Influence of cardiovascular and renal risk factors on prognosis of coronary heart disease patients, undergone myocardial revascularization


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Aim. Determination of role of kidney-related risk factors on cardiovascular survival in patients with coronary heart disease (CHD), undergone myocardial revascularization.
Methods. 90 patients with CHD, undergone myocardial revascularization, were included into the study. Cardiovascular and kidney-related risk factors were estimated; primary (acute myocardial infarction, recurrent myocardial revascularization, death) and surrogate (hospitalization and recurrent angina) endpoints were defined.
Results. 5 patients reached primary, 18 and 42 patients reached surrogate endpoints. Risk of primary endpoint was determined by triglyceride serum level and excess body weight. Risk of hospitalization was associated with elevation of triglyceride serum level, creatininemia and in smokers, risk of recurrent angina - with changes in creatininemia and glomerulary filtration rate, as well as chronic kidney disease, dyslipoproteidemia IIa and IIb and hypertriglyceridemia.
Conclusion. In patients with CHD, undergone myocardial revascularization, kidney-related risk factors influence the cardiovascular prognosis.

参考

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