Long-Term Prognosis after Coronary Artery Bypass Grafting: The Impact of Arterial Stiffness and Multifocal Atherosclerosis
The aim of the study was to study the effect of arterial stiffness and multifocal atherosclerosis on the 10-year prognosis of patients after coronary artery bypass grafting. Methods. Patients with coronary artery disease (<i>n</i> = 274) who underwent coronary artery bypass grafting (CAB...
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MDPI AG
2022-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/15/4585 |
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| author | Alexey N. Sumin Anna V. Shcheglova Sergey V. Ivanov Olga L. Barbarash |
| author_facet | Alexey N. Sumin Anna V. Shcheglova Sergey V. Ivanov Olga L. Barbarash |
| author_sort | Alexey N. Sumin |
| collection | DOAJ |
| description | The aim of the study was to study the effect of arterial stiffness and multifocal atherosclerosis on the 10-year prognosis of patients after coronary artery bypass grafting. Methods. Patients with coronary artery disease (<i>n</i> = 274) who underwent coronary artery bypass grafting (CABG), in whom cardio-ankle vascular index (CAVI) was assessed using the VaSera VS-1000 device and the presence of peripheral atherosclerosis in Doppler ultrasound. Groups were distinguished with normal CAVI (<9.0, <i>n</i> = 163) and pathological CAVI (≥9.0, <i>n</i> = 111). To assess the prognosis, coronary and non-coronary death, myocardial infarction, acute cerebrovascular accident/transient ischemic attack, repeated CABG, percutaneous coronary intervention, carotid endarterectomy, peripheral arterial surgery, pacemaker implantation were analyzed. Results. During the observation period, mortality was 27.7%. A fatal outcome from all causes was in 37 (22.7%) patients in the group with normal CAVI and in 39 (35.14%) in the group with pathological CAVI (<i>p</i> = 0.023). Death from cardiac causes was more common in the group with CAVI ≥ 9.0—in 25 cases (22.52%) than in the group with CAVI < 9.0—in 19 (11.6%, <i>p</i> = 0.016). The combined endpoint in patients with pathological CAVI was detected in 66 (59.46%) cases, with normal CAVI values—in 76 (46.63%) cases (<i>p</i> = 0.03). The presence of diabetes mellitus, multifocal atherosclerosis (<i>p</i> = 0.004), pathological CAVI (<i>p</i> = 0.063), and male gender were independent predictors of death at 10-year follow-up after CABG. The presence of multifocal atherosclerosis and pathological CAVI during the preoperative examination of patients were independent predictors of the combined endpoint development. Findings. Patients with coronary artery disease with pathological CAVI before CABG were more likely to experience adverse events and death in the long-term follow-up than patients with normal CAVI. Further studies are needed to investigate the possibility of correcting pathological CAVI after CABG after secondary prevention and the possible impact of this correction on prognosis. |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
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| spelling | doaj.art-baf0bb10ac334a4b9cf37c5fb3bcc9e12023-12-03T12:44:02ZengMDPI AGJournal of Clinical Medicine2077-03832022-08-011115458510.3390/jcm11154585Long-Term Prognosis after Coronary Artery Bypass Grafting: The Impact of Arterial Stiffness and Multifocal AtherosclerosisAlexey N. Sumin0Anna V. Shcheglova1Sergey V. Ivanov2Olga L. Barbarash3Federal State Budgetary Scientific Institution “Research Institute for Complex Issues of Cardiovascular Disease”, Sosnoviy Blvd., 6, 650002 Kemerovo, RussiaFederal State Budgetary Scientific Institution “Research Institute for Complex Issues of Cardiovascular Disease”, Sosnoviy Blvd., 6, 650002 Kemerovo, RussiaFederal State Budgetary Scientific Institution “Research Institute for Complex Issues of Cardiovascular Disease”, Sosnoviy Blvd., 6, 650002 Kemerovo, RussiaFederal State Budgetary Scientific Institution “Research Institute for Complex Issues of Cardiovascular Disease”, Sosnoviy Blvd., 6, 650002 Kemerovo, RussiaThe aim of the study was to study the effect of arterial stiffness and multifocal atherosclerosis on the 10-year prognosis of patients after coronary artery bypass grafting. Methods. Patients with coronary artery disease (<i>n</i> = 274) who underwent coronary artery bypass grafting (CABG), in whom cardio-ankle vascular index (CAVI) was assessed using the VaSera VS-1000 device and the presence of peripheral atherosclerosis in Doppler ultrasound. Groups were distinguished with normal CAVI (<9.0, <i>n</i> = 163) and pathological CAVI (≥9.0, <i>n</i> = 111). To assess the prognosis, coronary and non-coronary death, myocardial infarction, acute cerebrovascular accident/transient ischemic attack, repeated CABG, percutaneous coronary intervention, carotid endarterectomy, peripheral arterial surgery, pacemaker implantation were analyzed. Results. During the observation period, mortality was 27.7%. A fatal outcome from all causes was in 37 (22.7%) patients in the group with normal CAVI and in 39 (35.14%) in the group with pathological CAVI (<i>p</i> = 0.023). Death from cardiac causes was more common in the group with CAVI ≥ 9.0—in 25 cases (22.52%) than in the group with CAVI < 9.0—in 19 (11.6%, <i>p</i> = 0.016). The combined endpoint in patients with pathological CAVI was detected in 66 (59.46%) cases, with normal CAVI values—in 76 (46.63%) cases (<i>p</i> = 0.03). The presence of diabetes mellitus, multifocal atherosclerosis (<i>p</i> = 0.004), pathological CAVI (<i>p</i> = 0.063), and male gender were independent predictors of death at 10-year follow-up after CABG. The presence of multifocal atherosclerosis and pathological CAVI during the preoperative examination of patients were independent predictors of the combined endpoint development. Findings. Patients with coronary artery disease with pathological CAVI before CABG were more likely to experience adverse events and death in the long-term follow-up than patients with normal CAVI. Further studies are needed to investigate the possibility of correcting pathological CAVI after CABG after secondary prevention and the possible impact of this correction on prognosis.https://www.mdpi.com/2077-0383/11/15/4585cardio-ankle vascular indexmultifocal atherosclerosiscoronary artery diseasecoronary artery bypass graftinglong-term prognosis |
| spellingShingle | Alexey N. Sumin Anna V. Shcheglova Sergey V. Ivanov Olga L. Barbarash Long-Term Prognosis after Coronary Artery Bypass Grafting: The Impact of Arterial Stiffness and Multifocal Atherosclerosis Journal of Clinical Medicine cardio-ankle vascular index multifocal atherosclerosis coronary artery disease coronary artery bypass grafting long-term prognosis |
| title | Long-Term Prognosis after Coronary Artery Bypass Grafting: The Impact of Arterial Stiffness and Multifocal Atherosclerosis |
| title_full | Long-Term Prognosis after Coronary Artery Bypass Grafting: The Impact of Arterial Stiffness and Multifocal Atherosclerosis |
| title_fullStr | Long-Term Prognosis after Coronary Artery Bypass Grafting: The Impact of Arterial Stiffness and Multifocal Atherosclerosis |
| title_full_unstemmed | Long-Term Prognosis after Coronary Artery Bypass Grafting: The Impact of Arterial Stiffness and Multifocal Atherosclerosis |
| title_short | Long-Term Prognosis after Coronary Artery Bypass Grafting: The Impact of Arterial Stiffness and Multifocal Atherosclerosis |
| title_sort | long term prognosis after coronary artery bypass grafting the impact of arterial stiffness and multifocal atherosclerosis |
| topic | cardio-ankle vascular index multifocal atherosclerosis coronary artery disease coronary artery bypass grafting long-term prognosis |
| url | https://www.mdpi.com/2077-0383/11/15/4585 |
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