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Sökning: WFRF:(Ivert T) > Anderson RE

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  • Anderson, RE, et al. (författare)
  • Only a minority of patients referred for elective coronary artery bypass surgery have risk factors diagnosed and treated according to established guidelines
  • 2007
  • Ingår i: Diabetes & vascular disease research. - : SAGE Publications. - 1479-1641 .- 1752-8984. ; 4:2, s. 112-6
  • Tidskriftsartikel (refereegranskat)abstract
    • Patients deserve to be medically optimised for treatment of metabolic risk factors and hypertension before referral for elective coronary artery bypass grafting (CABG). We describe here a prospective study of 347 consecutive patients referred for elective CABG. An oral glucose tolerance test (OGTT) was performed and metabolic risk factors and hypertension were determined pre-operatively. Compliance to treatment guidelines was calculated. From the total of 347 patients, 80 patients (23%) had known and 66 (19%) had previously unknown diabetes. Dysglycaemia (that is, diabetes and pre-diabetes) was found in 194 (73%) of the 267 patients without known diabetes. Among patients with dysglycaemia, 111/274 (41%) received one antihypertensive medication, or none, and blood pressure guidelines were met in 39/274 (14%); statins were being taken by 206 (75%; average dose 23 mg simvastatin) and low-density lipoprotein (LDL)-cholesterol guidelines were met in 43 (16%). In conclusion, diabetes diagnosis and titration of risk factor treatment to guidelines is inadequate even in elective CABG patients. A pre-admission OGTT affords an opportunity to improve care significantly.
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  • Resultat 1-7 av 7
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Anderson, RE (7)Ta bort avgränsningen
Ivert, T (7)
Brismar, K (4)
Barr, G. (3)
Alserius, T (3)
Hammar, N (2)
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Owall, A (2)
Ohrvik, J (1)
Efendic, S (1)
Nordqvist, T (1)
Klerdal, K (1)
Ehrenberg, J (1)
Lindberg, A (1)
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Hagelberg, A (1)
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Karolinska Institutet (7)
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Engelska (7)

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