Research Article

Rhabdomyolysis following Cardiac Surgery: A Prospective, Descriptive, Single-Center Study

Table 1

Clinical variables in both groups.

VariableGroup I
(RML)
Group II
(no RML)
value

Age47 ± 1152 ± 110.08

Sex male16 (94.1%)169 (91.8%)0.74

Hypertension14 (82.5%)123 (66.8%)0.15

IDDM0160.28
NIDDM4790.07

BMI28.7 ± 5.927.4 ± 4.80.4

Ethnicity (Arab)4 (23.5%)56 (30.4%)0.43

ASA III7 (41.1)88 (47.8)0.7
ASA IV10 (58.8)96 (52.1)0.6

Euro score3 ± 2.52.5 ± 2.30.47

Liver diseases1 (5.8%)2 (1%)0.23

CRD3 (17.6%)18 (9.6%)0.25

Statin usage8 (47.1)136 (73.5)0.02

Inotrops
 Dopamine10 (58.8%)47 (25.5%)0.03
 Adrenaline3 (17.6%)24 (13%) 0.4
 Noradrenline6 (35.3)52 (28.4%)0.3

Surgery
 CABG12 (70.6%)140 (76%)0.6
 Valvular 2 (11.7%)40 (21.7%)0.01
 Aortic dissec.3 (17.7%)00.001

Procedure type (urgent)5 (29.4%)41 (22.2%)0.59

CPB time (minutes)181.7 ± 75110.7 ± 470.004

ACC time (minutes)110.2 ± 1268.6 ± 2.40.0001

Anesthesia time (min)478.5 ± 168362.7 ± 250.017

IABP1 (5.8%)9 (4.8%)0.7

CHF 6 (35.3%)66 (35%)0.6

Complication
 Arrhythmia 3 (17%)17 (7.5%)0.2
 MI09 (4.9%)0.4
 Infection2 (11.8%)4 (2.2%)0.05
 Early stroke10

IDDM: insulin-dependant diabetes mellitus; NIDDM: non-insulin-dependent diabetes mellitus; BMI: body mass index; CBG: coronary artery bypass graft; CPB: cardiopulmonary bypass; ACC: aortic cross-clamp; IABP: intra-aortic balloon pump; CHF: congestive heart failure; MI: myocardial infarction.