Mon, 18 Dec 2017

The Impact of Co-Morbidities in Assessment and Management of Cardiac Intervening Patients

Jisha Sara John*1, Merin Suresh1, Nithiya Regi Kuriakose1, Santhra Vincent1, Anil Babu A1, Shafeeq Mattummal2

1. Department of Pharmacy Practice, National College of Pharmacy, Calicut, Kerala, India

2. Intervention Cardiologist, KMCT Heart Institute and Research Centre, Calicut, Kerala, India.


ABSTRACT

The patients who undergo Coronary Artery Bypass Graft surgery or Percutaneous Transluminal Coronary Angioplasty have co-morbid conditions that could negatively influence their survival. Diabetes Mellitus, COPD, Rheumatoid Arthritis, Anxiety and Depression could affect the outcome. Diabetes Mellitus is a risk factor for coronary artery disease. COPD patients could experience pneumonia and atrial fibrillation as complications. Rheumatoid arthritis patients are highly prone to inflammatory process which is the underlying pathology for atherosclerosis and can be a prognostic factor for CAD as well as chances for increased re-occlusion in patients undergoing coronary revascularising procedures. Anxiety and depression are negative emotions that adversely affect the outcome of patients. The co-morbid conditions should be effectively evaluated and managed.

Keywords: Coronary artery bypass grafting, Percutaneous trans-luminal coronary angioplasty, diabetes mellitus, chronic obstructive pulmonary disease, rheumatoid arthritis, anxiety.


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