COMPARISON OF CARDIAC TROPONIN-I LEVELS IN POSTOPERATIVE PERIOD OF ON PUMP VERSUS OFF PUMP CORONARY ARTERY BYPASS SURGERY

Objective: To compare cardiac troponin-I levels in post-operative period of on-pump (ONCAB) versus off-pump coronary artery bypass surgery. Study Design: Prospective Observational Study. Place and Duration of Study: Armed Forces Institute of Cardiology, from Jan 2019 to Dec 2019. Methodolog...

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Autores principales: Kifayat Ullah, Muhammad Waseem, Asif Mahmood Janjua, Shakila Khadim, Mashood Shahid Amin, Muhammad Ashfaq, Anum Mustafa
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Publicado: Army Medical College Rawalpindi 2020
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Acceso en línea:https://doaj.org/article/f91b54b728d545369357c9b03e866a9a
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spelling oai:doaj.org-article:f91b54b728d545369357c9b03e866a9a2021-12-02T19:11:58ZCOMPARISON OF CARDIAC TROPONIN-I LEVELS IN POSTOPERATIVE PERIOD OF ON PUMP VERSUS OFF PUMP CORONARY ARTERY BYPASS SURGERYdoi.org/10.51253/pafmj.v70iSuppl-4.60420030-96482411-8842https://doaj.org/article/f91b54b728d545369357c9b03e866a9a2020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6042https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare cardiac troponin-I levels in post-operative period of on-pump (ONCAB) versus off-pump coronary artery bypass surgery. Study Design: Prospective Observational Study. Place and Duration of Study: Armed Forces Institute of Cardiology, from Jan 2019 to Dec 2019. Methodology: This prospective observational study was done at Armed Forces Institute of Cardiology from 1st January 2019 to 31st December 2019. Eighty six (43 in each on-pump and off-pump) patients admitted for elective coronary artery bypass grafting, aged 30-80 years were included in the study. Baseline data and cardiac troponin-I levels preoperatively as well as at 6, 12, 18 and 24 hours after the surgery in both groups were recorded and analyzed. Results: Out of 100 patients, mean age of the patients was 57.59 ± 10.24 years and 85% were males. All the base line characteristics, comorbid conditions and intra-operative findings were identical in both groups. There was marked rise in CK-MB levels postoperatively in overall participants. There was significant rise in Troponin I levels postoperatively in overall participants. Compared to OPCAB, postoperative Troponin I at 6hours and 12-hours was significantly higher in ONCAB. Conclusion: Compared to OPCAB, postoperative Troponin I at 6 hours and 12-hours was significantly high in ONCAB. However, there was no gross discrepancy in postoperative Troponin I levels between OPCAB and ONCAB at 18- & 24-hours after surgery.Kifayat UllahMuhammad WaseemAsif Mahmood JanjuaShakila KhadimMashood Shahid AminMuhammad AshfaqAnum MustafaArmy Medical College Rawalpindiarticlecoronary artery bypass graftingpost-operativeon-pumpoff-pumptroponin iMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 849-854 (2020)
institution DOAJ
collection DOAJ
language EN
topic coronary artery bypass grafting
post-operative
on-pump
off-pump
troponin i
Medicine
R
Medicine (General)
R5-920
spellingShingle coronary artery bypass grafting
post-operative
on-pump
off-pump
troponin i
Medicine
R
Medicine (General)
R5-920
Kifayat Ullah
Muhammad Waseem
Asif Mahmood Janjua
Shakila Khadim
Mashood Shahid Amin
Muhammad Ashfaq
Anum Mustafa
COMPARISON OF CARDIAC TROPONIN-I LEVELS IN POSTOPERATIVE PERIOD OF ON PUMP VERSUS OFF PUMP CORONARY ARTERY BYPASS SURGERY
description Objective: To compare cardiac troponin-I levels in post-operative period of on-pump (ONCAB) versus off-pump coronary artery bypass surgery. Study Design: Prospective Observational Study. Place and Duration of Study: Armed Forces Institute of Cardiology, from Jan 2019 to Dec 2019. Methodology: This prospective observational study was done at Armed Forces Institute of Cardiology from 1st January 2019 to 31st December 2019. Eighty six (43 in each on-pump and off-pump) patients admitted for elective coronary artery bypass grafting, aged 30-80 years were included in the study. Baseline data and cardiac troponin-I levels preoperatively as well as at 6, 12, 18 and 24 hours after the surgery in both groups were recorded and analyzed. Results: Out of 100 patients, mean age of the patients was 57.59 ± 10.24 years and 85% were males. All the base line characteristics, comorbid conditions and intra-operative findings were identical in both groups. There was marked rise in CK-MB levels postoperatively in overall participants. There was significant rise in Troponin I levels postoperatively in overall participants. Compared to OPCAB, postoperative Troponin I at 6hours and 12-hours was significantly higher in ONCAB. Conclusion: Compared to OPCAB, postoperative Troponin I at 6 hours and 12-hours was significantly high in ONCAB. However, there was no gross discrepancy in postoperative Troponin I levels between OPCAB and ONCAB at 18- & 24-hours after surgery.
format article
author Kifayat Ullah
Muhammad Waseem
Asif Mahmood Janjua
Shakila Khadim
Mashood Shahid Amin
Muhammad Ashfaq
Anum Mustafa
author_facet Kifayat Ullah
Muhammad Waseem
Asif Mahmood Janjua
Shakila Khadim
Mashood Shahid Amin
Muhammad Ashfaq
Anum Mustafa
author_sort Kifayat Ullah
title COMPARISON OF CARDIAC TROPONIN-I LEVELS IN POSTOPERATIVE PERIOD OF ON PUMP VERSUS OFF PUMP CORONARY ARTERY BYPASS SURGERY
title_short COMPARISON OF CARDIAC TROPONIN-I LEVELS IN POSTOPERATIVE PERIOD OF ON PUMP VERSUS OFF PUMP CORONARY ARTERY BYPASS SURGERY
title_full COMPARISON OF CARDIAC TROPONIN-I LEVELS IN POSTOPERATIVE PERIOD OF ON PUMP VERSUS OFF PUMP CORONARY ARTERY BYPASS SURGERY
title_fullStr COMPARISON OF CARDIAC TROPONIN-I LEVELS IN POSTOPERATIVE PERIOD OF ON PUMP VERSUS OFF PUMP CORONARY ARTERY BYPASS SURGERY
title_full_unstemmed COMPARISON OF CARDIAC TROPONIN-I LEVELS IN POSTOPERATIVE PERIOD OF ON PUMP VERSUS OFF PUMP CORONARY ARTERY BYPASS SURGERY
title_sort comparison of cardiac troponin-i levels in postoperative period of on pump versus off pump coronary artery bypass surgery
publisher Army Medical College Rawalpindi
publishDate 2020
url https://doaj.org/article/f91b54b728d545369357c9b03e866a9a
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