Intraoperative and Early Postoperative Risk Factors for the Development of Acute Cerebrovascular Accident in Elderly Patients after Coronary-Artery Bypass Grafting

IF 0.6 Q4 GERIATRICS & GERONTOLOGY Advances in Gerontology Pub Date : 2022-09-11 DOI:10.1134/S2079057022030122
T. A. Shnitman, I. G. Trukhanova, S. V. Bulgakova, N. O. Zakharova
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Abstract

This 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. The practical significance of the study lies in the application of its results to predict the development of perioperative stroke in elderly patients with CABG.

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老年冠状动脉搭桥术后急性脑血管意外发生的术中及术后早期危险因素
这项工作提供了关于缺血性心脏病、手术心肌血运重建以及老年冠状动脉搭桥术(CABG)患者发生急性脑血管意外(ACVA)风险的数据。我们进行了一项研究,以确定老年患者发生ACVA的危险因素。确定了ACVA在手术和术后早期发展的预测因素。事实证明,拔管时间、PCO2水平升高和高乳血症是老年CABG患者ACVA的可靠术中和术后早期预测因素。该研究的实际意义在于将其结果应用于预测老年CABG患者围手术期卒中的发展。
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来源期刊
Advances in Gerontology
Advances in Gerontology GERIATRICS & GERONTOLOGY-
CiteScore
0.80
自引率
16.70%
发文量
45
期刊介绍: Advances in Gerontology focuses on biomedical aspects of aging. The journal also publishes original articles and reviews on progress in the following research areas: demography of aging; molecular and physiological mechanisms of aging, clinical gerontology and geriatrics, prevention of premature aging, medicosocial aspects of gerontology, and behavior and psychology of the elderly.
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