Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery
The course of perioperative period in 719 patients undergoing CABG in the Research Institute for Complex Issues of Cardiovascular Diseases between March, 2011 and April, 2012 was evaluated. All the patients had creatinine concentrations, glomerular filtration rate (GFR by MDRD) and daily urine micr...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | Russian |
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Siberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and Genetics
2013-03-01
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Series: | Атеросклероз |
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Online Access: | https://ateroskleroz.elpub.ru/jour/article/view/662/599 |
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author | K. S. Shafranskaja A. A. Kuzmina D. A. Sumin K. V. Kamlenok K. E. Krivoshapova V. V. Kalaeva M. V. Evseeva O. L. Barbarash L. S. Barbarash |
author_facet | K. S. Shafranskaja A. A. Kuzmina D. A. Sumin K. V. Kamlenok K. E. Krivoshapova V. V. Kalaeva M. V. Evseeva O. L. Barbarash L. S. Barbarash |
author_sort | K. S. Shafranskaja |
collection | DOAJ |
description | The course of perioperative period in 719 patients undergoing CABG in the Research Institute for Complex Issues of Cardiovascular Diseases between March, 2011 and April, 2012 was evaluated. All the patients had creatinine concentrations, glomerular filtration rate (GFR by MDRD) and daily urine microalbumin levels measured before CABG and at day 7 after CABG. Major event rates were assessed (myocardial infarction, stroke or transient ischemic attack, acute or decompensated chronic renal failure or remediastinotomy) during the hospital stay. The EuroSCORE was calculated for each patient. Different EuroSCORE risk patients had similar serum creatinine levels while microalbumin concentrations in daily urine were significantly higher in moderate and high EuroSCORE risk groups before the surgery as compared to low-risk patients. Patients who experienced postoperative events had significantly higher microalbuminuria both before and after surgery while there were no differences in such renal dysfunction markers as creatinine and GFR. Preoperative microalbuminuria assessment can act as a marker of complicated postoperative period after CABG. |
first_indexed | 2024-04-11T01:22:16Z |
format | Article |
id | doaj.art-f5d00a6e43114787980fb7bb66c4177a |
institution | Directory Open Access Journal |
issn | 2078-256X |
language | Russian |
last_indexed | 2024-04-11T01:22:16Z |
publishDate | 2013-03-01 |
publisher | Siberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and Genetics |
record_format | Article |
series | Атеросклероз |
spelling | doaj.art-f5d00a6e43114787980fb7bb66c4177a2023-01-03T11:21:38ZrusSiberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and GeneticsАтеросклероз2078-256X2013-03-01912128Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgeryK. S. Shafranskaja0A. A. Kuzmina1D. A. Sumin2K. V. Kamlenok3K. E. Krivoshapova4V. V. Kalaeva5M. V. Evseeva6O. L. Barbarash7L. S. Barbarash8RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"Russian Ministry of Health Russian Federation State educational institution of higher professional education "Kemerovo State Medical Academy"Russian Ministry of Health Russian Federation State educational institution of higher professional education "Kemerovo State Medical Academy"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"Russian Ministry of Health Russian Federation State educational institution of higher professional education "Kemerovo State Medical Academy"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases" The course of perioperative period in 719 patients undergoing CABG in the Research Institute for Complex Issues of Cardiovascular Diseases between March, 2011 and April, 2012 was evaluated. All the patients had creatinine concentrations, glomerular filtration rate (GFR by MDRD) and daily urine microalbumin levels measured before CABG and at day 7 after CABG. Major event rates were assessed (myocardial infarction, stroke or transient ischemic attack, acute or decompensated chronic renal failure or remediastinotomy) during the hospital stay. The EuroSCORE was calculated for each patient. Different EuroSCORE risk patients had similar serum creatinine levels while microalbumin concentrations in daily urine were significantly higher in moderate and high EuroSCORE risk groups before the surgery as compared to low-risk patients. Patients who experienced postoperative events had significantly higher microalbuminuria both before and after surgery while there were no differences in such renal dysfunction markers as creatinine and GFR. Preoperative microalbuminuria assessment can act as a marker of complicated postoperative period after CABG.https://ateroskleroz.elpub.ru/jour/article/view/662/599coronary artery bypass surgeryprognosismicroalbuminuria |
spellingShingle | K. S. Shafranskaja A. A. Kuzmina D. A. Sumin K. V. Kamlenok K. E. Krivoshapova V. V. Kalaeva M. V. Evseeva O. L. Barbarash L. S. Barbarash Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery Атеросклероз coronary artery bypass surgery prognosis microalbuminuria |
title | Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery |
title_full | Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery |
title_fullStr | Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery |
title_full_unstemmed | Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery |
title_short | Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery |
title_sort | role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery |
topic | coronary artery bypass surgery prognosis microalbuminuria |
url | https://ateroskleroz.elpub.ru/jour/article/view/662/599 |
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