title: [Myocardial revascularization before abdominal aortic surgery in patients with ischemic heart disease].
abstract: We retrospectively analyzed 2 cohorts of patients treated in two clinics implementing different strategies of preoperative examination and lowering of perioperative cardiac risk. Patients in clinic 1 (group I, n=86, mean age 59.4+/-7.7 years) were subjected to coronary angiography (CAG) and if indicated - to preventive myocardial revascularization. In patients of clinic 2 (group II, n=95, mean age 54.3+/-6.5 years) only medical therapy was used. In group I CAG was performed in 90%, and myocardial revascularization - in 28% of patients. Total number of complications and hospital mortality were significantly higher in group II compared with group I (20 vs. 8%, p=0.023; 10.5 vs. 2.3%, =0.026). Myocardial infarction was the cause of 6 deaths (6.3%) in group II, while in group I there were no cardiac complications. Thus compared to control group strategy with routine CAG and preventive myocardial revascularization before abdominal aortic surgery was associated with less perioperative complications, myocardial infarctions, and lower mortality.
authors: A N
authors: AN
authors: Sumin
authors: E V
authors: EV
authors: Korok
authors: S D
authors: SD
authors: Panfilov
authors: D O
authors: DO
authors: Evdokimov
authors: A V
authors: AV
authors: Bezdenezhnykh
authors: E E
authors: EE
authors: Kislov
authors: S V
authors: SV
authors: Ivanov
authors: L S
authors: LS
authors: Barbarash
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery; D017023:Coronary Angiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D009204:Myocardial Revascularization / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control*; D012189:Retrospective Studies; D012426:Russia / Q000453:epidemiology; D015996:Survival Rate / Q000639:trends; D014656:Vascular Surgical Procedures / Q000379:methods*