Assessing cardiovascular risk factors after coronary artery bypass surgery: value of an aggressive strategy including systematic follow-up

作者：Barandon L^*; Calderon J; Lafitte M; Leroux L; Cadusseau J L; Roques X; Couffinhal T

来源：Archives of Cardiovascular Diseases, 2008, 101(3): 155-162.

• coronary artery
• bypass surgery
• risk factors
• FIBP
• cholesterot
• smoking
• diabetes
• education

Introduction. - Coronary revascularization surgery is a palliative treatment modality which should not preclude efforts to treat atherosclerosis.
Aim. - To assess ongoing cardiovascular risk factors after coronary artery bypass surgery and develop a strategy to attenuate such factors.
Methods. - 108 patients requiring a coronary artery bypass were included: 2 died soon after surgery and 6 were excluded for personal reasons. 100 patients were re-admitted into hospital 7 months after surgery for risk factor assessment. Eight months later, they were re-contacted by telephone (systematic follow-up) for a re-assessment.
Results. - The population consisted of 77 men with an average age of 64 +/- 11 years. Prior to the operation, the known risk factors were: smoking 34%; HBP 61%; cholesterol 47%; diabetes 30%; obesity 25%.
During their hospital stay six months after the procedure: 91% of the patients had at least one lipid metabolism abnormality. New-onset diabetes was diagnosed in 5%. Blood pressure was uncontrolled in 18% and 10% were still smoking. Patients tended to be putting on weight and 55% engaged in Little or no physical activity.
Systematic follow-up: lipid metabolism had normalized in 70% of the patients. Blood glucose levels were significantly Lower. Blood pressure was uncontrolled in 9% and 4% were still smoking. Their weight had stabilized and 65% were engaging in moderate-to-strenuous physical activity.
Conclusion. - Inadequate attention is paid to risk factors after coronary artery bypass surgery. A short hospital stay including a cardiovascular evaluation and education about risk factors has a positive impact on the management of atherosclerosis in the medium term.

• 出版日期2008-3
• 单位河南工业大学