Yıl: 2012 Cilt: 20 Sayı: 1 Sayfa Aralığı: 8 - 13 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Coronary artery bypass in women: what is really different?

Öz:
Amaç: Çalışmamızda, kadın cinsiyetinin koroner arter baypas greftleme (KABG) ameliyatında mortalite ve morbidite oranları üzerindeki etkisi değerlendirildi. Çalışma planı: Çalışmamıza Aralık 2006 ve Eylül 2009 tarihleri arasında kliniğimizde KABG ameliyatı yapılan toplam 460 hasta (351 erkek, 109 kadın; ort. yaş 60.3±11.2 yıl; dağılım 16-83 yıl) dahil edildi. Hastalar cinsiyetlerine göre gruplandırılarak kıyaslandı. Bulgular: Hastaların %24’ü kadındı ve erkek hastalara göre daha ileri yaşlardaydı (p=0.03). Diyabet (p=0.01) ve hipertansiyon (p=0.005) kadın hastalarda daha sık bulunurken, kronik obstrüktif akciğer hastalığı (p=0.015) ve periferik arter hastalığı (p=0.003) erkeklerde daha sık olarak bulundu. Koroner endarterektominin (p=0.01) kadın hastalarda daha sık yapıldığı saptandı. Ameliyat sonrası atriyal fibrilasyon (p=0.04) ve revizyon gerektirecek kanama (p=0.02) oranları erkek hastalarda daha yüksek idi. Mortalite oranları kadın hastalarda %3.6 (n=4), erkek hastalarda ise %1.4 (n=5) idi. Koroner endarterektomi ve ileri sol ventrikül disfonksiyonu kadın hastalarda istatistiksel olarak anlamlı mortalite faktörleri idi. Tahmini sağkalım oranları taburcu edilen kadın hastalar için 55 ayda %94.7 iken, taburcu edilen erkek hastalarda 61 ayda %94.1 idi. Sonuç: Bulgularımıza göre kadın hastalar daha ileri yaştaydı ve diyabet ve hipertansiyon oranları da daha yüksekti. Kadın hastaların hastane içi mortalite oranları erkek hastaların yaklaşık iki katı idi. Bununla birlikte KABG sonrası uzun dönem sağkalım oranları arasında kadınlarla erkekler arasında anlamlı bir farklılık yoktu.
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi

Kadınlarda koroner arter baypas: gerçekten farklı olan nedir?

Öz:
Background: In our study, we evaluated the effects of female gender on mortality and morbidity rates of coronary artery bypass grafting (CABG). Methods: A total of 460 patients (351 males, 109 females; mean age 60.3±11.2 years; range 16 to 83 years) who underwent CABG in our clinic between December 2006 and September 2009 were included in our study. Patients were grouped according to their gender and compared. Results: Twenty-four percent of the patients were female and they were older than male patients (p=0.03). Diabetes mellitus (p=0.01) and hypertension (p=0.005) were found more frequently in female patients while chronic obstructive pulmonary disease (p=0.015) and peripheral artery disease (p=0.003) were found more frequently in male patients. Coronary endarterectomy (p=0.01) was performed more frequently in female patients. The rates of postoperative atrial fibrillation (p=0.04) and bleeding that required revision (p=0.02) were higher in male patients. The mortality rates were 3.6% (n=4) for female patients and 1.4% (n=5) for male patients. Coronary endarterectomy and advanced left ventricular dysfunction were statistically significant factors for mortality in female patients. The estimated survival rate of the discharged female patients at 55 months was 94.7% while the estimated survival rate of the discharged male patients at 61 months was 94.1%. Conclusion: Based on our findings, the female patients were older and had higher rates of diabetes mellitus and hypertension. The in-hospital mortality rate of the female patients was almost two times higher than in male patients. However, there was no significant difference between the long-term survival rates of female and male patients after CABG.
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA GÖKSEDEF D, ÖMEROĞLU S, Balkanay O, talas z, Arapi B, İpek G (2012). Coronary artery bypass in women: what is really different?. , 8 - 13.
Chicago GÖKSEDEF Deniz,ÖMEROĞLU Suat Nail,Balkanay Ozan Onur,talas zeki,Arapi Berk,İpek Gökhan Coronary artery bypass in women: what is really different?. (2012): 8 - 13.
MLA GÖKSEDEF Deniz,ÖMEROĞLU Suat Nail,Balkanay Ozan Onur,talas zeki,Arapi Berk,İpek Gökhan Coronary artery bypass in women: what is really different?. , 2012, ss.8 - 13.
AMA GÖKSEDEF D,ÖMEROĞLU S,Balkanay O,talas z,Arapi B,İpek G Coronary artery bypass in women: what is really different?. . 2012; 8 - 13.
Vancouver GÖKSEDEF D,ÖMEROĞLU S,Balkanay O,talas z,Arapi B,İpek G Coronary artery bypass in women: what is really different?. . 2012; 8 - 13.
IEEE GÖKSEDEF D,ÖMEROĞLU S,Balkanay O,talas z,Arapi B,İpek G "Coronary artery bypass in women: what is really different?." , ss.8 - 13, 2012.
ISNAD GÖKSEDEF, Deniz vd. "Coronary artery bypass in women: what is really different?". (2012), 8-13.
APA GÖKSEDEF D, ÖMEROĞLU S, Balkanay O, talas z, Arapi B, İpek G (2012). Coronary artery bypass in women: what is really different?. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 20(1), 8 - 13.
Chicago GÖKSEDEF Deniz,ÖMEROĞLU Suat Nail,Balkanay Ozan Onur,talas zeki,Arapi Berk,İpek Gökhan Coronary artery bypass in women: what is really different?. Türk Göğüs Kalp Damar Cerrahisi Dergisi 20, no.1 (2012): 8 - 13.
MLA GÖKSEDEF Deniz,ÖMEROĞLU Suat Nail,Balkanay Ozan Onur,talas zeki,Arapi Berk,İpek Gökhan Coronary artery bypass in women: what is really different?. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.20, no.1, 2012, ss.8 - 13.
AMA GÖKSEDEF D,ÖMEROĞLU S,Balkanay O,talas z,Arapi B,İpek G Coronary artery bypass in women: what is really different?. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2012; 20(1): 8 - 13.
Vancouver GÖKSEDEF D,ÖMEROĞLU S,Balkanay O,talas z,Arapi B,İpek G Coronary artery bypass in women: what is really different?. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2012; 20(1): 8 - 13.
IEEE GÖKSEDEF D,ÖMEROĞLU S,Balkanay O,talas z,Arapi B,İpek G "Coronary artery bypass in women: what is really different?." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 20, ss.8 - 13, 2012.
ISNAD GÖKSEDEF, Deniz vd. "Coronary artery bypass in women: what is really different?". Türk Göğüs Kalp Damar Cerrahisi Dergisi 20/1 (2012), 8-13.