CABG Surgery in Patients with Acute Coronary Syndromes and Chronic Kidney Disease

Martin Holzmann, MD, PhD Department of Emergency Medicine, Karolinska University Hospital Stockholm Sweden.MedicalResearch.com Interview with:
Martin Holzmann, MD, PhD
Department of Emergency Medicine,
Karolinska University Hospital
Stockholm Sweden.


MedicalResearch.com: What are the main findings of the study?

Dr. Holzmann: The main finding is that patients with renal dysfunction are at increased risk of cardiovascular events after undergoing CABG for acute coronary syndromes.

MedicalResearch.com: Were any of the findings unexpected?

Dr. Holzmann: We would have expected that the association would have been stronger than it was. We found an association only in patients with severe renal dysfunction.

MedicalResearch.com: What should clinicians and patients take away from your report?

Dr. Holzmann: Cardiologists should not hesitate to send their patients with renal dysfunction to undergo CABG in case it is needed. The prognosis after CABG is excellent even in patients with rather advanced renal dysfunction.

MedicalResearch.com: What recommendations do you have for future research as a result of this study?

Dr. Holzmann: More research is needed to elucidate if there is a causal association between renal dysfunction and cardiovascular outcomes. Maybe renal dysfunction is merely a marker of increased risk or a composite of other cardiovascular risk factors.

Citation:

Long‐term Cardiovascular Outcomes in Patients With Chronic Kidney Disease Undergoing Coronary Artery Bypass Graft Surgery for Acute Coronary Syndromes

Citation:

Long‐term Cardiovascular Outcomes in Patients With Chronic Kidney Disease Undergoing Coronary Artery Bypass Graft Surgery for Acute Coronary Syndromes

Martin Holzmann, Tomas Jernberg, Karolina Szummer, and Ulrik Sartipy

J Am Heart Assoc. 2014;3:e000707, originally published March 4, 2014, doi:10.1161/JAHA.113.000707

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