冠状动脉搭桥术后卒中的危险因素:文献综述

Q4 Medicine

Medicina Clinica Practica Pub Date : 2023-11-03 DOI:10.1016/j.mcpsp.2023.100405

Mansour Jannati

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引用次数: 0

摘要

目的:卒中是冠状动脉旁路移植术(CABG)后最严重的并发症，可降低患者的生活质量，增加患者的死亡率。冠状动脉搭桥后卒中的发生率导致更高的医院死亡率，更长的住院时间，并增加了医院和康复支持的费用。了解冠状动脉搭桥后卒中的危险因素有助于确定减少冠状动脉搭桥后卒中的最佳方法。材料与方法在本研究中，我们回顾了与冠状动脉搭桥术后卒中相关的危险因素以及降低卒中风险的策略。结果根据本研究评估，冠脉搭桥术后卒中发生率在1.2% ~ 4.2%之间。冠状动脉搭桥术后卒中最常见的危险因素是高龄、既往卒中、心房颤动、颈动脉疾病和糖尿病。结论非体外循环冠状动脉搭桥术及超声检查对降低冠状动脉搭桥术后卒中发生率有积极作用。

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Risk factors for stroke post coronary artery bypass graft surgery: A review of literature

Objective

Stroke is acknowledged as a devastating complication post coronary artery bypass grafting surgery (CABG), that may reduce the quality of life and increase mortality. The incidence of post-CABG stroke results in more hospital mortality, longer times of hospital stays, and raises the costs of hospital and rehabilitative support. Having knowledge about risk factors of stroke after CABG could help to define the best approach to reduce post-CABG strokes.

Materials and methods

In this study, we reviewed the risk factors associated with stroke after CABG and the strategies for reducing the risk of stroke.

Result

According to the evaluation of this study, the incidence rate of stroke after CABG was between 1.2% and 4.2%. The most prevalent risk factors for stroke after CABG are advanced age, previous stroke, atrial fibrillation, carotid artery disease, and diabetes mellitus.