Presentation
The anomalous origin of the circumflex artery (Cx) is uncommon and presents course variations that might make the coronary artery bypass surgery (CABG) difficult. [ncbi.nlm.nih.gov]
There were several limitations to the present study. [spandidos-publications.com]
[…] bypass graft History of coronary artery bypass grafting Presence of stent of bypass graft Presence of stent of cabg (bypass) Present On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs [icd10data.com]
Entire Body System
- Surgical Procedure
This form of gastric bypass is the most common bariatric surgical procedure and among the most successful. [medical-dictionary.thefreedictionary.com]
A large randomized study is required to establish the risks and benefits associated with both the off-pump and on-pump CABG surgical procedures. III. [clinicaltrials.gov]
[…] variants: or coronary bypass or coronary artery bypass graft or coronary artery bypass grafting or coronary bypass graft or coronary bypass grafting : a surgical procedure performed to shunt blood around a narrowing or blockage in the coronary artery [merriam-webster.com]
One form of treatment is a surgical procedure to reroute the blood around the blocked vessels. Following surgery, a rehabilitation program involving exercise therapy may be necessary to get the heart in shape again. [livestrong.com]
This surgical procedure is common for cases of myocardial infarction, diseases of the three coronary vessels or diseases of the left main coronary artery. [highrisklifeinsuranceagency.com]
- Swelling
We describe a case of left arm swelling over nine months post coronary artery bypass grafting (CABG), due to occlusion of the left brachiocephalic vein. [ncbi.nlm.nih.gov]
When you return home, contact your doctor if you experience increased pain, redness, swelling, bleeding or discharge from an incision, fever or chills, breathing problems, swelling in the leg and abnormal heartbeats or for any other unusual physical problems [heartandstroke.ca]
[…] irregular pulse Swelling in the legs Numbness in the arms and legs Persistent nausea or vomiting Your doctor may give you other instructions after the procedure, depending on your situation. [hopkinsmedicine.org]
You may have shortness of breath, increasing tiredness (fatigue), leg swelling, or a run-down feeling. Coronary artery bypass surgery makes a path for blood to flow around a blockage. [fairview.org]
After a bypass, you will usually feel some discomfort and have some swelling around the wound areas for a few weeks. You're likely to have permanent scars on your chest and in the area from where your graft is taken. These may fade over time. [heartfoundation.org.nz]
- Asymptomatic
The patient is currently asymptomatic and has not presented with evidence of recurrence at the 12-month follow-up. [ncbi.nlm.nih.gov]
After a mean follow-up period of 30 months the condition of 94% of the patients was improved by at least one class of the New York Heart Association functional classification, and 68% were asymptomatic. [cmaj.ca]
Asymptomatic or Mild Angina Class I CABG should be performed in patients with asymptomatic ischemia or mild angina who have significant left main coronary artery stenosis. [doi.org]
- Weakness
Patients with coronary artery disease may experience subtle to intense symptoms that include: chest pain or pressure shortness of breath pain in one or both arms, the neck, shoulders, jaw or back weakness nausea or vomiting stomach or abdominal pain or [lutheranhospital.com]
[…] rarely death Specific complications for Coronary Artery Bypass Graft surgery include: Heart Attack Stroke Bleeding Deep wound infection requiring IV antibiotics and possible surgical debridement Arrhythmia (Irregular heart beat) Nerve damage causing weakness [chicagoheartsurgery.com]
The history of this procedure is a fascinating reflection on the strengths and weaknesses of medical research…. The project was dropped because of the strong negative sentiment from Dr. Goetz's colleagues…. [ncbi.nlm.nih.gov]
Some patients are unsuccessfully treated with medical therapy and/or stents and show up again with the same or more chest pain, shortness of breath, profound weakness or even worse…a heart attack and/or a much weaker heart. [heartsurgeryinfo.com]
- Chest Discomfort
The goals of the coronary artery bypass surgery are to: Relieve your symptoms of coronary artery disease (such as angina [chest discomfort] or shortness of breath) Help you return to your normal lifestyle and activities Lower your risk of a future heart [my.clevelandclinic.org]
DISCOMFORT. While the incision scar heals, which takes one to two months, it may be sore. Itching, tightness, or numbness along the incision are common. Muscle or incision discomfort may occur in the chest during activity. [encyclopedia.com]
Gastrointestinal
- Nausea
Patients with coronary artery disease may experience subtle to intense symptoms that include: chest pain or pressure shortness of breath pain in one or both arms, the neck, shoulders, jaw or back weakness nausea or vomiting stomach or abdominal pain or [lutheranhospital.com]
[…] series of tubes and probes will be inserted: Endotracheal tube: allows connection to a respirator during surgery Nasogastric tube: it is inserted through the nose and reaches the stomach, so that fluids and air do not accumulate and you do not suffer nausea [clinicacardiovascular.com]
He was admitted with tightness in the middle of his chest that appeared with moderate exertion, accompanied by other characteristic symptoms of physical discomfort affecting vegetative functions (pallor, perspiration, nausea/vomiting, etc). [revespcardiol.org]
Others include nausea, vomiting, ulcers, and anastomotic leaks. illustration illustration [medical-dictionary.thefreedictionary.com]
[…] higher, or chills Redness, swelling, or bleeding or other drainage from any of the incision sites Increase in pain around any of the incision sites Trouble breathing Rapid or irregular pulse Swelling in the legs Numbness in the arms and legs Persistent nausea [hopkinsmedicine.org]
Cardiovascular
- Heart Disease
disease (10.3%), and heart failure (8.7%). [ncbi.nlm.nih.gov]
People with atherosclerosis of the coronary arteries are said to have coronary heart disease. Your chances of developing coronary heart disease increase with age. [nhs.uk]
When your heart is not getting enough blood, it is in a state of ischemic heart disease, also called coronary heart disease, which can lead to chest pain. [halifaxhealth.org]
Coronary Artery Bypass Surgery to Treat Heart Disease Coronary artery disease damages the arteries that supply oxygen-rich blood to the heart. [lutheranhospital.com]
- Chest Pain
I only get chest pain when I walk!!” I heard once this line: “Insanity is doing the same thing over and over again, expecting a different outcome each time”. [heartsurgeryinfo.com]
The patient complained of anginal chest pain without specific characteristics of thyrotoxicosis. Coronary arteriography was performed and revealed 90% stenosis of both the left and right coronary os. [ncbi.nlm.nih.gov]
You may hear a clicking sound in the chest while the sternum is healing. You will probably have chest pain with sudden movement, coughing, or sneezing. Be assured this is usually musculoskeletal pain and not angina. [chicagoheartsurgery.com]
Skin
- Sweating
[…] coronary artery disease may experience subtle to intense symptoms that include: chest pain or pressure shortness of breath pain in one or both arms, the neck, shoulders, jaw or back weakness nausea or vomiting stomach or abdominal pain or discomfort cold sweats [lutheranhospital.com]
Somatic manifestations are tachycardia, hyperventilation, sweating, psychological manifestations are feelings of apprehension, nervousness, restlessness, and may also cause changes in sleeping pattern [ 13 ]. [intechopen.com]
Psychiatrical
- Fear
Many clinicians use higher doses of heparin - up to 5 mg/kg in order to thwart this fear. Overall, there appears to be no consensus on the dose of heparin in off pump coronary artery bypass surgeries. [ncbi.nlm.nih.gov]
The patients have fear of dying before, rather than during surgery, and this fear influenced strongly their level of anxiety. [intechopen.com]
Conclusions Further evaluation warranted, this technique might have the potential to develop into an additional approach for minimally invasive multivessel revascularization, especially in cases where competitive flow to arterial grafts is feared, while [cardiothoracicsurgery.biomedcentral.com]
Premedication The goals of premedication are to reduce apprehension and fear, preemptive analgesia, and provide amnesia. There are a variety of drugs available that can be used for premedication. [ijaweb.org]
[…] significantly improved in patients in whom BIMA grafts were used as opposed to a single IMA graft, with a hazard ratio (HR) of 0.79 (95% confidence interval [CI], 0.75–0.84). 46 However, some surgeons may be reluctant to perform BIMA grafting because of fear [doi.org]
Neurologic
- Dizziness
[…] emergency medical care if you develop any symptoms that might signal a heart attack or stroke, including: Chest pain, pressure or discomfort, which might radiate into the arm, neck or jaw Sudden shortness of breath or difficulty breathing Clammy skin Dizziness [livestrong.com]
Before discharge the patient is instructed to report any signs of infection (fever, sore throat, redness, swelling, or drainage from the leg or chest incisions) or cardiac complications (angina, dizziness, rapid or irregular pulse, or increasing fatigue [medical-dictionary.thefreedictionary.com]
[…] and monitoring It is important to know abnormal symptoms to report: Contact your doctor immediately if you have a fever, chills, purulent drainage from incisions, redness, bleeding, irregular heart beat, chest pain, shortness of breath, weakness, or dizziness [chicagoheartsurgery.com]
Workup
In summary, careful workup in the preoperative period and strategies to minimize hemolysis by avoiding oxidizing drugs and hypothermia, limiting the aortic cross clamp time, total CPB time, and maintaining good urine output is central to the successful [annals.in]
The appropriate diagnostic workup of patients before revascularization should thus include a full medical history, an ECG, laboratory assessments, cardiac echocardiography, and coronary angiography. [doi.org]
Treatment
Supportive treatment, pain management, and treatment of complications are used in the treatment of AP. [ncbi.nlm.nih.gov]
Rates of Outcomes among the Study Patients, According to Treatment Group. [doi.org]
n=953 for PTCA and 951 for medical treatment). [circ.ahajournals.org]
Prognosis
In conclusion, perioperative MI adversely affects prognosis. [doi.org]
Etiology
Staphylococci, particularly methicillin resistant Staphylococcus aureus (MRSA), play important roles in its etiology. [ncbi.nlm.nih.gov]
ETIOLOGY 1. Neurohypophyseal DI, pituitary DI, or central DI - usually results from agenesis or irreversible destruction of the neurohypophysis. 2. [slideshare.net]
Surg Gynecol Obstet 1906 ; 266 – 86. 26 The biology of saphenous vein graft occlusion: etiology and strategies for prevention. Curr Opin Cardiol 1994 ; 9 : 641 – 9. 27 Towards the prevention of vein graft failure. [doi.org]
Epidemiology
Copyright information: Copyright 2002 Journal of Epidemiology and Community Health Linked Articles In this issue Journal of Epidemiology & Community Health 2002; 56 401-401 Published Online First: 01 Jun 2002. doi: 10.1136/jech.56.6.401 Read the full [jech.bmj.com]
In one of prospective epidemiological cohort studies participants with greater emotional vitality were at markedly reduced risk for CHD, and this effect remained significant after controlling for medical and psychosocial factors [ 40 ]. [intechopen.com]
Design of S functions for biostatistical/epidemiological modeling, testing, estimation, validation, graphics, prediction, and typesetting. Programs available at: StatLib: Data, Software and News from the Statistics Community ( [email protected] ). [doi.org]
Department of Epidemiology and Public Health University College London London UK 2. Department of Cardiac Surgery St George’s Hospital, University of London London UK [link.springer.com]
Pathophysiology
External SVG supports have been a focus of research over the past 50 years, with their use intended to minimize well-documented pathophysiological changes that occur in the SVG following implantation into the coronary circulation. [ncbi.nlm.nih.gov]
Pathophysiology of saphenous vein graft failure The pathophysiology of SVG failure has been extensively described in the literature [ 12, 13 ] and is not the primary subject of this review. [doi.org]
Pulmonary Embolism: Pathophysiology, Diagnosis, Treatment. Hellenic J Cardiol 48:94–97,2007 PubMed Google Scholar Copyright information © Hellenic Surgical Society 2010 Authors and Affiliations P. Misthos 1 J. Kokotsakis 1 D. Bulafentis 1 G. [link.springer.com]
View Article : Google Scholar : PubMed/NCBI 17 Selvin E, Najjar SS, Cornish TC and Halushka MK: A comprehensive histopathological evaluation of vascular medial fibrosis: Insights into the pathophysiology of arterial stiffening. [spandidos-publications.com]
Pathophysiology of cardiopulmonary bypass: Current issues. J Card Surg 1990;5:177-89. [ PUBMED ] 15. Younster I, Arcavi L, Schechmaster R, Akayzen Y, Poplisky H, Shimonov J. [annals.in]
Prevention
Future studies need to focus on targeting the clinical modifiable risk factors and discharge planning and education, which may help to prevent 30-day readmissions. [ncbi.nlm.nih.gov]
[…] under control, drive cholesterol levels down and prevent blood clotting. [nytimes.com]