Mean platelet volume as a simple marker of repeated coronary artery intervention after off-pump technique (OPCAB) procedures - initial report.

major adverse cardiac events mean platelet volume off-pump coronary artery bypass white blood cells

Journal

Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery
ISSN: 1731-5530
Titre abrégé: Kardiochir Torakochirurgia Pol
Pays: Poland
ID NLM: 101279148

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 15 07 2021
accepted: 26 09 2021
entrez: 26 1 2022
pubmed: 27 1 2022
medline: 27 1 2022
Statut: ppublish

Résumé

Mean platelet volume (MPV) is claimed to be a useful marker to predict long-term risk for major adverse cardiac effects (MACE) in patients undergoing percutaneous coronary interventions (PCI). To explore the possible dependence on MPV and postoperative PCI risk in patients with complex coronary artery disease undergoing coronary artery bypass grafting in off-pump technique (OPCAB). We retrospectively analyzed 236 consecutive patients (180 (76%) males and 56 (24%) women) referred for surgery due to complex coronary artery disease between 2015 and 2016 in our department. The mean 5.1 ±0.8 year follow-up included profound analysis of MACE events including acute coronary syndromes and percutaneous interventions. The 5 ±1 year follow-up was completed by 213 (90%) patients with 2 (1%) deaths within the first year after surgery. In logistic univariate and multivariate model regression analysis two parameters were found significant, i.e. preoperative white blood cells and postoperative MVP, for PCI risk in long-term follow-up. The odds ratio values for postoperative MPV were 1.78 (95% CI, MPV can be regarded as a simple marker of PCI risk following OPCAB procedures. The preoperative MPV indicates the individual tendency for worse prognosis more than procedure dependence.

Identifiants

pubmed: 35079265
doi: 10.5114/kitp.2021.112190
pii: 46006
pmc: PMC8768849
doi:

Types de publication

Journal Article

Langues

eng

Pagination

231-235

Informations de copyright

Copyright: © 2021 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska).

Déclaration de conflit d'intérêts

The authors report no conflict of interest.

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Auteurs

Tomasz K Urbanowicz (TK)

Cardiac Surgery and Transplantology Department, Poznan University of Medical Sciences, Poznan, Poland.

Michał Michalak (M)

Department of Computer Science and Statistics, Poznan University of Medical Sciences, Poznan, Poland.

Weronika Mikołajewska (W)

Poznan University of Medical Sciences, Poznan, Poland.

Michał Rodzki (M)

Cardiac Surgery and Transplantology Department, Poznan University of Medical Sciences, Poznan, Poland.

Bartłomiej Perek (B)

Cardiac Surgery and Transplantology Department, Poznan University of Medical Sciences, Poznan, Poland.

Anna Olasińska-Wiśniewska (A)

Cardiac Surgery and Transplantology Department, Poznan University of Medical Sciences, Poznan, Poland.

Michał Bociański (M)

Cardiac Surgery and Transplantology Department, Poznan University of Medical Sciences, Poznan, Poland.

Marek Jemielity (M)

Cardiac Surgery and Transplantology Department, Poznan University of Medical Sciences, Poznan, Poland.

Classifications MeSH