О.J. Zharinov, V.V. Studnikova, К.O. Мikhaliev, О.P. Nadorak, О.А. Epanchintseva, B.М. Тodurov.Predictors of early complications after coronary artery bypass grafting in patients with ischemic heart disease and diabetes mellitus

The aim – to establish predictors of early complications after coronary artery bypass grafting (CABG) in patients with ischemic heart disease and concomitant diabetes mellitus (DM).
Material and methods. The data received at clinical and instrumental investigation of 72 patients with type 2 DM, among them 57 men and 15 women, age from 41 to 84 years, average age 63±8 years, chosen for CABG surgery were retrospectively analysed in cross-sectional one-center study. Evaluation of general clinical and laboratory parameters, including glucose metabolism and glomerular filtration rate, echocardiography, coronary angiography and duplex scanning of carotid arteries were performed in all patients.
Results. Early life-threatening complications were registered in 14 (19.4 %) patients. Acute renal injury was most common, appearing in 13 patients. Life-threatening complications were not registered in 58 patients. Group of patients with complications of CABG was older and was characterized by more prominent initial renal dysfunction.
Conclusions. It is necessary to perform special studies to investigate ways of prevention of post-CABG renal injury in patients with ischemic heart disease and concomitant DM.

Full article