Disease-Specific Health Status After Stent-Assisted Percutaneous Coronary Intervention and Coronary Artery Bypass Surgery
| Autor: | Zefeng Zhang, Elizabeth M. Mahoney, William S. Weintraub, Jean Booth, F. Nugara, Rodney H. Stables, John A. Spertus |
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| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Health Status medicine.medical_treatment Coronary Artery Disease Angina Pectoris law.invention Angina Coronary artery disease Coronary artery bypass surgery Randomized controlled trial law Physiology (medical) Internal medicine Angioplasty Humans Medicine cardiovascular diseases Angioplasty Balloon Coronary Coronary Artery Bypass business.industry Percutaneous coronary intervention Stent Middle Aged medicine.disease Combined Modality Therapy Surgery Treatment Outcome surgical procedures operative Conventional PCI Quality of Life Cardiology Female Stents Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Circulation. 108:1694-1700 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/01.cir.0000087600.83707.fd |
| Popis: | Background— Functional status and quality of life are important outcomes in the evaluation of revascularization approaches for symptomatic coronary artery disease. Few data are available regarding the comparative improvement in disease-specific health status after CABG versus percutaneous coronary intervention (PCI) in the era of coronary stenting. Methods and Results— Cardiac-specific health status was evaluated at baseline and at 6 and 12 months after intervention with the Seattle Angina Questionnaire (SAQ) in patients randomized to stent-assisted PCI (n=488) versus CABG (n=500) in the Stent or Surgery trial. Scores for physical limitation, angina frequency, and quality of life improved significantly for both treatment groups at 6 months (range of improvement from 13.6 to 34.7 points) and 12 months (14.3 to 38.2 points; all P Conclusions— Both CABG and stent-assisted PCI dramatically improved cardiac-related health status in patients with multivessel disease at 6- and 12-month follow-up. During the first postprocedure year, patients’ angina burden and physical limitations were alleviated to a greater extent with CABG. |
| Databáze: | OpenAIRE |
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