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Characteristics Of Metabolic Risk Factors In Elderly Patients With Coronary Heart Disease (Chd) After Coronary Artery Bypass Grafting

B. N. Bao,X. Q. Sun,Y. Zhao, H. Tao, Y. S. Zhou

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY(2013)

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Abstract
Objective To study the characteristics of metabolic risk factors in elderly coronary heart disease(CHD) patients after coronary artery bypass grafting(CABG).Methods Three hundred and ninety-eight elderly CHD patients were divided in male patients group(n=272) and female patients group(n=126).The characteristics of metabolic risk factors in the two groups were compared.Results The BMI,SBP,and serum TC,HDL-C,LDL-C and TG levels were significantly higher whereas the serum UA level was significantly lower in female patients group than in male patients group(P=0.003,P=0.000).No significant difference was found in age,DBP,and fasting blood glucose and HbA1c levels between the two groups(P>0.05).The percentage of dyslipidemia was higher whereas that of smoking was lower in female patients group than in male patients group(P=0.000).No significant difference was observed in the incidence of diabetes mellitus,hypertension and multiple vessel lesion between the two groups(P>0.05).Conclusion The percentage of dyslipidemia and elevated SBP is significantly higher whereas that of smoking and serum UA level is significantly lower in elderly female CHD patients than in elderly male CHD patients after CABG.
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Key words
coronary disease,coronary artery bypass,off-pump,metabolic diseases,dyslipidemias,diabetes mellitus,sex factors,risk factors
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