD.

show abstract

Section: госпитальная летальность и постоперационные осложненияunclassified

Impact of chronic obstructive pulmonary disease in patients undergoing coronary artery bypass graft surgery

Atamas

Аntonyuk

2021

Bûlletenʹ fiziologii i patologii dyhaniâ

View full text Add to dashboard Cite

show abstract

Preoperative preparation of patients with coronary artery disease and comorbidity of chronic obstructive lung disease to scheduled coronary artery bypass graft surgery

Баздырев¹,

Поликутина²,

Слепынина³

et al. 2018

Pulʹmonologiâ (Mosk.)

Self Cite

View full text Add to dashboard Cite

We aimed to assess an impact of different prehabilitation schemes on a risk of postoperative cardiorespiratory complications after coronary artery bypass graft surgery (CABG) in patients with coronary artery disease (CAD) and comorbid chronic obstructive pulmonary disease (COPD). Methods. Two groups of patients with CAD and comorbid COPD who were planned for CABG were recruited in the study using the pairwise testing. A criterion of difference was the treatment with tiotropium/olodaterol (Tio/Olo) as one of prehabilitation components. An occurrence of postoperative cardiorespiratory complications was analyzed according to prehabilitation schemes used. Results. The patients with CAD + COPD treated with Tio/Olo during 12.4 ± 5.4 days prior to CABG surgery demonstrated improvement in clinical and laboratory parameters characterizing the severity of COPD just before surgical coronary revascularization. A risk of postoperative cardiovascular and respiratory complications was higher in patients not receiving bronchodilator therapy before the surgery.

show abstract

Results of 1-year follow-up of patients with comorbidity of coronary artery disease and respiratory disease underwent scheduled myocardial revascularization

Баздырев

Каличенко

Поликутина

et al. 2019

Pulʹmonologiâ (Mosk.)

View full text Add to dashboard Cite

The first goal of this study was to analyze a relationship between 1-year outcomes and respiratory comorbidity in patients with coronary artery disease (CAD) underwent scheduled coronary artery bypass grafting (CABG); the second goal of the study was to determine the most significant predictors of fatal outcome in these patients. Methods. The study involved 251 patients underwent CABG. They were stratified according to having comorbid chronic obstructive (n = 62; 24.7%) or non-obstructive lung disease (n = 65; 25.9%) or not having chronic respiratory disease (n = 124; 49.4%). Cardiovascular events during 1 year were registered. Results. An expected decrease in functional classes of CAD and chronic heart failure (CHF) was noted over 1 year. Number of non-fatal significant cardiovascular events didn’t differ in patients with or without chronic obstructive pulmonary disease (COPD). Seven patients (2.78%) died during the year; the cause of death was cardiovascular disease in all cases. Factors predicting poor outcomes included age, occupational exposure to chemicals > 3 years, incomplete myocardial revascularization, FEV1/FVC ratio, and left ventricular ejection fraction < 40%. Conclusion. COPD is a predictor of poor outcome of myocardial revascularization in patients with CAD.

show abstract

Dysunction of Respiratory System in Patients With Coronary Artery Disease After Planned Coronary Artery Bypass Grafting

Cited by 3 publications

References 0 publications

Impact of chronic obstructive pulmonary disease in patients undergoing coronary artery bypass graft surgery

Impact of chronic obstructive pulmonary disease in patients undergoing coronary artery bypass graft surgery

Preoperative preparation of patients with coronary artery disease and comorbidity of chronic obstructive lung disease to scheduled coronary artery bypass graft surgery

Results of 1-year follow-up of patients with comorbidity of coronary artery disease and respiratory disease underwent scheduled myocardial revascularization

Contact Info

Product

Resources

About