PREVENTIVE MYOCARDIAL REVASCULARISATION BEFORE ABDOMINAL AORTIC INTERVENTIONS: LONG-TERM RESULTS

Aim. To assess the effects of preventive myocardial revascularisation on the longterm results of abdominal aortic interventions.  Material and methods. The retrospective analysis of the data from patients examined before planned abdominal aortic interventions was performed. Group I included 86 patie...

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Main Authors: A. N. Sumin, E. V. Korok, S. D. Panfilov, D. O. Evdokimov, O. I. Raikh, E. E. Kislov, S. V. Ivanov, L. S. Barbarash
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2013-12-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/430
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author A. N. Sumin
E. V. Korok
S. D. Panfilov
D. O. Evdokimov
O. I. Raikh
E. E. Kislov
S. V. Ivanov
L. S. Barbarash
author_facet A. N. Sumin
E. V. Korok
S. D. Panfilov
D. O. Evdokimov
O. I. Raikh
E. E. Kislov
S. V. Ivanov
L. S. Barbarash
author_sort A. N. Sumin
collection DOAJ
description Aim. To assess the effects of preventive myocardial revascularisation on the longterm results of abdominal aortic interventions.  Material and methods. The retrospective analysis of the data from patients examined before planned abdominal aortic interventions was performed. Group I included 86 patients (mean age 59,4±7,7 years) who were operated at the Kemerovo Cardiology Centre clinic. Group II included 32 patients (mean age 53,5±6,2 years) who were operated at the NovokuznetskCityClinical Hospital No. 29. Before abdominal aortic interventions, the majority of Group I patients underwent coronary angiography (CAG) and, if indicated, preventive myocardial revascularisation. The long-term results were assessed 4–6 years later. Results. In Group I, CAG was performed in 77 (89%) patients, and preventive myocardial revascularisation was performed in 23 (27%) patients. Among Group I patients, fatality was 1,2% (n=1) in the long-term post-intervention period, with the level of total mortality of 3,5%. In Group II patients, the respective figures were 31,2% (n=10) and 34,4% (p<0,001). In univariate analyses, the main predictor of total morality was the absence of preventive myocardial revascularisation (odds ratio, OR, 14,49; 95% confidence interval (CI) 3,65–57,49; p<0,001). Clinical manifestations of angina (p=0,063) and myocardial infarction in medical history (p=0,105) failed to demonstrate statistical significance as mortality predictors. The factors associated with a reduction in the risk of fatal outcomes were
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spelling doaj.art-9dcdc7a32dc2405f919665c0cbf4551a2023-03-29T21:23:20Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202013-12-0106111610.15829/1560-4071-2013-6-11-16430PREVENTIVE MYOCARDIAL REVASCULARISATION BEFORE ABDOMINAL AORTIC INTERVENTIONS: LONG-TERM RESULTSA. N. Sumin0E. V. Korok1S. D. Panfilov2D. O. Evdokimov3O. I. Raikh4E. E. Kislov5S. V. Ivanov6L. S. Barbarash7Research Institute for Complex Cardiovascular Disease Issues, Siberian Branch, Russian Academy of Medical Sciences, KemerovoResearch Institute for Complex Cardiovascular Disease Issues, Siberian Branch, Russian Academy of Medical Sciences, KemerovoNovokuznetsk City Clinical Hospital No. 29, Novokuznetsk, RussiaResearch Institute for Complex Cardiovascular Disease Issues, Siberian Branch, Russian Academy of Medical Sciences, KemerovoResearch Institute for Complex Cardiovascular Disease Issues, Siberian Branch, Russian Academy of Medical Sciences, KemerovoNovokuznetsk City Clinical Hospital No. 29, Novokuznetsk, RussiaResearch Institute for Complex Cardiovascular Disease Issues, Siberian Branch, Russian Academy of Medical Sciences, KemerovoResearch Institute for Complex Cardiovascular Disease Issues, Siberian Branch, Russian Academy of Medical Sciences, KemerovoAim. To assess the effects of preventive myocardial revascularisation on the longterm results of abdominal aortic interventions.  Material and methods. The retrospective analysis of the data from patients examined before planned abdominal aortic interventions was performed. Group I included 86 patients (mean age 59,4±7,7 years) who were operated at the Kemerovo Cardiology Centre clinic. Group II included 32 patients (mean age 53,5±6,2 years) who were operated at the NovokuznetskCityClinical Hospital No. 29. Before abdominal aortic interventions, the majority of Group I patients underwent coronary angiography (CAG) and, if indicated, preventive myocardial revascularisation. The long-term results were assessed 4–6 years later. Results. In Group I, CAG was performed in 77 (89%) patients, and preventive myocardial revascularisation was performed in 23 (27%) patients. Among Group I patients, fatality was 1,2% (n=1) in the long-term post-intervention period, with the level of total mortality of 3,5%. In Group II patients, the respective figures were 31,2% (n=10) and 34,4% (p<0,001). In univariate analyses, the main predictor of total morality was the absence of preventive myocardial revascularisation (odds ratio, OR, 14,49; 95% confidence interval (CI) 3,65–57,49; p<0,001). Clinical manifestations of angina (p=0,063) and myocardial infarction in medical history (p=0,105) failed to demonstrate statistical significance as mortality predictors. The factors associated with a reduction in the risk of fatal outcomes werehttps://russjcardiol.elpub.ru/jour/article/view/430coronary angiographyabdominal aortic interventionspreventive revascularisationsurvival
spellingShingle A. N. Sumin
E. V. Korok
S. D. Panfilov
D. O. Evdokimov
O. I. Raikh
E. E. Kislov
S. V. Ivanov
L. S. Barbarash
PREVENTIVE MYOCARDIAL REVASCULARISATION BEFORE ABDOMINAL AORTIC INTERVENTIONS: LONG-TERM RESULTS
Российский кардиологический журнал
coronary angiography
abdominal aortic interventions
preventive revascularisation
survival
title PREVENTIVE MYOCARDIAL REVASCULARISATION BEFORE ABDOMINAL AORTIC INTERVENTIONS: LONG-TERM RESULTS
title_full PREVENTIVE MYOCARDIAL REVASCULARISATION BEFORE ABDOMINAL AORTIC INTERVENTIONS: LONG-TERM RESULTS
title_fullStr PREVENTIVE MYOCARDIAL REVASCULARISATION BEFORE ABDOMINAL AORTIC INTERVENTIONS: LONG-TERM RESULTS
title_full_unstemmed PREVENTIVE MYOCARDIAL REVASCULARISATION BEFORE ABDOMINAL AORTIC INTERVENTIONS: LONG-TERM RESULTS
title_short PREVENTIVE MYOCARDIAL REVASCULARISATION BEFORE ABDOMINAL AORTIC INTERVENTIONS: LONG-TERM RESULTS
title_sort preventive myocardial revascularisation before abdominal aortic interventions long term results
topic coronary angiography
abdominal aortic interventions
preventive revascularisation
survival
url https://russjcardiol.elpub.ru/jour/article/view/430
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