Abstract
to elucidate factors associated with cardiovascular events (CVE) after coronary artery bypass grafting (CABG) depending on the presence of type 2 diabetes mellitus (DM2). Medical records of 667 patients who underwent CABG during the period from 2006 to 2009 (317 patients with and 350 patients without DM2 and other disorders of glucose metabolism with comparable by sex, age and CABG characteristics) were analyzed retrospectively. The relationship of registered possible predictors with incidence of CVE was evaluated in a logistic regression model. Predictors of CVE after CABG were different depending on the presence of DM2. The presence of left ventricular aneurysm, mitral regurgitation, reduced left ventricular ejection fraction (LVEF) and elevated level of glycated hemoglobin were independent predictors of CVE in diabetic patients. The increase in the age of patients, on-pump CABG, combined operations, presence of mitral regurgitation, decrease in LVEF were predictors of CVE in non-diabetic patients. Predictors of CVE after CABG were different depending on the presence of DM2. Data obtained emphasize the importance of control of glycaemia in patients with DM2 for improvement of immediate results of CABG.
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