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Intraoperative and Early Postoperative Risk Factors for the Development of Acute Cerebrovascular Accident in Elderly Patients after Coronary-Artery Bypass Grafting
AbstractThis work presents data on the problem of ischemic heart disease, surgical myocardial revascularization, as well as the risk of developing acute cerebrovascular accident (ACVA) in elderly patients with coronary-artery bypass grafting (CABG). We conducted a study to identify risk factors for the development of ACVA in elderly patients. Predictors of ACVA development in the operative and early postoperative periods are identified. It is proven that the time of extubation, increased PCO2 levels, and hyperlactatemia are reliable intraoperative and early postoperative predictors of ACVA in elderly patients with CABG. Th...
Source: Advances in Gerontology - September 1, 2022 Category: Geriatrics Source Type: research

Antiplatelet agents and anticoagulants for hypertension
CONCLUSIONS: There is no evidence that antiplatelet therapy modifies mortality in patients with elevated BP for primary prevention. ASA reduced the risk of cardiovascular events and increased the risk of major bleeding events. Antiplatelet therapy with ASA probably reduces the risk of non-fatal and all cardiovascular events when compared to clopidogrel. Clopidogrel increases the risk of major bleeding events compared to ASA in patients with elevated BP for secondary prevention. There is no evidence that warfarin modifies mortality in patients with elevated BP for secondary prevention. The benefits and harms of the newer dr...
Source: Cochrane Database of Systematic Reviews - July 28, 2022 Category: General Medicine Authors: Eduard Shantsila Monika Kozie ł-Siołkowska Gregory Yh Lip Source Type: research

Predicting postoperative ischemic stroke problems in patients following coronary bypass surgery using neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, and red blood cell distribution width values
CONCLUSIONS: In patients undergoing CABG, high preoperative PLR, NLR, and RDW values can be used as useful and independent risk factors for the prediction of postoperative ischemic stroke.PMID:35891995 | PMC:PMC9290396 | DOI:10.5114/kitp.2022.117499
Source: Polish Journal of Cardio-Thoracic Surgery - July 27, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Derya Tatlisuluoglu B üşra Tezcan İbrahim Mungan Ya şar Alp Çakirli Naim Boran T ümer İrfan Taşoğlu Source Type: research

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