Coronary artery bypass grafting in patients 50 years or younger: a Swedish nationwide cohort study

Circulation
Magnus DalénUlrik Sartipy

Abstract

There are limited data regarding long-term results after coronary artery bypass grafting (CABG) in young adults. We performed a nationwide population-based cohort study to analyze long-term survival, major adverse cardiovascular events, and factors associated with elevated risk in young adults undergoing CABG. We included all adult patients ≤50 years of age who underwent primary isolated CABG in Sweden between 1997 and 2013 from the Swedish Web System for Enhancement and Development of Evidence-Based Care in Heart Disease Evaluated According to Recommended Therapies (SWEDEHEART) register. Patient data were linked from national Swedish health data registers to create a study database. We identified 4086 young adults with a mean age of 46 years and 18% women. During a median follow-up time of 10.9 years (interquartile range, 6.4-14.1) 490 (12%) patients died. Survival at 5, 10, and 15 years was 96% (95% CI, 95-96), 90% (95% CI, 89-91), and 82% (95%CI, 80-83), respectively, which was significantly better in comparison with patients aged 51 to 70 years and >70 years who underwent CABG during the same period. The cumulative incidence of death or a major adverse cardiovascular event during 17 years after CABG was mainly driven by myo...Continue Reading

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Citations

Aug 1, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Suguru OhiraHitoshi Yaku
Nov 11, 2016·International Journal of Cardiology·Emily J Callander, Robyn McDermott
Mar 7, 2018·Scandinavian Cardiovascular Journal : SCJ·Mikael JaniecRickard P F Lindblom
Aug 15, 2017·Scandinavian Cardiovascular Journal : SCJ·Hera JohannesdottirTomas Gudbjartsson
May 18, 2017·Journal of the American Heart Association·Magnus DalénUlrik Sartipy
Aug 5, 2020·European Heart Journal. Cardiovascular Pharmacotherapy·Jawad H ButtJonas B Olesen
May 28, 2019·Journal of Biomaterials Applications·Qingxi HuHaiguang Zhang
Sep 17, 2019·Journal of the American Heart Association·Magnus DalénUlrik Sartipy
Dec 18, 2020·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·I G AdilovaZ M Abdurakhmanov

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