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Predictors, complications and outcome of coronary artery bypass surgery in patients attending the cardiac center of Arar City, Northern Saudi Arabia

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Last updated: 03 Jan 2025

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Abstract

Background: The increased incidence of cardiovascular disease between patients nowadays led to upsurge in the number of cardiac operations. After coronary artery bypass surgery, most patients remain free of symptoms for up to 15 years. The surgery also reduces the risk of heart attack and improves survival. Objective: to determine the predictors and outcome of coronary artery bypass surgery in patients attending the cardiac center in Arar, KSA all over the study period. Methods: The current study is a cross sectional study conducted during the period from September 2017 to March 2018. The current study included 72 individuals attending the cardiac center in Arar City. Collecting patients' data was conducted through interviewing the patients included in the study and reviewing their medical files. A predesigned questionnaire was used for data collection. Results: We found that 81.9% of cases were males, 61.1% aged from 30 to 39 years old, 34.4% of cases have a myocardial infraction as a clinical diagnosis before the operation, 25% had angina pain, and 50.0% were smokers. Hyperlipidemia, chronic kidney disease, and chronic obstructive lung disease were found in 59.7%, 83.3% and 77.8% respectively. There were 41.6% who had postoperative arrhythmia, 13.9% had bacterial infection in the site of operation and another 13.9% had hypotension, 11.1% re-operated due to bleeding, and 6.9% got  postoperative acute myocardial infarction. After 6 month of the operation, 69.4% of cases were quite good while recurrence of chest pain found in12.5%, heart failure in 2.8% and 8.3% died. There was significant association between outcome of cases after 6 months of operation and patients age (P<0.05) and all the dead cases were males. Conclusion: Our findings indicated that, among cardiac patients attending the cardiac center in Arar, KSA, the preoperative characteristics are suggestive of 30 to 39 years old males with myocardial infraction, angina pain, smokers, have hyperlipidemia, chronic kidney disease, and chronic obstructive lung disease is undergoing coronary artery bypass surgery. The death rate was low and 69.4% of cases were quite good.

DOI

10.21608/ejhm.2018.10275

Keywords

Coronary artery bypass surgery, indications, Complications, Outcome, Cardiac center of Arar City, Northern Saudi Arabia

Authors

First Name

Bader Arar Shadad

Last Name

Alruwaili

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Malik Azhar

Last Name

Hussain

MiddleName

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Affiliation

Surgery Department,College of Medicine. Northern Border University.Arar Saudi Arabia

Email

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City

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Orcid

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First Name

Thamer Arar Shadad

Last Name

Alruwaili

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Taghreed Arar Shadad

Last Name

Alruwaili

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

-

First Name

Osama Mazha Mutkhan

Last Name

Alanazi

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Adel Turki D

Last Name

Alenezi

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Mohammed Khalil

Last Name

Al Shakarah

MiddleName

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Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Saud Rteamy R

Last Name

Alanazi

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Anwar Khulaif B

Last Name

Alshammari

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Khawlah Hameed

Last Name

Alanazi

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Abdulaziz Salamah

Last Name

Alanazi

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Ahmed Saud A

Last Name

Aldaghmi

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Abdullah Saad A

Last Name

Alanazi

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University

Email

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City

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Orcid

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First Name

Munif Saleh

Last Name

Alenezi

MiddleName

-

Affiliation

Faculty of Medicine, Northern Border University

Email

-

City

-

Orcid

-

Volume

72

Article Issue

8

Related Issue

2010

Issue Date

2018-07-01

Receive Date

2018-08-05

Publish Date

2018-07-01

Page Start

4,990

Page End

4,994

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_10275.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=10275

Order

6

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Predictors, complications and outcome of coronary artery bypass surgery in patients attending the cardiac center of Arar City, Northern Saudi Arabia

Details

Type

Article

Created At

22 Jan 2023