Long-Term Single Centre Outcomes of Patients with Chronic Renal Dialysis Undergoing Cardiac Surgery

Publication date: Available online 26 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Fanar Mourad, Natalia Cleve, Janine Nowak, Daniel Wendt, Andreas Sander, Ender Demircioglu, Mohamed El Gabry, Heinz Jakob, Sharaf-Eldin ShehadaABSTRACTBACKGROUNDPrevalence of dialysis-dependent chronic renal failure (DD-CRF) is growing worldwide. Such patients are exposed to a higher cardiovascular risk due to severe calcification and congestive heart failure caused by volume overload, which end up in poor outcomes. Therefore, we aimed to evaluate outcomes of DD-CRF patients undergoing cardiac surgery in our institute.METHODSA retrospective evaluation of 241-consecutive patients presented with DD-CRF undergoing cardiac-surgery between 01/2000-12/2017. Endpoints were major adverse cardiac and cerebrovascular events and long-term survival. Additionally, Cox-Regression multivariate-analysis was performed to detect independent predictors of mortality. Follow-up was 98.3 % complete through August 2018.RESULTSMean age was 63±12.2 years, and 65.1% were male. Congestive heart failure (CHF) was present in 41.5% of patients, 30.7% had prior myocardial infarction, 9.1% had prior cardiac surgery, and 22.4% needed urgent/emergent surgery. They underwent either isolated coronary artery bypass grafting (CABG, 44.8%), isolated non-CABG (17.8%) or concomitant procedure (37.3%). Early outcomes reported in-hospital mortality in 10.4%, low cardiac output syndrome in 7.1%, and stroke in 2.1...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

Related Links:

Conclusion It was safety to discontinued oral antiplatelet agents before operation, with no MACE and death in perioperative period. 
 DOI: 10.3779/j.issn.1009-3419.2020.01.06
Source: Chinese Journal of Lung Cancer - Category: Cancer & Oncology Source Type: research
An article highlighting a lack of female invited speakers at a major scientific medical meeting caused International Stroke Conference organizers to encourage more women to attend and to speak at the event.Medscape Medical News
Source: Medscape Cardiology Headlines - Category: Cardiology Tags: Neurology & Neurosurgery News Source Type: news
Authors: Du Z, Xu W, Chen X, Xu D, Li Y, Zhang H, Gao L PMID: 31937077 [PubMed - as supplied by publisher]
Source: Minerva Cardioangiologica - Category: Cardiology Tags: Minerva Cardioangiol Source Type: research
Authors: Saritas T, Floege J Abstract Patients with chronic kidney disease (CKD) are at increased risk for kidney failure, cardiovascular disease (CVD), and death. In fact, the likelihood of dying from CVD is markedly higher than that for reaching end-stage renal disease. Evidence-based management of comorbidities such as CVD remains challenging in patients with advanced CKD, as they were usually excluded from randomized controlled trials. This review focuses on the epidemiology, risk factors, and clinical manifestations of CVD in patients with advanced CKD. Specific topics of interest include diagnostic and therap...
Source: Herz - Category: Cardiology Tags: Herz Source Type: research
We examined the association between baseline PH composite and cancer mortality adjusted for potential confounders using Cox regression. A total of 1191 cancer deaths were observed over the 10-year observation period, with the majority being lung (26.87%) and gastrointestinal (21.49%) cancers. Even after controlling for sociodemographics, health behaviors, baseline comorbidity score, and medications, participants with No PA and High RPP had 71% greater risk of cancer mortality when compared to participants with PA and Low RPP (adjusted HR: 1.71, 95% CI: 1.42–2.06). These associations persisted after examining BMI, smo...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
I'm still a medical student (IMG), but I can easily tell how good a doctor is in non-surgical specialties. I can simply look up what they are saying and see if it makes sense. When one of my teachers said "End diastolic volume decreases in systolic heart failure" and stuck with that assertion after I questioned it, I knew that I should stick to a textbook for instruction. I'm rewatching a cell phone video of a foot amputation we got to see and I'm wondering how "correct" the surgical... How can you tell if a surgeon is good?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Medical Students - MD Source Type: forums
Authors: Kotelsky A, Carrier JS, Aggouras A, Richards MS, Buckley MR Abstract Chondrocytes, the resident cells in articular cartilage, carry the burden of producing and maintaining the extracellular matrix (ECM). However, as these cells have a low proliferative capacity and are not readily replaced, chondrocyte death due to extreme forces may contribute to the pathogenesis of osteoarthritis (OA) after injury or may inhibit healing after osteochondral transplantation, a restorative procedure for damaged cartilage that requires a series of mechanical impacts to insert the graft. Consequently, there is a need to under...
Source: Connective Tissue Research - Category: Research Tags: Connect Tissue Res Source Type: research
CONCLUSIONS AND PRACTICAL IMPLICATIONS: If appropriate sterility of the working field is maintained during surgery and a tight apical seal is achieved during the extraoral treatment, orthograde endodontic treatment should be delayed or avoided. PMID: 31937403 [PubMed - as supplied by publisher]
Source: Journal of the American Dental Association - Category: Dentistry Tags: J Am Dent Assoc Source Type: research
Jacobs took over just as the heart transplant program was imploding. The program is now on the mend.
Source: bizjournals.com Health Care:Pharmaceuticals headlines - Category: Pharmaceuticals Authors: Source Type: news
Abstract BACKGROUND: Prevalence of dialysis-dependent chronic renal failure (DD-CRF) is growing worldwide. Such patients are exposed to a higher cardiovascular risk due to severe calcification and congestive heart failure caused by volume overload, which end up in poor outcomes. Therefore, we aimed to evaluate outcomes of DD-CRF patients undergoing cardiac surgery in our institute. METHODS: A retrospective evaluation of 241-consecutive patients presented with DD-CRF undergoing cardiac-surgery between 01/2000-12/2017. Endpoints were major adverse cardiac and cerebrovascular events and long-term survival. Addit...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
More News: Cardiology | Cardiovascular | Cardiovascular & Thoracic Surgery | Congestive Heart Failure | Coronary Artery Bypass Graft | Dialysis | Heart | Heart Attack | Heart Failure | Heart Transplant | Kidney Transplant | Kidney Transplantation | Renal Failure | Stroke | Transplants | Urology & Nephrology