Revascularização do miocárdio sem circulação extracorpórea em idosos: análise da morbidade e mortalidade

Silva, Ana Maria Rocha Pinto e; Campagnucci, Valquíria Pelisser; Pereira, Wilson Lopes; Rosa, Ronaldo F.; Franken, Roberto Alexandre; Gandra, Sylvio M. Aquino; Rivetti, Luiz Antonio

doi:10.1590/s0102-76382008000100008

Cited by 12 publications

(2 citation statements)

References 23 publications

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“…6 Segundo pesquisa na qual os idosos submetidos à cirurgia de IC foram acompanhados por três anos, a cirurgia de revascularização foi responsável por 82% dos pacientes que permaneceram assintomáticos. Esses resultados foram confirmados por outros estudos e, nessas amostras, a melhora funcional e o alívio da dor foram estendidos também para pacientes muito idosos.…”

Section: Introductionunclassified

Avaliação de saúde e da dor no pós-operatório de idosos submetidos à cirurgia cardíaca

Xavier¹,

Torres

Reis

et al. 2011

Texto contexto - enferm.

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O presente estudo teve por objetivo avaliar a saúde e a dor em idosos com insuficiência coronariana submetidos à cirurgia cardíaca. Trata-se de uma pesquisa de caráter analítico, prospectivo, com delineamento transversal e abordagem quantitativa. Os dados foram coletados a partir de uma ficha de avaliação fisioterapêutica e da escala numérica de dor, junto a 70 idosos submetidos à cirurgia cardíaca, em dois hospitais do município de Natal-RN. A faixa etária mais frequente foi de 60 a 69 anos (61,43%), seguida do sexo masculino (62,86%). Em relação às condições de saúde, 61,43% dos idosos apresentavam patologias pré-existentes, sendo a de maior distribuição, a Hipertensão Arterial Sistêmica (31,40%). O comportamento doloroso foi moderado no 1º e 3º e leve no 2º e 4º dias de pós-operatório. Desta forma, constatou-se que a maioria dos idosos submetidos à cirurgia cardíaca era do sexo masculino, que apresentava patologias pré-existentes, sendo a hipertensão, a patologia mais frequente, e com intensidade dolorosa predominantemente moderada

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Section: Introductionunclassified

Avaliação de saúde e da dor no pós-operatório de idosos submetidos à cirurgia cardíaca

Xavier¹,

Torres

Reis

et al. 2011

Texto contexto - enferm.

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“…Majority of the publications since 2005, analyzing impact of OPCAB and CPB on mortality in elderly, report similar in-hospital mortality rates for conventional CABG and OPCAB with the overall early mortality for this high-risk group ranging from 4.6% to 5.9% (Table 2 ) [66,67,69-71]. However, some recent nonrandomized studies such as the propensity score analysis by Meco et al .…”

Section: Outcomes Of Off-pump Coronary Artery Bypass Grafting In the mentioning

confidence: 99%

Myocardial Revascularization for the Elderly: Current Options, Role of Off-pump Coronary Artery Bypass Grafting and Outcomes

Raja

2012

CCR

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The increase in life expectancy has confronted cardiac surgery with a rapidly growing population of elderly patients requiring surgical myocardial revascularization. Recent advances in surgical and anesthetic techniques and improvements in postoperative care have made coronary artery bypass grafting an established therapeutic option for the treatment of coronary artery disease in this group of patients. However, conventional coronary artery bypass grafting on cardiopulmonary bypass is associated with significant risk and related morbidity and mortality in the elderly. In recent years off-pump coronary artery bypass grafting has emerged as a safe and less invasive strategy for surgical myocardial revascularization. Off-pump coronary artery bypass grafting by avoiding the deleterious effects of cardiopulmonary bypass can offer potential benefits to elderly patients requiring surgical myocardial revascularization. This review article provides an overview of the age-related cardiovascular changes, epidemiology of coronary artery disease in the elderly and focuses on outcomes of surgical myocardial revascularization with special emphasis on the impact of off-pump coro-nary artery bypass surgery in the elderly.

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Assessment of factors affecting short-term pulmonary functions following cardiac surgery: A prospective observational study

Katiyar

Negi

et al. 2021

Asian Cardiovasc Thorac Ann

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Background Pulmonary complications after cardiac surgery are very common and lead to an increased incidence of post-operative morbidity and mortality. Several factors, either modifiable or non-modifiable, may contribute to the associated unfavorable consequences related to pulmonary function. This study was aimed to investigate the degree of alteration and factors influencing pulmonary function (forced expiratory volume in one second (FEV1) and forced vital capacity), on third, fifth, and seventh post-operative days following cardiac surgery. Methods This study was executed in 71 patients who underwent on-pump cardiac surgery. Pulmonary function was assessed before surgery and on the third, fifth, and seventh post-operative days. Data including surgical details, information about risk factors, and assessment of pulmonary function were obtained. Results The FEV1 and forced vital capacity were significantly impaired on post-operative days 3, 5, and 7 compared to pre-operative values. The reduction in FEV1 was 41%, 29%, and 16% and in forced vital capacity was 42%, 29%, and 19% consecutively on post-operative days 3, 5, and 7. Multivariate analysis was done to detect the factors influencing post-operative FEV1 and forced vital capacity. Discussion This study observed a significant impairment in FEV1 and forced vital capacity, which did not completely recover by the seventh post-operative day. Different factors affecting post-operative FEV1 and forced vital capacity were pre-operative FEV1, age ≥60, less body surface area, lower pre-operative chest expansion at the axillary level, and having more duration of cardiopulmonary bypass during surgery. Presence of these factors enhances the chance of developing post-operative pulmonary complications.

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Revascularização do miocárdio sem circulação extracorpórea em idosos: análise da morbidade e mortalidade

Cited by 12 publications

References 23 publications

Avaliação de saúde e da dor no pós-operatório de idosos submetidos à cirurgia cardíaca

Avaliação de saúde e da dor no pós-operatório de idosos submetidos à cirurgia cardíaca

Myocardial Revascularization for the Elderly: Current Options, Role of Off-pump Coronary Artery Bypass Grafting and Outcomes

Assessment of factors affecting short-term pulmonary functions following cardiac surgery: A prospective observational study

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