Clinical and angiographic characterization of patients treated with myocardial revascularization surgery

Authors

Keywords:

myocardial revascularization, instrumentation, methods, coronary angiography, coronary vessels

Abstract

Introduction: Coronary artery disease, especially due to atherosclerosis, can be treated with myocardial revascularization surgery (MRS) to improve blood flow to the heart muscle.
Objective:
To characterize the clinical and angiographic aspects of patients treated with myocardial revascularization surgery.
Methods: A descriptive observational study was conducted at the Ernesto Guevara Cardiocentro Provincial University Hospital. The population consisted of 781 patients treated with MRS from January 2008 to December 2018 and a sample of 650 selected patients by criteria was studied. Data were obtained from the hospital registry of preoperative coronary angiography and from documentary analysis of medical records and analyzed using the R programming language (RStudio).
Results: The majority of patients were male (85.5%). The mean age was 59.1 years ± 7.92. The most common risk factors for coronary artery disease were a history of high blood pressure (73.7%) and smoking (43.8%). The affected coronary arteries, in order of frequency, were the left anterior descending artery (91.7%), the right coronary artery (77.8%), the circumflex artery (75.7%), and the left main coronary artery (40.5%).

Conclusions: the more representative patients were male, age younger than 60 years, a history of high blood pressure and smoking habit. The most frequently affected coronary artery was the left anterior descending artery. The most commonly used blood conduit was the left internal mammary artery.

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Author Biographies

Daniel Hernández-Torres, Ernesto Guevara Cardiocenter University Hospital, Santa Clara, Villa Clara, Cuba

First Degree Specialist in Cardiovascular Surgery and Comprehensive General Medicine, Cardiovascular Surgery Service

Gustavo de Jesús Bermúdez Yera, Ernesto Guevara Cardiocenter University Hospital, Santa Clara, Villa Clara, Cuba

Especialista de I y II Grados en Cirugía Cardiovascular, Doctor en Ciencias Médicas, Profesor Titular, Investigador Titular, Servicio de Cirugía Cardiovascular

Roger Mirabal Rodríguez, Ernesto Guevara Cardiocenter University Hospital, Santa Clara, Villa Clara, Cuba

Specialist in Cardiovascular Surgery, Master of Science, Assistant Professor, Research Associate, Cardiovascular Surgery Service

Yoandy López De la Cruz, Ernesto Guevara Cardiocenter University Hospital, Santa Clara, Villa Clara, Cuba

Specialist in Cardiovascular Surgery, Doctor of Medical Sciences, Full Professor, Assistant Researcher, Cardiovascular Surgery Service

José Raúl Valdés-González, Ernesto Guevara Cardiocenter University Hospital, Santa Clara, Villa Clara, Cuba

Cardiovascular Surgery Resident, Cardiovascular Surgery Service

René Quintana-Mugica, University of Medical Sciences of Villa Clara

Specialist in I and II Degrees in Comprehensive General Medicine, Assistant Professor, Academic Vice-Rectorate

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Published

2025-05-15

How to Cite

1.
Hernández-Torres D, Bermúdez Yera G de J, Mirabal Rodríguez R, López De la Cruz Y, Valdés-González JR, Quintana-Mugica R. Clinical and angiographic characterization of patients treated with myocardial revascularization surgery. Acta Méd Centro [Internet]. 2025 May 15 [cited 2025 Jul. 2];19(1):e2230. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/e2230

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Original Articles