PMID: 6972749Jul 1, 1981

Coronary bypass for relief of persistent pain following acute myocardial infarction

The Annals of Thoracic Surgery
E L JonesC R Hatcher

Abstract

Between January, 1976, and April, 1980, 116 patients had urgent myocardial revascularization for clinical instability within 30 days of acute myocardial infarction (MI). Group 1 (8 patients) had coronary bypass grafting within 24 hours of acute MI; Group 2 (20 patients) had coronary bypass grafting 2 to 7 days after acute MI; and Group 3 (88 patients) had coronary bypass grafting 8 to 30 days after infarction. Indications for operation were persistent or recurrent pain (81%), pain plus ventricular arrhythmias (12%), and pain plus compelling anatomy. The incidence of single-vessel, triple-vessel, and left main coronary artery disease was 28%, 31%, and 12%, respectively. There were no hospital deaths in the series. The incidence of inotropic requirements, postoperative intraaortic balloon pumping, ventricular arrhythmias, and perioperative infarction was higher in patients operated on within 7 days of acute MI than for patients having coronary bypass grafting after this time. There have been 5 late deaths during a mean follow-up of 14 months. Actuarial survival was 97% at 18 months. Seventy-one percent of patients are presently pain free. Graft patency was 84% in 17 patients recatheterized after coronary bypass grafting and in 14...Continue Reading

Citations

May 1, 1988·Cardiovascular Drugs and Therapy·P J de FeyterP G Hugenholtz
Sep 17, 2002·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Hitoshi HiroseShuichirou Takanashi
Nov 1, 1990·Journal of the American College of Cardiology·W S WeintraubJ S Douglas
Mar 29, 2000·The Annals of Thoracic Surgery·H HiroseN Nagano
Nov 1, 1983·Journal of the American College of Cardiology·D B WilliamsD Stewart
Nov 1, 1985·Journal of the American College of Cardiology·A K SinghK E Karlson
Apr 8, 1998·Journal of the American College of Cardiology·R G Favaloro
Oct 1, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F L RosenfeldtO I Pisarenko
Aug 1, 1987·The Annals of Thoracic Surgery·R N JonesJ Wyatt
Dec 1, 1989·The Annals of Thoracic Surgery·J L Ochsner
Dec 1, 1989·The Annals of Thoracic Surgery·H S FlotenA Starr
Jan 1, 1993·Current Problems in Cardiology·K Chatterjee
Nov 1, 1988·The American Journal of Cardiology·R S HartzL L Michaelis
Sep 1, 1987·Progress in Cardiovascular Diseases·Y S LoK Kaplan
Jul 1, 1987·Clinical Cardiology·G C TomlinsonS Goldman
Jan 1, 1983·The American Journal of Cardiology·E L JonesN Riechwald
Apr 1, 1985·American Journal of Surgery·J P GertlerA S Geha
Aug 1, 1982·The American Journal of Cardiology·W W ParmleyM L Weisfeldt
Dec 1, 1986·Circulation·P J de FeyterP G Hugenholtz
Jun 1, 1986·Journal of Cardiac Surgery·B S Goldman, R D Weisel
Mar 1, 1993·Clinical Cardiology·J S Alpert, R C Becker
Jul 6, 2000·Indian Journal of Pediatrics·D Jha, R C Deka

Related Concepts

Angina Pectoris
Coronary Artery Bypass Surgery
Coronary Heart Disease
Cardiac Catheterization Procedures
Left Ventricular Structure
Myocardial Infarction

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.