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Intraoperative and Early Postoperative Risk Factors for the Development of Acute Cerebrovascular Accident in Elderly Patients after Coronary-Artery Bypass Grafting

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Abstract

This work presents data on the problem of ischemic heart disease, surgical myocardial revascularization, as well as the risk of developing acute cerebrovascular accident (ACVA) in elderly patients with coronary-artery bypass grafting (CABG). We conducted a study to identify risk factors for the development of ACVA in elderly patients. Predictors of ACVA development in the operative and early postoperative periods are identified. It is proven that the time of extubation, increased PCO2 levels, and hyperlactatemia are reliable intraoperative and early postoperative predictors of ACVA in elderly patients with CABG. The practical significance of the study lies in the application of its results to predict the development of perioperative stroke in elderly patients with CABG.

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Authors and Affiliations

  1. Samara State Medical University, 443099, Samara, Russia

    T. A. Shnitman, I. G. Trukhanova, S. V. Bulgakova & N. O. Zakharova

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  1. T. A. Shnitman
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  2. I. G. Trukhanova
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  3. S. V. Bulgakova
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  4. N. O. Zakharova
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Correspondence to N. O. Zakharova.

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Conflict of interest. We declare that we have no conflict of interest.

Statement of compliance with standards of research involving humans as subjects. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants involved in the study.

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Translated by D. Novikova

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Shnitman, T.A., Trukhanova, I.G., Bulgakova, S.V. et al. Intraoperative and Early Postoperative Risk Factors for the Development of Acute Cerebrovascular Accident in Elderly Patients after Coronary-Artery Bypass Grafting. Adv Gerontol 12, 319–323 (2022). https://doi.org/10.1134/S2079057022030122

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  • DOI: https://doi.org/10.1134/S2079057022030122

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