PMID: 6977697Dec 12, 1981Paper

Surgical treatment of angina pectoris in the elderly

The Medical Journal of Australia
M HigginbothomJ Clarebrough

Abstract

We collected hospital and follow-up data for a consecutive series of 35 patients aged 65 years and over who underwent coronary artery bypass grafting for the relief of severe angina pectoris between January, 1974, and June, 1979. The inhospital mortality was 2.8% (one patient). Three patients (9%) suffered perioperative myocardial infaction, three (9%) were reoperated upon for early postoperative bleeding, and four (11%) had significant cerebrovascular complications. Only the latter rate differs significantly (P = 0.05) from the rate of complications reported in published series which include patients of all ages. Late mortality at a mean of 24.3 months follow-up was 12% (four late deaths). Relief of angina in survivors was excellent, with 20 of the 30 survivors (67%) free of chest pain at the time of follow-up. Twenty-five of the 30 survivors (82%) reported no limitation of their activities. Results in the elderly group were compared with those obtained for 322 consecutive patients of all ages, tha latter group having an operative mortality of 3.4%, a late mortality (at a mean of 15 months follow-up) of 12%, complete relief of angina in 62% and complete freedom from physical incapacity in 61% of survivors. Good short-term and ...Continue Reading

References

Mar 1, 1978·Circulation·H D McIntosh, J A Garcia
Aug 1, 1978·Circulation·L W StephensonL H Edmunds
Sep 11, 1975·The American Journal of Cardiology·J MeyerD A Cooley
Nov 1, 1972·The Australian and New Zealand Journal of Surgery·M X ShanahanL Golding
Jul 1, 1973·Archives of Surgery·G W AshorB L Tucker
Apr 1, 1981·The American Journal of Cardiology·W S KnappC R Hatcher

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Citations

Feb 4, 1984·The Medical Journal of Australia·M X Shanahan
Jan 1, 1986·Catheterization and Cardiovascular Diagnosis·G Dorros, L Janke

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