Prevalence of Coronary Artery Disease in Patients Undergoing Valvular Heart Surgery

Abstract

Background: The risk of coronary artery disease (CAD) in different valve dysfunction has been unclear. Methods: We reviewed patients, who underwent valve heart surgery and coronary angiography from 2008 to 2021, at our center. Results: A total of 7,932 patients were included in the present study, and 1,332 (16.8%) had CAD. The mean age of the study cohort was 60.5±7.9 years, and 4,206 (53.0%) were male. CAD was 21.4% in aortic disease, 16.2% in mitral valve disease, 11.8% in isolated tricuspid valve disease, and 13.0% in combined aortic and mitral valve disease. Patients with aortic stenosis were older than those with regurgitation (63.6±7.4 years vs. 59.5±8.2 years, P < 0.001), and the CAD risks also were higher (28.0% vs. 19.2%, P < 0.001). The age difference was minimal (60.6±8.2 years vs. 59.5±6.7 years, P = 0.002) between patients with mitral valve regurgitation and stenosis, but the risks of CAD were twice high in regurgitation (20.2% vs. 10.5%, P < 0.001). When the type of valve impairment was not considered, non-rheumatic etiology, advanced age, male sex, hypertension, and diabetes were independent predictors of CAD. Conclusion: In patients undergoing valve surgery, the prevalence of CAD was influenced by conventional risk factors. Importantly, CAD also was associated with the type and etiology of valve diseases.

Coronary artery disease in patients with rheumatic valvular heart disease- An analysis from eastern India

“…The mean age of CAD in valvular etiology patients was around 55–60 years in Western studies 7 but comparable to other Indian studies, 8 , 9 a study from Pakistan 5 and recent study on Chinese population. 10 In the study we have also obtained maximum sensitivity and specificity of CAG in age groups above 50 years. In RHD patients who had CAG before surgery and were confirmed to have CAD, Shaikh et al also discovered that mitral valve involvement was greater than aortic and double valve involvement.…”

Effects of Nursing Interventions on Self Care and Wound Management Among Post- Coronary Artery Bypass Grafting Patients

“…Symptoms may not always be noticeable, and risk factors include high blood pressure, elevated cholesterol levels, smoking, diabetes, obesity, physical inactivity, and a family history of heart disease. Early detection and treatment can help prevent complications and improve quality of life (Ren et al, 2023). Coronary artery disease (CAD) is caused by atherosclerosis, where plaque builds up inside the coronary arteries.…”