Coronary artery disease and coronary bypass grafting in young men: Experience with 138 subjects 39 years of age and younger

Autor: FitzGibbon, Gerald M., Hamilton, Mark G., Leach, Alan J., Kafka, Henryk P., Markle, Herbert V., Keon, Wilbert J.
Zdroj: Journal of the American College of Cardiology; May 1987, Vol. 9 Issue: 5 p977-988, 12p
Abstrakt: One hundred thirty-eight men aged ≤39 years had coronary bypass grafting during a 13 year period. Angina was the presenting symptom in 77% and of these patients, one-third had unstable angina. More than half of the patients had experienced at least one myocardial infarct. There was a high incidence of coronary risk factors, especially smoking. Nineteen patients (13.8%) had left main coronary artery stenosis (it was isolated in two); 13.8, 24.6 and 60.2% had single, double and triple vessel disease, respectively. Left ventriculograms showed serious functional impairment in 42%. A total of 461 coronary bypass grafts, 3.34 per patient, were placed; almost all were vein grafts. There were no operative deaths. Transmural myocardial infarction occurred in 4.3% of patients.
Databáze: Supplemental Index