Does tighter perioperative glycemic control improve outcomes for diabetic patients undergoing coronary artery bypass graft surgery?
نویسنده
چکیده
Background: Patients with diabetes mellitus undergoing coronary artery bypass graft surgery (CABG) have increased perioperative morbidity and mortality. Tighter glycemic control with an insulin infusion immediately after an acute myocardial infarction has been found to reduce mortality among patients with hyperglycemia. It is unknown whether diabetic patients undergoing CABG would also benefit from tighter glycemic control.
منابع مشابه
Comparing Effects of Continuous Insulin Infusion with or without Subcutaneous Glargine Insulin on Glycemic Control in Diabetic Patients Undergoing Coronary Artery Bypass Graft (CABG)
OBJECTIVE: Hyperglycemia is associated with increased morbidity and mortality in diabetic patients following coronary artery bypass grafting. Tight glycemic control in perioperative period can reduce these events. The goal of this study was to determine whether combination of continuous infusion and subcutaneous glargine as a basal insulin could improve glycemic control. MATERIAL AND METHODS:...
متن کاملLetter regarding article by Lazar et al, "Tight glycemic control in diabetic coronary artery bypass graft patients improves perioperative outcomes and decreases recurrent ischemic events".
BACKGROUND This study sought to determine whether tight glycemic control with a modified glucose-insulin-potassium (GIK) solution in diabetic coronary artery bypass graft (CABG) patients would improve perioperative outcomes. METHODS AND RESULTS One hundred forty-one diabetic patients undergoing CABG were prospectively randomized to tight glycemic control (serum glucose, 125 to 200 mg/dL) with...
متن کاملTight Glycemic Control in Diabetic Coronary Artery Bypass Graft Patients Improves Perioperative Outcomes and Decreases Recurrent Ischemic Events
Background—This study sought to determine whether tight glycemic control with a modified glucose-insulin-potassium (GIK) solution in diabetic coronary artery bypass graft (CABG) patients would improve perioperative outcomes. Methods and Results—One hundred forty-one diabetic patients undergoing CABG were prospectively randomized to tight glycemic control (serum glucose, 125 to 200 mg/dL) with G...
متن کاملThe effect of breathing exercises and yoga relaxation on tension, depression and anxiety in patients undergoing coronary artery bypass graft surgery - an interventional study
Introduction: Yoga is one of the rehabilitation programs that engage the mind and body for positive health outcomes and it plays an essential role in the prevention of cardiovascular disease. The aim of this study was to determine the effect of breathing exercises and yoga relaxation on tension, depression and anxiety in patients undergoing coronary artery bypass graft surgery. Methods: This ex...
متن کاملDiabetes and coronary artery bypass surgery: an examination of perioperative glycemic control and outcomes.
OBJECTIVE To determine the adequacy of perioperative glycemic control in diabetic patients undergoing coronary artery bypass grafting (CABG) and to explore the association between glycemic control and in-hospital morbidity/mortality. RESEARCH DESIGN AND METHODS Retrospective cohort study of consecutive patients with diabetes undergoing CABG between April 2000 and March 2001 who survived at le...
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ورودعنوان ژورنال:
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
دوره 171 1 شماره
صفحات -
تاریخ انتشار 2004