conclusions the findings showed a positive effect of therapeutic relationship based on peplau's model on reducing anxiety of patients undergoing cabg. therefore, health care teams, including nurses, should take advantage of appropriate communication with patients in their care procedures. in that regard, peplau's communication model is recommended as a simple, low-cost, and efficient method. re...

background according to the previous studies, antihypertensive drugs should be withdrawn before surgery. nowadays it is accepted that some drugs effectively control systemic blood pressure (bp) to assure its desirable therapeutic control. objectives in this study, the effects of captopril, an angiotensin converting enzyme inhibitor (acei), on hemodynamic changes before, during and after the cor...

background: the incidence of coronary artery bypass grafting surgery (cabg) in elderly patients has been increasing. there are contradictory reports on the early outcome of elderly coronary artery patients as compared with their young counterparts. we designed this retrospective study to address this issue. methods: w e retrospectively analyzed the results of 1489 on–pump cabg cases performed a...

background: the incidence of stroke after coronary artery bypass grafting (cabg) is between 0.9% and 6.7%, which significantly increases in-hospital and out-hospital costs. this study was designed to evaluate the prevalence of significant carotid stenosis and its risk factors in cabg. methods: in total, 2044 consecutive patients undergoing elective cabg were investigated through a pre-operative...

background: age is one of the most important factors that have consistently emerged as the most potent predictors of mortality and morbidity after coronary artery bypass graft (cabg) surgery. however, early results of cabg in young patients in comparison with elderly ones have been different in previous surveys. the aim of this study was to compare short-term mortality and morbidity in young ve...

conclusions: in the present study, applying positive airway pressure methods (cpap or imv) during cpb was associated with better postoperative abg measurements and (a-a) do2. results: the demographic data were similar in between three groups. graft number, pump time and preoperative abgs were not significantly different. postoperative pao2 were significantly higher in the cpap and imv groups an...

OBJECTIVES To identify the risk factors for mortality and establish improved treatment strategies in patients who have acute type A aortic dissection with coronary artery dissection. METHODS From January 1994 through December 2011, we performed surgery in 516 patients with acute type A aortic dissection. We studied 75 (15%) of these patients who had coronary artery dissection. Myocardial isch...

A 61-year old woman with severe coronary artery disease underwent three-vessel coronary bypass surgery. Difficulty was encountered in terminating cardiopulmonary bypass, but there was dramatic improvement following the administration of intravenous insulin. The use of insulin to facilitate termination of cardiopulmonary bypass is discussed.

Spontaneous coronary artery dissection remains a rare but important cause of acute coronary syndromes. Presentation depends on the extent of the dissection, the vessels involved and the rate of its development, and can encompass the entire spectrum of coronary syndromes, with some patients being asymptomatic and others presenting with angina, non-ST segment elevation myocardial infarction, ST-e...