Omorbid Pathology And Age Characteristics Of Patients Requiring Coronary Bypass Surgery In Cardiovascular Disease

Abstract

Purpose. Investigate a group of patients with age-related characteristics and comorbid pathology in patients with cardiovascular disease (CVD) who need coronary bypass surgery.

Material and research methods. Our study included 205 patients (163 (79.5%) men and 42 (20.50%) women) with CVD who need coronary angiography for further identification of multivessel lesions and coronary artery bypass grafting (CABG) in the period of 2018-2021.

Results and discussion. The majority of patients - 99 (48.4%) in the analyzed register were aged from 51 to 60 years. 34.8% patients ranged from 61 to 71 years. Patients aged 71 years and over accounted for 9.3% (n=20). At the same time, the number of patients referred for elective CABG with previous acute coronary events was the highest among young patients. Among young patients, patients with a history of more than two MI prevailed (13.3% and 10.0%, respectively). With increasing age, the history of stroke/transient ischemic attack (TIA) increased from 6.7% to 15.0%, respectively. Smoking with increasing age showed a downward trend (33.3% and 15.0%, respectively). The increase in age was associated with an increase in the proportion of patients with chronic pyelonephritis: from 13.3% in the group of patients ≤ 50 years and up to 40.0% in the group of patients ≥ 71 years.

Conclusion. An increase in patient age is associated with an increase in cardiovascular comorbidity in the absence of a significant increase in non-cardiovascular comorbidities. With the age of patients, the history of acute cerebral circulation insufficiency/TIA increased among older patients.