FRIDAY, May 4 (HealthDay News) -- Some carefully chosen patients can safely undergo coronary angiography on the same day as elective heart valve surgery, researchers report in the May issue of the Mayo Clinic Proceedings.
Morgan Brown, M.D., of the Mayo Clinic in Rochester, Minn., and colleagues investigated medical data on 226 patients who had elective heart valve surgery the same day as coronary angiography from August 1, 2000 to August 30, 2004.
About one-third of the patients were female and the mean age was 65.6 years. Slightly more than 11 percent had diabetes and the mean ejection fraction was 61 percent. Heart disease in 28.3 percent was so severe they needed bypass grafting.
The researchers report that one patient died less than a month after surgery. For those who underwent same-day angiography, serum creatinine levels rose on average by 0.1 mg/dL after surgery. Transient kidney failure was seen in four patients (1.8 percent), including two requiring hemodialysis on a temporary basis.
"In properly selected patients, same-day coronary angiography is safe and has little impact on renal function," the authors write. "This protocol offers a simple way to reduce the number of hospital visits required by patients undergoing elective valvular surgery."
Abstract
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