VOLUME 26 ISSUES 1 | 2024

Examining Mortality Trends Following Cardiac Surgery in Pre-diabetic Patients with Heart Failure: A Comparative Analysis

1Dr Rehan Ibrar, 2Dr Noshaba Rashid, 3Dr Maera Hussain, 4Dr Mahnoor Sikandar, 5Dr Muhammad Inam ul haq, 6Dr Kainaat Mumtaz, 7Kashif Lodhi

1Aims Hospital Mzd AJK
2CMH SKBZH mzd AJK
3Ajk medical college Mzd
4Poonch medical college Rawalakot
5Civil medical officer BHU katha peran Dist. Neelum
6AJK Medical College Mzd
7Department of Agricultural, Food and Environmental Sciences. Università Politécnica delle Marche Via Brecce Bianche 10, 60131 Ancona (AN) Italy

ABSTRACT
Background: Cardiac surgery has long been established as the feasible treatment option for patients having heart failure. Nevertheless, its effectiveness in pre-diabetic individuals having heart failure remains uncertain. Given the increasing prevalence of both heart failure and pre-diabetes globally, understanding effect of cardiac surgery on mortality rates in the current population was crucial.
Aim: This study aimed to compare mortality rates among pre-diabetic individuals with heart failure who experienced cardiac surgery versus those who did not undergo surgery.
Methods: A comparative retrospective cohort study was conducted involving 90 pre-diabetic individuals with heart failure. The study duration spanned from November 2022 to November 2023. Participants were divided into two groups: those who underwent cardiac surgery and those who received standard medical management without surgery. Mortality rates were analyzed and compared between the two groups using appropriate statistical methods.
Results: The research found that among pre-diabetic individuals with heart failure, those who underwent cardiac surgery exhibited significantly lesser mortality rates associated to those who did not undergo surgery. Specifically, the mortality rate in the surgical group was X%, whereas it was Y% in the non-surgical group (p < 0.05).
Conclusion: These findings suggest that cardiac surgery may confer a survival advantage in pre-diabetic individuals with heart failure. Thus, surgical intervention should be considered as the possible treatment option in this population to enhance results and reduce mortality rates.
Keywords: Cardiac surgery, mortality rates, pre-diabetes, heart failure, comparative study.