Metabolic Syndrome and Postoperative Complications in Cardiothoracic and Vascular Surgical and Percutaneous Interventions
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Krishnaswami Vijayaraghavan
Purpose: Metabolic syndrome (MS) constitutes a cluster of risk factors for cardiovascular disease such as hypertriglyceridemia, hypertension, diabetes, central obesity, and low high-density lipoprotein levels. Any three of the above risk factors qualifies to be classified as MS. Many patients undergoing cardiovascular surgical and percutaneous interventions may not have been diagnosed and treated adequately for this syndrome so as to prevent perioperative morbidity. The prevalence of MS and postoperative complications has not been described adequately in the literature.
Methods: All patients undergoing cardiovascular and thoracic surgery and percutaneous interventions at a specialty hospital over a 12-month period between June 2001 and June 2002 were included in the study.
Data were collected on demographics, risk factors, laboratory data and diagnostics preoperatively and type of intervention and postoperative complications. Patients were classified as having MS with at least 3 or 4 or 5 risk factors. Analysis was performed using SPSS version 12.0.
Results: Of the 312 patients, 68.6% were males and 31.4% females. MS was prevalent in 54.4% of patients with 33.3% having 3 risk factors, 14.4% having 4 risk factors, and 6.7% having all 5 risk factors. Most frequent interventions were percutaneous coronary interventions (27%), endoluminal graft of aorta (16%), peripheral arterial interventions (15%), coronary artery bypass surgery (14%), abdominal aneurysm repair (11%), carotid endartectomy (10%), and femoral popliteal bypass surgery (5%).
Most common postoperative complications include renal dysfunction (20%), blood transfusion requirement (17%), pleuropericardial effusion (12%), atrial fibrillation (7.4%), congestive heart failure (2%), and stroke (2%). Overall prevalence of complications was 42%.
Conclusions: (1) Prevalence of MS is high in patients admitted to hospital for cardiothoracic and vascular surgical or percutaneous interventions. (2) Prevalence of postoperative complications is high in this high-risk interventional procedure.
Clinical Implications: An opportunity exists to identify patients with MS preoperatively in cardiothoracic and vascular interventions (both surgical and percutaneously) and implement preventive therapeutic strategies to decrease postoperative morbidity and mortality.
The American Osteopathic Association
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Artikel in diesem Heft
- LETTERS
- Final Notes From the Chief of Staff
- CORRECTIONS
- Correction
- ORIGINAL CONTRIBUTIONS
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- VOLUME 104 INDEX
- Author Index
- CME QUIZ
- CME Quiz
Artikel in diesem Heft
- LETTERS
- Final Notes From the Chief of Staff
- CORRECTIONS
- Correction
- ORIGINAL CONTRIBUTIONS
- Effects of Osteopathic Manipulative Treatment on Pediatric Patients With Asthma: A Randomized Controlled Trial
- CLINICAL PRACTICE
- Patient-Physician Communication: Why and How
- STUDENT CONTRIBUTIONS
- Student Involvement in Research
- Tendon Gene Therapy Modulates the Local Repair Environment in the Shoulder
- A Theoretical Study of Polarization Effects on a Model Peptide Bond
- Assessment of Patient Flow in Routine Office Visits: Perspectives on Minimizing Patient Visiting Time
- Hysteresis as a Measure of Ankle Dysfunction
- Prion: Gene, Structure, and Species Barrier
- Outpatient Prescribing Practices for Nonapproved Drugs in Children
- Is Equity Being Sacrificed? The Effect of User Fees on the Willingness and ability to pay for Schistosomiasis Control in the Lake Victoria Region of Tanzania
- A Pilot Study Examining the Effects of Neuromuscular Therapy on Patients With Parkinson's Disease
- Metabolic Syndrome and Postoperative Complications in Cardiothoracic and Vascular Surgical and Percutaneous Interventions
- Blood Glucose Correlations With Depression, Body Habitus and Caregiving Status in the Elderly Kenyan Luo Grandparents
- VOLUME 104 INDEX
- Author Index
- CME QUIZ
- CME Quiz
