Puntuación alterada de calcio en las coronarias antes de cirugía bariátrica
Altered coronary artery calcium scores before bariatric surgery.
Gadelha PS1, Campos JM2, Moraes F2, da F S Leão M1, Ferraz AA2.
Springerplus. 2014 Apr 22;3:199. doi: 10.1186/2193-1801-3-199. eCollection 2014.
Abstract
INTRODUCTION:
Obesity is an important cause of cardiovascular disease, especially coronary artery disease. Severely obese patients are particularly prone to this risk. The coronary artery calcium (CAC) score is a strong predictor of coronary heart disease and provides incremental information beyond traditional risk factors. We sought to determine the prevalence of abnormally high CAC scores in the preoperative setting among patients undergoing bariatric surgery and to establish risk predictors for higher scores. METHODS: We performed an observational study of 202 patients free of known coronary artery disease who were referred for bariatric surgery. In each patient, the presence of CAC was detected with computed tomography, and coronary risk variables were either measured or determined via questionnaire. .... CONCLUSION: Obese patients in the preoperative bariatric surgery setting have a high prevalence of abnormal CAC scores. Traditional risk factors play a important role in this scenario.
KEYWORDS: Bariatric surgery; Cardiovascular risk factors; Coronary artery calcium score; Coronary artery disease; Obesity
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008727/
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Altered coronary artery calcium scores before bariatric surgery.
Gadelha PS1, Campos JM2, Moraes F2, da F S Leão M1, Ferraz AA2.
Springerplus. 2014 Apr 22;3:199. doi: 10.1186/2193-1801-3-199. eCollection 2014.
Abstract
INTRODUCTION:
Obesity is an important cause of cardiovascular disease, especially coronary artery disease. Severely obese patients are particularly prone to this risk. The coronary artery calcium (CAC) score is a strong predictor of coronary heart disease and provides incremental information beyond traditional risk factors. We sought to determine the prevalence of abnormally high CAC scores in the preoperative setting among patients undergoing bariatric surgery and to establish risk predictors for higher scores. METHODS: We performed an observational study of 202 patients free of known coronary artery disease who were referred for bariatric surgery. In each patient, the presence of CAC was detected with computed tomography, and coronary risk variables were either measured or determined via questionnaire. .... CONCLUSION: Obese patients in the preoperative bariatric surgery setting have a high prevalence of abnormal CAC scores. Traditional risk factors play a important role in this scenario.
KEYWORDS: Bariatric surgery; Cardiovascular risk factors; Coronary artery calcium score; Coronary artery disease; Obesity
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008727/
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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