Akademska digitalna zbirka SLovenije - logo
(UL)
  • Primerjava rezultatov bolnikov, operiranih zaradi ishemične bolezni srca s sladkorno boleznijo in brez nje = Results of surgical treatment for ishemic heart disease in combination with diabetes
    Geršak, Borut ...
    A comparison of the results of surgical treatment for ischemic heart disease in patients with or without diabetes is presented, along with results for additional surgery on one or several heart ... valves. During the period between the years 1988 and 2005, 5.351 patients were operated on for ischemic heart disease with or without heart valve surgery. Isolated coronary bypass was performed in 4.091 patients (3.067 without diabetes and 1024 with diabetes), and combined surgery involving the valves was done in 1260 patients (898 patients without diabetes, 362 patients with diabetes). In the group of patients with diabetes, there were significantly more women (18.3% vs. 26.4%) and patients who have had a myocardial infarction (58.3% vs. 62.1%), and significantly fewer patients with PTCA (8.0% vs. 8.8%) and after complicationsof PTCA (0.1% vs.1.1%). The percentage of operated women increased every year, and so did the percentage of patients with poor left ventricular function, diabetes and mitrat valve repair. The average age of operated patients also increases every year, irrespective of their sex and other preoperative characteristics. In the group of patients with diabetes, there were significantly more complications:. mediastinitis (1.4 vs. 0.4%), sternal dehiscences (2.7 vs.1.3%) and heart rhythm disturbances (28.3 vs. 23.4%). The mortality of all patients who were operated on for isolated ischemic heart disease did not differ significantly between the groups with orwithout diabetes (with diabetes it was 5.4%, without it 4.8%; p = 0.486). The mortality of patients with concurrent heart valve surgery was borderline significant (16 vs. 11.9%, p = 0.051). The mortality of patients with isolatedischemic heart disease, stable angina pectoris and good left ventricular function was low in both groups of patients (with diabetes it was 2.2%, without it 1.9%).
    Vir: Slovenska kardiologija : znanstveno strokovna revija za področje srčno-žilne medicine. - ISSN 1581-8543 (Letn. 3, št. 1, 2006, str. 30-35)
    Vrsta gradiva - članek, sestavni del
    Leto - 2006
    Jezik - slovenski
    COBISS.SI-ID - 21311705

Vnos na polico