Clinical features and influencing factors of intercurrent cerebral infarction after cardiac surgery

HUANG Zhen; YOU Jinyu

doi:10.7619/jcmp.20210852

Journal of Clinical Medicine in Practice > 2021 > 25(11): 68-71. > DOI: 10.7619/jcmp.20210852

HUANG Zhen, YOU Jinyu. Clinical features and influencing factors of intercurrent cerebral infarction after cardiac surgery[J]. Journal of Clinical Medicine in Practice, 2021, 25(11): 68-71. DOI: 10.7619/jcmp.20210852

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Clinical features and influencing factors of intercurrent cerebral infarction after cardiac surgery

HUANG Zhen^,,
YOU Jinyu

Department of Cardiothoracic Surgery, Beijing Chaoyang Emergency Rescue Center of Integrated Traditional Chinese and Western Medicines, Beijing, 100122

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Received Date: February 28, 2021
Available Online: June 14, 2021
Published Date: June 14, 2021

Graphical Abstract

Abstract

Abstract

Objective To analyze the clinical features and influencing factors of intercurrent cerebral infarction after cardiac surgery.
Methods Clinical materials of 364 patients with cardiac surgeries in authors'hospital from August 2017 to December 2019 were collected, and 32 cases had cerebral infarction after operations. According to the different operation methods, 32 patients with cerebral infarction were divided into extracorporeal circulation group (n=12) and non-extracorporeal circulation group (n=20), and the related factors of cerebral infarction after operations were analyzed.
Results The incidence rates of large area infarction, bilateral infarction and cortical infarction in the extracorporeal circulation group were 58.33%, 41.67% and 8.33% respectively, which showed significant differences when compared to 15.00%, 5.00% and 45.00% in the non-extracorporeal circulation group (P < 0.05). Univariate analysis showed that there were significant differences in age, hypertension, diabetes, postoperative hypotension and atrial fibrillation between cerebral infarction group and non-cerebral infarction group (P < 0.05). Multivariate Logistic regression analysis showed that age, hypertension, diabetes, postoperative hypotension and atrial fibrillation were the independent riskfactors for cerebral infarction after cardiac surgery (OR=2.932, 2.328, 2.069, 1.243, 1.990, P < 0.05).
Conclusion The types of intercurrent cerebral infarction in patients with extracorporeal circulation surgery are mostly large area infarction and bilateral infarction, while the type of intercurrent cerebral infarction in patients with non-extracorporeal circulation surgery is mostly cortical infarction. Age, hypertension, diabetes, postoperative hypotension and atrial fibrillation are the independent risk factors of cerebral infarction after cardiac surgery.
- cardiac surgery,
- cerebral infarction,
- clinical features,
- influencing factors,
- large area infarction,
- bilateral infarction,
- cortical infarction

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[1]	徐磊, 王任婕, 张飞翔, 等. 心脏卵圆孔未闭合并脑梗死患者的临床特点[J]. 中国老年学杂志, 2017, 37(13): 3202-3203. doi: 10.3969/j.issn.1005-9202.2017.13.034
[2]	王斌, 林乐清, 吴晓粱, 等. 体外循环心脏术后并发急性肾损伤的危险因素分析及围术期治疗策略[J]. 重庆医学, 2017, 45(46): 263-265.
[3]	张继凤, 杨侃, 夏海娜, 等. 心脏外科术后深部胸骨切口感染临床特点及病原学分析[J]. 中华医院感染学杂志, 2017, 27(5): 1145-1148. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201705048.htm
[4]	中华医学会. 第四届全国老年人神经系统疾病学术会议论文汇编[C]. 中华医学会, 2002: 23-25.
[5]	黄勇, 谢独, 林丛, 等. CT、MRI检查对早期腔隙性脑梗死诊断的对照观察[J]. 中国临床医学影像杂志, 2000, 11(2): 77-79. doi: 10.3969/j.issn.1008-1062.2000.02.001
[6]	PERERA A H, RUDARAKANCHANA N, MONZON L, et al. Cerebral embolization, silent cerebral infarction and neurocognitive decline after thoracic endovascular aortic repair[J]. Br J Surg, 2018, 105(4): 366-378. doi: 10.1002/bjs.10718
[7]	杨芳. 老年冠心病患者并发心律失常的临床特征及影响因素[J]. 中国老年学杂志, 2020, 40(3): 466-468. doi: 10.3969/j.issn.1005-9202.2020.03.006
[8]	ZHANG T, XIANG L. Elevated plasma haptoglobin level as a potential marker for poor prognosis in acute cerebral infarction[J]. Eur Neurol, 2018, 79(3/4): 154-160. http://www.ncbi.nlm.nih.gov/pubmed/29518787
[9]	章隽宇, 李萍, 康磊, 等. 急诊经皮冠状动脉介入术后老年患者心脏康复早期生活空间现状及影响因素研究[J]. 中国全科医学, 2020, 23(32): 4074-4079. doi: 10.12114/j.issn.1007-9572.2020.00.140
[10]	拜合提亚尔·克然木, 李剑, 张大权. 心脏外科手术后脑梗死患者的影像学特点及相关因素分析[J]. 影像科学与光化学, 2020, 38(2): 362-367. https://www.cnki.com.cn/Article/CJFDTOTAL-GKGH202002034.htm
[11]	KOBAYASHI K, KITAMURA T, KOHIRA S, et al. Factors associated with a low initial cerebral oxygen saturation value in patients undergoing cardiac surgery[J]. J Artif Organs, 2017, 20(2): 110-116. doi: 10.1007/s10047-016-0941-6
[12]	ALVAREZ-SABÍN J, ROMERO O, DELGADO P, et al. Obstructive sleep apnea and silent cerebral infarction in hypertensive individuals[J]. J Sleep Res, 2018, 27(2): 232-239. doi: 10.1111/jsr.12571
[13]	刘鹏飞, 徐彬, 张羽, 等. 慢性肺源性心脏病急性加重期早期检测sST2和PAB的临床意义[J]. 中国急救复苏与灾害医学杂志, 2020, 15(8): 915-918. doi: 10.3969/j.issn.1673-6966.2020.08.007
[14]	高绪霞, 马立萍, 马涵英, 等. 4878例心脏外科手术后患者急性肾损伤发生率及其危险因素分析[J]. 中华肾脏病杂志, 2020, 36(5): 359-365. doi: 10.3760/cma.j.cn441217-20200103-00069
[15]	LI L X, GUO P, DING D Y, et al. Parkinson's disease with orthostatic hypotension: analyses of clinical characteristics and influencing factors[J]. Neurol Res, 2019, 41(8): 734-741. doi: 10.1080/01616412.2019.1610224
[16]	陈菲, 邵涓涓, 侯晓彤. 非体外循环冠状动脉旁路移植术后血制品的应用以及脑梗死危险因素分析[J]. 心肺血管病杂志, 2018, 37(5): 432-435. doi: 10.3969/j.issn.1007-5062.2018.05.013
[17]	刘春洁, 郑海亮, 李晓晴. 非体外循环冠状动脉旁路移植术后新发脑梗死的危险因素分析[J]. 中华老年心脑血管病杂志, 2016, 18(6): 620-622. doi: 10.3969/j.issn.1009-0126.2016.06.017
[18]	黎明, 王海晨, 闫炀, 等. 体外循环和非体外循环下冠状动脉旁路移植术的疗效和预后比较[J]. 中国医师杂志, 2019, 21(3): 35-38. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201725014.htm
[19]	沈孝镇, 王萍. 体外循环下心脏手术后引起急性肾损伤的致病因素[J]. 重庆医学, 2018, 47(1): 123-125. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX201801044.htm
[20]	MURAMATSU K, FUJINO Y, KUBO T, et al. Efficacy of antimicrobial catheters for prevention of catheter-associated urinary tract infection in acute cerebral infarction[J]. J Epidemiol, 2018, 28(1): 54-58. doi: 10.2188/jea.JE20170022

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