Detrimental predictive effect of metabolic syndrome on postoperative complications in patients who undergoing coronary artery bypass grafting

Detrimental predictive effect of metabolic syndrome on postoperative complications in patients who undergoing coronary artery bypass grafting

Authors

  • Mojgan Gharipour Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  • Mohsen Mirmohammad Sadeghi Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  • Masoumeh Sadeghi Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  • Niloufar Farhmand Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  • Pouya Mirmohammad Sadeghi Isfahan University of Medical Sciences, Isfahan, Iran

Keywords:

metabolic syndrome, coronary artery bypass, morbidity, prediction

Abstract

Background: The present study came to address the value of metabolic syndrome (MetS) in predicting postoperative outcome following coronary artery bypass grafting (CABG). Methods: In a retrospective study, a consecutive series of patients including 2010 subjects who underwent isolated CABG were reviewed. Baseline information and intraoperative details were collected by reviewing hospital-recorded files. The composite outcome of major adverse cardiac and cerebrovascular events (postoperative morbidity) was generated from the occurrence of myocardial infarction, cardiac arrhythmias, stroke, renal failure, and other cardiac-related problems. Results: Overall, 2010 patients who underwent isolated CABG were studied that among them 24.7% suffered from MetS. No difference was found in the prevalence of postoperative arrhythmias, brain stroke, multi-organ failure, and dialysis between the two groups with and without MetS. Early morbidity rate was 27.4% in MetS group and 27.8% in non-MetS group with no significant discrepancy. Using multivariable logistic regression modeling, we showed that MetS status could not predict postoperative morbidity; however, advanced age, history of congestive heart failure, higher Canadian Cardiovascular Society (CCS) scale, and longer cross-clamp time were main indicators of postoperative morbidity.  Conclusion: MetS has no detrimental predictive effect on early postoperative morbidity in CABG patients. (www.actabiomedica.it)

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Published

27-04-2015

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Gharipour M, Sadeghi MM, Sadeghi M, Farhmand N, Sadeghi PM. Detrimental predictive effect of metabolic syndrome on postoperative complications in patients who undergoing coronary artery bypass grafting. Acta Biomed [Internet]. 2015 Apr. 27 [cited 2024 Jul. 24];86(1):86-91. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/3246