Cargando…

Effects of Moderate Glycemic Control in Type II Diabetes With Insulin on Arterial Blood Gas Parameters Following Coronary Artery Bypass Graft Surgery

BACKGROUND: Coronary artery bypass grafting (CABG) is one of the common surgeries in patients with coronary artery disease (CAD). It is more probable for patients with diabetes to undergo surgeries due to CAD and they have a higher mortality rate compared to the others OBJECTIVES: The aim of the pre...

Descripción completa

Detalles Bibliográficos
Autores principales: Masoumi, Gholamreza, Frasatkhish, Rasoul, Jalali, Alireza, Ziyaeifard, Mohsen, Sadeghpour-Tabae, Ali, Mansouri, Mojtaba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253793/
https://www.ncbi.nlm.nih.gov/pubmed/25478539
http://dx.doi.org/10.5812/cardiovascmed.17857
_version_ 1782347290689667072
author Masoumi, Gholamreza
Frasatkhish, Rasoul
Jalali, Alireza
Ziyaeifard, Mohsen
Sadeghpour-Tabae, Ali
Mansouri, Mojtaba
author_facet Masoumi, Gholamreza
Frasatkhish, Rasoul
Jalali, Alireza
Ziyaeifard, Mohsen
Sadeghpour-Tabae, Ali
Mansouri, Mojtaba
author_sort Masoumi, Gholamreza
collection PubMed
description BACKGROUND: Coronary artery bypass grafting (CABG) is one of the common surgeries in patients with coronary artery disease (CAD). It is more probable for patients with diabetes to undergo surgeries due to CAD and they have a higher mortality rate compared to the others OBJECTIVES: The aim of the present study was to assess the effects of insulin infusion therapy on blood gas parameters in two groups of patients, eligible for CABG, defined as A: well controlled diabetes (HbA1C < 7%) and B: non-diabetic patients. PATIENTS AND METHODS: We followed two groups of patients, defined as patients with and without diabetes who were candidates for CABG, between March 2010 and March 2012. Patients with diabetes underwent moderate or semi-tight glycemic control, using continuous intravenous insulin infusion. RESULTS: There were 13 male and 18 female subjects in the on-diabetic group and 11 male and 7 female patients in the controlled diabetic group. There was no significant difference between the studied participants regarding age, cardiac ejection fraction, blood pH and PO(2) and PCO(2) levels. CONCLUSIONS: CABG surgery adversely affects arterial blood gas (ABG) determinations. On the other hand, findings showed there is no significant difference in the ABG parameters between patients with well controlled diabetes and the ones without.
format Online
Article
Text
id pubmed-4253793
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Kowsar
record_format MEDLINE/PubMed
spelling pubmed-42537932014-12-04 Effects of Moderate Glycemic Control in Type II Diabetes With Insulin on Arterial Blood Gas Parameters Following Coronary Artery Bypass Graft Surgery Masoumi, Gholamreza Frasatkhish, Rasoul Jalali, Alireza Ziyaeifard, Mohsen Sadeghpour-Tabae, Ali Mansouri, Mojtaba Res Cardiovasc Med Research Article BACKGROUND: Coronary artery bypass grafting (CABG) is one of the common surgeries in patients with coronary artery disease (CAD). It is more probable for patients with diabetes to undergo surgeries due to CAD and they have a higher mortality rate compared to the others OBJECTIVES: The aim of the present study was to assess the effects of insulin infusion therapy on blood gas parameters in two groups of patients, eligible for CABG, defined as A: well controlled diabetes (HbA1C < 7%) and B: non-diabetic patients. PATIENTS AND METHODS: We followed two groups of patients, defined as patients with and without diabetes who were candidates for CABG, between March 2010 and March 2012. Patients with diabetes underwent moderate or semi-tight glycemic control, using continuous intravenous insulin infusion. RESULTS: There were 13 male and 18 female subjects in the on-diabetic group and 11 male and 7 female patients in the controlled diabetic group. There was no significant difference between the studied participants regarding age, cardiac ejection fraction, blood pH and PO(2) and PCO(2) levels. CONCLUSIONS: CABG surgery adversely affects arterial blood gas (ABG) determinations. On the other hand, findings showed there is no significant difference in the ABG parameters between patients with well controlled diabetes and the ones without. Kowsar 2014-05-10 2014-05 /pmc/articles/PMC4253793/ /pubmed/25478539 http://dx.doi.org/10.5812/cardiovascmed.17857 Text en Copyright © 2014, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences; Published by Kowsar Corp. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Masoumi, Gholamreza
Frasatkhish, Rasoul
Jalali, Alireza
Ziyaeifard, Mohsen
Sadeghpour-Tabae, Ali
Mansouri, Mojtaba
Effects of Moderate Glycemic Control in Type II Diabetes With Insulin on Arterial Blood Gas Parameters Following Coronary Artery Bypass Graft Surgery
title Effects of Moderate Glycemic Control in Type II Diabetes With Insulin on Arterial Blood Gas Parameters Following Coronary Artery Bypass Graft Surgery
title_full Effects of Moderate Glycemic Control in Type II Diabetes With Insulin on Arterial Blood Gas Parameters Following Coronary Artery Bypass Graft Surgery
title_fullStr Effects of Moderate Glycemic Control in Type II Diabetes With Insulin on Arterial Blood Gas Parameters Following Coronary Artery Bypass Graft Surgery
title_full_unstemmed Effects of Moderate Glycemic Control in Type II Diabetes With Insulin on Arterial Blood Gas Parameters Following Coronary Artery Bypass Graft Surgery
title_short Effects of Moderate Glycemic Control in Type II Diabetes With Insulin on Arterial Blood Gas Parameters Following Coronary Artery Bypass Graft Surgery
title_sort effects of moderate glycemic control in type ii diabetes with insulin on arterial blood gas parameters following coronary artery bypass graft surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253793/
https://www.ncbi.nlm.nih.gov/pubmed/25478539
http://dx.doi.org/10.5812/cardiovascmed.17857
work_keys_str_mv AT masoumigholamreza effectsofmoderateglycemiccontrolintypeiidiabeteswithinsulinonarterialbloodgasparametersfollowingcoronaryarterybypassgraftsurgery
AT frasatkhishrasoul effectsofmoderateglycemiccontrolintypeiidiabeteswithinsulinonarterialbloodgasparametersfollowingcoronaryarterybypassgraftsurgery
AT jalalialireza effectsofmoderateglycemiccontrolintypeiidiabeteswithinsulinonarterialbloodgasparametersfollowingcoronaryarterybypassgraftsurgery
AT ziyaeifardmohsen effectsofmoderateglycemiccontrolintypeiidiabeteswithinsulinonarterialbloodgasparametersfollowingcoronaryarterybypassgraftsurgery
AT sadeghpourtabaeali effectsofmoderateglycemiccontrolintypeiidiabeteswithinsulinonarterialbloodgasparametersfollowingcoronaryarterybypassgraftsurgery
AT mansourimojtaba effectsofmoderateglycemiccontrolintypeiidiabeteswithinsulinonarterialbloodgasparametersfollowingcoronaryarterybypassgraftsurgery