[Pathophysiological changes in patients who have undergone coronary artery bypass graft surgery]. 2010

Shu-Hua Ou, and Chi-Wen Kao
School of Nursing, National Defense Medical Center.

Coronary artery bypass graft (CABG) surgery is indicated for patients with coronary artery disease in order to relieve symptoms, improve life quality and prolong life. Gradual improvements in operative techniques and perioperative care have made CABG surgery an increasingly common treatment option for those with coronary artery disease. Injury to the myocardium, inflammatory responses due to intraoperative events and potential complications with extracorporeal circulation are primary issues that may negatively impact patient outcomes. This article describes concepts related to the pathophysiology of one patient who underwent a coronary artery bypass graft surgery and offers a single case study to compare clinical findings against established theoretical and empirical knowledge. The individualized nursing intervention for this case is presented and discussed as well.

UI MeSH Term Description Entries
D008297 Male Males
D003324 Coronary Artery Disease Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause. Arteriosclerosis, Coronary,Atherosclerosis, Coronary,Coronary Arteriosclerosis,Coronary Atherosclerosis,Left Main Coronary Artery Disease,Left Main Coronary Disease,Left Main Disease,Arterioscleroses, Coronary,Artery Disease, Coronary,Artery Diseases, Coronary,Atheroscleroses, Coronary,Coronary Arterioscleroses,Coronary Artery Diseases,Coronary Atheroscleroses,Left Main Diseases
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001026 Coronary Artery Bypass Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion. Aortocoronary Bypass,Bypass, Coronary Artery,Bypass Surgery, Coronary Artery,Coronary Artery Bypass Grafting,Coronary Artery Bypass Surgery,Aortocoronary Bypasses,Artery Bypass, Coronary,Artery Bypasses, Coronary,Bypass, Aortocoronary,Bypasses, Aortocoronary,Bypasses, Coronary Artery,Coronary Artery Bypasses
D014566 Urogenital System All the organs involved in reproduction and the formation and release of URINE. It includes the kidneys, ureters, BLADDER; URETHRA, and the organs of reproduction - ovaries, UTERUS; FALLOPIAN TUBES; VAGINA; and CLITORIS in women and the testes; SEMINAL VESICLES; PROSTATE; seminal ducts; and PENIS in men. Genitourinary System,Genitourinary Systems,System, Genitourinary,System, Urogenital,Systems, Genitourinary,Systems, Urogenital,Urogenital Systems
D041981 Gastrointestinal Tract Generally refers to the digestive structures stretching from the MOUTH to ANUS, but does not include the accessory glandular organs (LIVER; BILIARY TRACT; PANCREAS). Digestive Tract,GI Tract,Digestive Tracts,GI Tracts,Gastrointestinal Tracts

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