Muhammad Saeed Afridi, Muhammad Ahmad Raza Butt, Muhammad Suleman Khan M.D, Muhammad Anjum, Muhammad Ammar, Rimsha Tauqir

Association of Diabetes Mellitus (DM) with Early Morbidity in Patients of Heart Disease (IHD) Undergoing Coronary Artery Bypass Surgery (CABG)

Muhammad Saeed Afridi, Muhammad Ahmad Raza Butt, Muhammad Suleman Khan M.D, Muhammad Anjum, Muhammad Ammar, Rimsha Tauqir



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ABSTRACT

Objective: To find association of Diabetes Mellitus (DM) with early morbidity in patients of heart disease(IHD) undergoing coronary artery bypass surgery (CABG)

Methodology: In this Prospective Cohort Study conducted at Deptt. of Cardiac Surgery / Punjab Institute of Cardiology(PIC), which is tertiary Cardiac Center in Punjab/Lahore, we enrolled 200 cases(100 exposed and 100 non-exposed) who were undergoing isolated CABG procedure, all cases taking or in need of anti-diabetic agents either pre-operative diagnosis or at admission were classified as DM. The preoperative variables were noted before undergoing surgical operation while operative, and postoperative variables (Renal Dysfunction, bleeding and usage of intra-aortic balloon pump) was collected prospectively recorded.

Results: The frequency of post operative complications was recorded as 28%(n=28) in exposed and 10%(n=10) in non-exposed group, R.R was 2.80, p value was 0.002, bleeding in exposed group was 12%(n=12) and 9%(n=9) in non-exposed group, R.R was 1.33, p value was 0.49 whereas usage of intra aortic balloon pump was 16%(n=16) in exposed and 12%(n=12) in non-exposed group, R.R was 1.34, p value was 0.41.

Conclusion: We concluded that there is a significant association of DM with early morbidity in patients of IHD undergoing CABG.

Keywords: Ischemic heart disease, Diabetes Mellitus, Coronary Artery Bypass Surgery (CABG), early morbidity



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