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Revista Cubana de Cirugía
versão impressa ISSN 0034-7493
Resumo
LLANES ECHEVARRIA, José Ramón et al. Prognostic value of basal lipid fractions in patients operated on of myocardial revascularization with extracorporeal circulation. Rev Cubana Cir [online]. 2011, vol.50, n.3, pp.324-332. ISSN 0034-7493.
A prospective, longitudinal and observational study was conducted in 60 patients from January 2000-2009 to determine the prognostic value of these basal lipid fractions and its relation to occurrence of adverse clinical events in postoperative period of patients with an extracorporeal circulation myocardial revascularization indication. As result, the basal concentrations of total cholesterol, triglycerides and the cholesterol associated with high density lipoproteins (HDL) were modified during the surgical procedure and in the recovery unit. Also, it was shown a significant decrease of HDL and a trend to increase the cholesterol level as well as a close association among these events and these lipid variables (p <0.05). We conclude that patients with an altered lipid profile basis are more liable to develop adverse clinical events in the immediate postoperative period of coronary surgery with extracorporeal circulation.
Palavras-chave : dyslipemia; adverse clinical events; ischemic heart disease; extracorporeal circulation.