Continuos glucose monitoring in IHD patients during on-pump or off-pump bypass surgery

Authors: E.Z. Golukhova, G.E. Chebotareva, S.N. Kazanovskaya, N.M. Magomedova

Company: A.N. Bakoulev Scientific Center for Cardiovascular Surgery of Russian Academy of Medical Sciences


For citation: Golukhova EZ, Chebotareva G.E., Kazanovskaya S.N., at al. Continuos glucose monitoring in IHD patients during on-pump or off-pump bypass surgery. Kreativnaya kardiologiya. 2013; 2: 35-45 (in Russian).

Keywords: coronary heart disease type 2 diabetes continuous glucose monitoring cardiopulmonary bypass minimally invasive revascularization

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Abstract

Objective. To control continuously changing blood glucose levels by current technology of continuous glucose monitoring (CGM) in coronary artery disease (CAD) patients, suffering from diabetes mellitus (DM). Material and methods. Eighty patients with CAD at the age of 39–71 years, suffering from DM type 2, were included in our study. All patients underwent either on-pump or off-pump coronary artery bypass grafting (CABG). Patients were subjected to tight glycemic control before and after surgery, as well as for monitoring glyceted hemoglobin A1c, electrolytes, lactate and other parameters. CGM was performed in intra- and early postoperative periods. Results. Most significant glycemia changes in perioperative period were observed in patients operated under cardiopulmonary bypass, irrespective of glycemia abnormalities before surgery. In patients who underwent off-pump CABG, significant changes were observed in group with DM type 2, however glycemia levels were lower, than in DM type 2 patients, who underwent on-pump CABG. Conclusion. Intensive continuous glucose monitoring allowed to ameliorate CABG outcomes by reducing perioperative complications. Introduction of convenient technologies of glucose monitoring resulting is the most perspective way of patients management before and after surgery.

References

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Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery