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Search the bmj bmj bmj journals bmj careers bmj learning evidence centre doc2doc bmj group bmj group blogs search heart journalscan blog: you don't need to be signed in to read bmj group blogs, but you can register here to receive updates about other bmj group products and services via our group site. Heart journalscan subscribe to the heart journalscan blog feed here. Either copy this feed address and paste it into your news reader software or click the relevant one-click subscription button: feed url: one click: close stroke stroke following cabg and long term outcomes 3 oct, 11 | by alistair lindsay tweet stroke is a potentially devastating complication following cardiothoracic surgery with a reported incidence of between 2 and 10%. While numerous risk factors have been described for stroke, little data are available regarding its temporal relationship to the surgical procedure and whether this predicts long term outcomes. order viagra In this study the authors retrospectively analysed data from 7839 isolated coronary artery bypass grafting (cabg) operations – 297 off-pump cabg, and 986 combined cabg and valve procedures – performed at a single centre between 1994 and 2004. http://cocalicovalleyhs.org/cyo-buy-viagra-cheap-price-wu/ The records of patients with signs of neurological complications were reviewed to identify 149 subjects with stroke at extubation (deemed to have ‘early stroke’, 1. generic forms viagra 6%) versus 99 patients having a symptom free interval (deemed to have ‘delayed stroke’, 1. 1%). Survival data were then assessed, with a median follow-up time of 9. buy viagra 3 years (max 16. 3 years). Of note, ‘early’ and ‘delayed’ stroke had different risk factors with patients being at high risk for early stroke if they were of advanced age, had a high preoperative creatinine level, significant aortic atherosclerosis, or long cardiopulmonary bypass time (p<0. 001 for all). viagra coupon Conversely, factors associated with delayed stroke were female gender (p<0. viagra medication 001), unstable angina (p=0. natural replacement for viagra 003), previous cerebrovascular disease (p=0. 009), inotropic requirements (p<0. 001), and postoperative atrial fibrillation (p<0. 001). Stroke explained mortality not only in the early postoperative period (p<0. 001), but also at long-term follow-up (p<0. 001). viagra in canada without prescription Early and delayed stroke were associated with mortality hazard ratios (hrs) of 1. 44 and 1. 85 (p=0. 008 and p<0. 001), respectively. However, for patients surviving their first postoperative year, early stroke did not influence long-term mortality (hr 1. cheap viagra quick delivery 07, p=0. 695). This was in contrast to delayed stroke (hr 1. 71, p=0. viagra generic 001) suggesting the different risk factors associated with delayed stroke had implications for long term survival. Conclusions early and delayed stroke post-cabg differ in their related risk factors, and in their impac. viagra daily available nhs Reservation and Contact