ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМПymj-1543Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHВлияние уровня гликемии на развитие осложнений после коронарной реваскуляризации у больных ИБС с сахарным диабетомThe Effect of Glycemia for Complications Development after Coronary Revascularization in Patients with Coronary Heart Disease and DiabetesЯрбековР. Р.YarbekovR. R.

Ярбеков Рустам Раимкулович – к.м.н., докторант отд. сочетанных заболеваний коронар. и магистрал. Артерий

Yarbekov Rustam Raimkulovich, PhD, doctoral

Department of comorbidities of coronary and the greater arteries

Moscow

yarbekov@mail.ruСигаевИ. Ю.SigaevI. Yu.

Сигаев Игорь Юрьевич – д.м.н., проф., руковод. отд. сочетанных заболеваний коронар. и магистрал. Артерий

Sigaev Igor Yurevich, MD, Professor, Head

Department of comorbidities of coronary and the greater arteries

Moscow

КеренМ. А.KerenM. A.

Керен Милена Абрековна – д.м.н., н.с. отд. сочетанных заболеваний коронар. и магистрал. Артерий

Keren Milena Abrekovna, MD, a researcher

Department of comorbidities of coronary and the greater arteries

Moscow

НазаровА. А.NazarovA. A.

Назаров Афанасий Анатольевич – аспирант отд. сочетанных заболеваний коронар. и магистрал. Артерий

Nazarov Afanasi Anatolevich, graduate student

Department of comorbidities of coronary and the greater arteries

Moscow

КазарянА. В.KazaryanA. V.

Казарян Артак Варужанович – к.м.н., н.с. отд. сочетанных заболеваний коронар. и магистрал. Артерий

Kazaryan Artak Varuzhanovich, PhD, researcher

Department of comorbidities of coronary and the greater arteries

Moscow

СтаростинМ. В.StarostinM. V.

Старостин Максим Владимирович – к.м.н., н.с. отд. сочетанных заболеваний коронар. и магистрал. Артерий

Starostin Maxim Vladimirovich, PhD, researcher

Department of comorbidities of coronary and the greater arteries

Moscow

ФГБУ Научный центр сердечно-сосудистой хирургии им. А.Н. БакулеваРоссияFGBU Bakoulev Scientific Center of Cardiovascular SurgeryRussian Federation201616092025011114Copyright © Ярбеков Р.Р., Сигаев И.Ю., Керен М.А., Назаров А.А., Казарян А.В., Старостин М.В., 20252025Ярбеков Р.Р., Сигаев И.Ю., Керен М.А., Назаров А.А., Казарян А.В., Старостин М.В.Yarbekov R.R., Sigaev I.Y., Keren M.A., Nazarov A.A., Kazaryan A.V., Starostin M.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/1543

Для оценки взаимосвязи послеоперационной гипергликемии и развития госпитальных осложнений после аортокоронарного шунтирования (АКШ) у больных СД проведено исследование, в которое были включены 482 пациента, перенесших операцию АКШ в период с 2003 по 2008 г. в НЦ ССХ им. А.Н. Бакулева. Выявлено, что наличие СД у больных, направляемых на АКШ, не сопровождается увеличением риска развития основных кардиоваскулярных осложнений (смерть, инсульт, инфаркт миокарда), однако сопряжено с повышением числа инфекционных осложнений. Гипергликемия более 200 мг/дл является фактором, увеличивающим риск развития таких послеоперационных осложнений, как смерть, инсульт, острая почечная недостаточность, нарушения ритма и инфекционно-воспалительные осложнения.

The aim of our study was to evaluate the relationship of hyperglycemia and postoperative hospital complications after coronary artery bypass surgery in diabetic patients. The study included 482 patients who underwent coronary artery bypass surgery (CABG) in the period from 2003 to 2008 in the Bakoulev Center for Cardiovascular Surgery. In our study, DM is not associated with an increased risk of major cardiovascular events (death, stroke, myocardial infarction) after CABG. However, the presence of diabetes is associated with an increase in the number of postoperative infectious complications. Hyperglycemia more than 200 mg / dL is a risk factor that increases the risk of postoperative complications such as death, stroke, acute renal failure, arrhythmias and infectious complications.

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The authors declare that there are no conflicts of interest present.