PMID: 6982239Jan 1, 1982

Clinical factors influencing survival and adequacy of revascularization after coronary bypass operation

International Journal of Cardiology
E L JonesC R Hatcher

Abstract

We retrospectively analyzed the clinical data on 3479 consecutive patients having coronary bypass surgery. Patients with triple vessel and left main coronary disease had a greater frequency of inotropic requirements than did patients with single or double vessel disease (7.9% and 8.6% versus 3.8% and 4.2%; P less than 0.001). Presence of previous myocardial infarction, heart failure, or left ventricular contraction abnormalities significantly decreased the ability to achieve complete revascularization with bypass grafting. Hospital mortality since 1976 has been 0.8% (25/3040). Hospital mortality was significantly increased by history of myocardial infarction (P less than 0.001), hypertension (P less than 0.05), heart failure (P less than 0.01), extent of anatomic disease (P less than 0.005), presence of preoperative ST-T wave changes (P less than 0.001), and severe abnormalities of left ventricular function (P less than 0.001). Anginal pattern, history of hypertension, previous myocardial infarction, preoperative heart failure but not perioperative myocardial infarction significantly affected long-term survival. Patients with normal left ventricular function had excellent 42-month survival regardless of vessel disease. Inabilit...Continue Reading

References

Oct 1, 1979·Annals of Surgery·F D LoopW L Proudfit
Sep 22, 1977·The New England Journal of Medicine·E Braunwald
Jul 1, 1978·Progress in Cardiovascular Diseases·W L ProudfitF M Sones
Jul 17, 1975·The New England Journal of Medicine·E D Mundth, W G Austen
Feb 1, 1974·The American Journal of Cardiology·J S WebsterG Rincon
Jul 1, 1968·Journal of Chronic Diseases·E WeinblattR V Sager

Citations

Jan 1, 1982·International Journal of Cardiology·L H Edmunds
Aug 1, 1986·The American Journal of Cardiology·D S AdlerJ J Collins
Feb 16, 2008·Critical Reviews in Food Science and Nutrition·Carmen Ancín-AzpilicuetaNerea Jiménez-Moreno

Related Concepts

Coronary Artery Bypass Surgery
Cardiac Output
Coronary Circulation
Coronary Heart Disease
Electrocardiographic Recorders
Myocardial Failure
Hypertensive Disease
Myocardial Contraction
Myocardial Infarction
Postoperative Complications

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