Qiu YR, Zhang HY. Risk factors for myocardial infarction in inpatients after laparoscopic cholecystectomy.
Shijie Huaren Xiaohua Zazhi 2014;
22:2175-2178. [DOI:
10.11569/wcjd.v22.i15.2175]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To investigate the risk factors for myocardial infarction in inpatients after laparoscopic cholecystectomy.
METHODS: A retrospective analysis of 830 inpatients patients who underwent laparoscopic cholecystectomy from January 2008 to December 2012 at our hospital was performed, of whom 80 developed myocardial infarction. Univariate analysis was employed to screen factors significantly influencing the development of myocardial infarction. Multivariate Logistic regression analysis was performed to analyze the independent risk factors associated with the onset of myocardial infarction.
RESULTS: Univariate analysis demonstrated that factors significantly influencing the development of myocardial infarction included total cholesterol (TC) (1.7 mmol/L ± 0.6 mmol/L vs 1.8 mmol/L ± 0.8 mmol/L), low-density lipoprotein (LDL) (2.9 mmol/L ± 0.6 mmol/L vs 2.4 mmol/L ± 0.7 mmol/L), advanced age (57.5% vs 33.7%), recent episodes of angina above grade Ⅱ (21.3% vs 8.1%), no blood glucose control (42.5% vs 18.3%), cardiac dysfunction (NYHA Ⅱ-Ⅳ) (13.8% vs 3.5%), dehydration (11.3% vs 2.9%), severe inflammatory response (45.0% vs 22.7%), infection (23.8% vs 12.5%) and no cardiological consultation (7.5% vs 26.3%) (P < 0.05). Multivariate Logistic regression analysis showed that LDL, advanced age, recent episodes of angina above grade II, no blood glucose control, severe inflammatory response, infection and no cardiological consultation were independent risk factors.
CONCLUSION: LDL, recent episodes of angina above grade Ⅱ, no blood sugar control, advanced age, severe inflammatory response, infection and no cardiologic consultations are independent risk factors for myocardial infarction in inpatients after laparoscopic cholecystectomy.
Collapse