Sarcouncil Journal of Internal Medicine and Public Health

Abstract: The objective of this study was to assess the variability of blood pressure and its impact on cardiac outcomes in Iraqi hospitals during aortic surgery. The cross-sectional study comprised a total of 95 patients, where the collection of demographic and clinical data was achieved through a meticulous review of medical records and the conduction of standardised patient interviews. The study has expanded its scope to encompass a more extensive sample of patients, with an average age of 57 years, thereby extending the boundaries of the assessment to a more diverse range of benefits. The cardiac impact indicators of the notable clinical outcomes are as follows: severe aortic stenosis/aortic insufficiency (6.25%); moderate aortic stenosis (25%); moderate aortic regurgitation (18.75%); bicuspid aortic valve (12.5%); aortic valve replacement (50%); aortic aneurysm (12.5%); aortic dilatation (18.75%). The study found a mean ejection fraction of 55% and a left ventricular mass of 200 grams, indicating moderately impaired left ventricular function with a likelihood of heart failure or cardiac dysfunction. The parameters obtained by echocardiography are fundamental to the assessment of cardiac function. The results of the cardiopulmonary stress test are as follows: The mean value, with a standard deviation, is as follows: Peak oxygen consumption (ml/kg/min): The mean peak heart rate (beats per minute) was found to be 145 ± 10 beats per minute, which corresponds to 85% of the maximum heart rate. Blood pressure readings: Average (Standard Deviation) Resting systolic blood pressure (mmHg) 120 (10) Resting diastolic blood pressure (mmHg) 80 (5) Peak systolic blood pressure (mmHg) 150 (15) Peak systolic blood pressure (mmHg) 90 (10). Revascularization results: Post-traumatic ischemia, Percentage, Successful revascularization 25 (90%), Complications 3 (10%), Table 10: Pearson correlation coefficients, requirements variable, Pearson pair, Resting systolic blood pressure, and Age -0.25, Peak systolic blood pressure Follow-up +0.20, Table 11. Logistic Regression to Risk Factor Assess. Variable, Odds Ratio, 95% Confidence Interval, P-Value Age 1.05 1.02-1.08 < 0.01; Smoker 2.00 1.20-3.30 0.01; Comorbidities 1.50 1.10-2.10 0.02. The research describes the change in blood pressure, patient demographics, and surgical outcomes in aortic surgery, calling for more extensive studies to optimize the techniques, increase patient understanding of the risk factors, and personalize recovery pathways.