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Original Research

Med Arch. 2009; 63(3): 152-156


Effects of Statins on Postoperative Treatment of Patients After Aortocoronary Bypass Grafting

Mehmed Kuli& 263;, Mirza Dili& 263;, Vjekoslav Gerc, Be& 263;ir Helji& 263;.




Abstract

Aim: There are no previous data about the anti-inflammatory effects of hypolipemic agents, statins, in patients after aortocoronary bypass grafting. The aim of this study was to demonstrate effects of simvastatine on postoperative treatment, laboratory findings and pericardial effusion during postoperative period, in patients after aortocoronary bypass grafting procedures. Material and methods: The study included 80 patients with coronary arterial disease divided in two groups. The study group included 40 patients with coronary ischemic disease subjected to surgical implantation of aortocoronary bypass graft who received standard cardio-surgical postoperative treatment supplemented with 40 mg of simvastatine per day, starting at 8 hours after the patientÂ’s extubation until postoperative 14th day. The control group included 40 patients after aortocoronary bypass grafting procedures with standard intensive postoperative treatment. Evaluation included demographic data, surgical reports, postoperative laboratory parameters and echocardiography findings, taken during two days monitoring of postoperative pericardial effusion. Statistical data analysis was conducted using SPSS software. Parametric data were evaluated using Student T-test, while non-parametric data were processed using X2 test and proportion analysis. Mann-Whitney U test was applied with CI of 95%, i.e. significance level p

Key words: simvastatine, aortocoronary bypass graft, pericardial effusion






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