Young adults Undergoing Coronary Artery Bypass Grafting (CABG)

  • Muhammad Arif Tabba Heart Institute
  • Yusra Saleem Advance Educational Institute & Research Center (AEIRC)
  • Stefan Riaz Koohi Goth Hospital
  • Mahapara . Tabba Heart Institute
  • Muhammad Imran Institute of Medical Technology (IMT), DUHS
  • Atif Sharjeel Tabba Heart Institute
  • Shujjaat Ali Khan The Aga Khan University Hospital
  • Ghufran Ullah Khan Tabba Heart Institute
Keywords: Coronary Artery Bypass Grafting (CABG), Young adults, Body Mass Index (BMI), Coronary Artery Disease (CAD).

Abstract

Background: Coronary artery bypass grafting (CABG) is referred to as the gold standard therapeutic modality for treating coronary artery disease (CAD) among both old or young patients. hypertension, diabetes, Increased BMI and obesity, etc. are among the major risk factors for the development of cardiovascular diseases. The aim of the current study was to highlight the increasing rate of CAD and associated CABG surgery among young adults and to identify the potential risk factors associated with it.

Methodology: In this hospital based observational study, CAD patients ≤40 years of age admitted to the cardiac surgery department of a leading cardiac center for CABG surgery were included in the study. The study continued from 5th January 2018 to 21st August 2019 and the data of 184 patients who underwent CABG was collected during this time period. The details regarding patients' age, weight, height and body mass index (BMI) were obtained at the time of initial examination. Moreover, medical records, familial history and risk profile were also monitored. The collected data was analyzed using SPSS Version 22.0.

Results: A total of 184 CAD patients who underwent CABG surgery were included in the study and 114(62%) of them were males and 70(38%) were females. The age range was 25 to 40 years with the mean age of 36.5±3.17 years. The risk profile displayed that increased BMI was the major contributor for cardiovascular disease i.e. 38% patients were overweight, 10.9% were in Obese I category and 5.97% were in obese II category. Following obesity, hypertension (49.5%), diabetes (29.9%) and dysfunctional lipids (14.7%) were common comorbid conditions. While smoking and positive familial history also contributed to the risk ratio. It was observed that hypertension, diabetic history was more among overweight and obese individuals (p=0.029 & 0.666).

Conclusion: Young CAD patients ≤40 years of age display decreased risk and adverse outcomes as compared to the older counterparts but the clinical pattern of presentation is different and hence require different strategic attention.

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References

1. Kolh P, Windecker S, Alfonso F, Collet J, Cremer J, Falk V, Filippatos G, Hamm C, Head SJ, Jüni P. et al. 2014 ESC/ EACTS Guidelines on myocardial revascularization. Eur J Cardiothorac Surg 2014;35(37):2541–2619.
2. Nguyen T, Virgilio C, Kakuda J, Omari B, Milliken J, Robertson J et al. Characteristics of patients less than 45 years of age compared with older patients undergoing coronary artery bypass grafting. Clin Cardiol1998;21(12):913–916.
3. Hule´ A, Bernabeu E, Gomez-Vicent R, Ventura J. Coronary bypass surgery in young adults. Long-term survey. Interact cardiovascThorac Surg 2008;7(1):126–129.
4. Mohr FW, Morice MC, Kappetein AP, Feldman TE, Ståhle E, Colombo A, Mack MJ, Holmes Jr DR, Morel MA, Van Dyck N, Houle VM. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet. 2013;381(9867):629–638.
5. Locker C, Schaff HV, Dearani JA, Joyce LD, Park SJ, Burkhart HM, Suri RM, Greason KL, Stulak JM, Li Z, Daly RC. Multiple arterial grafts improve late survival of patients undergoing coronary artery bypass graft surgery: analysis of 8622 patients with multivessel disease. Circulation. 2012;126(9):1023–1030.
Published
2020-03-01
How to Cite
Arif, M., Saleem, Y., Riaz, S., ., M., Imran, M., Sharjeel, A., Khan, S. A., & Khan, G. U. (2020). Young adults Undergoing Coronary Artery Bypass Grafting (CABG). International Journal of Endorsing Health Science Research (IJEHSR), 8(1), 41-46. Retrieved from http://aeirc-edu.com/ojs14/index.php/IJEHSR/article/view/434