Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery
Abstract
undergoing coronary artery bypass surgery (CABG). The course of perioperative period in 719 patients undergoing CABG in the Research Institute for Complex Issues of Cardiovascular Diseases between March, 2011 and April, 2012 was evaluated. All the patients had creatinine concentrations, glomerular filtration rate (GFR by MDRD) and daily urine microalbumin levels measured before CABG and at day 7 after CABG. Major event rates were assessed (myocardial infarction, stroke or transient ischemic attack, acute or decompensated chronic renal failure or remediastinotomy) during the hospital stay. The EuroSCORE was calculated for each patient. Different EuroSCORE risk patients had similar serum creatinine levels while microalbumin concentrations in daily urine were significantly higher in moderate and high EuroSCORE risk groups before the surgery as compared to low-risk patients. Patients who experienced postoperative events had significantly higher microalbuminuria both before and after surgery while there were no differences in such renal dysfunction markers as creatinine and GFR. Preoperative microalbuminuria assessment can act as a marker of complicated postoperative period after CABG.
About the Authors
K. S. Shafranskaja
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
A. A. Kuzmina
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
D. A. Sumin
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
K. V. Kamlenok
Russian Ministry of Health
Russian Federation
Russian Federation
State educational institution of higher professional education "Kemerovo State Medical Academy"
650056
st. Voroshilov, 22A
Kemerovo
K. E. Krivoshapova
Russian Ministry of Health
Russian Federation
Russian Federation
State educational institution of higher professional education "Kemerovo State Medical Academy"
650056
st. Voroshilov, 22A
Kemerovo
V. V. Kalaeva
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
M. V. Evseeva
Russian Ministry of Health
Russian Federation
Russian Federation
State educational institution of higher professional education "Kemerovo State Medical Academy"
650056
st. Voroshilov, 22A
Kemerovo
O. L. Barbarash
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
L. S. Barbarash
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
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Review
For citations:
Shafranskaja K.S., Kuzmina A.A., Sumin D.A., Kamlenok K.V., Krivoshapova K.E., Kalaeva V.V., Evseeva M.V., Barbarash O.L., Barbarash L.S. Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery. Ateroscleroz. 2013;9(1):21-28. (In Russ.)
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