Twelve Years of Coronary Bypass Surgery in Helsinki
| Autor: | Harjola Pt, Hekali P, Valle M, M. H. Frick, Järvinen A |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Physical Exertion Revascularization Coronary artery disease Random Allocation Internal medicine Internal Medicine medicine Humans Myocardial infarction Coronary Artery Bypass Finland Coronary atherosclerosis Unstable angina business.industry Rehabilitation Vocational Prognosis medicine.disease Surgery medicine.anatomical_structure Bypass surgery Bypass operation Cardiology business Follow-Up Studies Artery |
| Zdroj: | Acta Medica Scandinavica. 212:7-12 |
| ISSN: | 0001-6101 |
| DOI: | 10.1111/j.0954-6820.1982.tb08516.x |
| Popis: | During the 12-year period from 1970 to 1981 662 patients have had an elective coronary bypass operation at our institution with a hospital mortality of 1,9%. Selected randomized subsets of the series have been subjected to detailed postoperative studies to elucidate the effects on morbidity, employment, and mortality, in particular. Other studied variables include graft patency, progression of coronary atherosclerosis, and left ventricular function. Exercise tolerance is markedly improved especially in patients with complete revascularization (+98%, p < 0.001) in contrast to unchanged data in medically managed patients. This improvement persists for at least 2 years and has an impact on employment. Sixty per cent of the surgical patients were at work 2 years after operation in contrast to 26% of the similar medically managed patients (p < 0.05). Annual mortality during a follow-up of 5 years has been 0.9% in surgical patients compared with 4% in randomized medical patients (p < 0.05). Unsettled topics include the surgical management of patients with unstable angina pectoris and patients with modest or no symptoms but a multivessel coronary artery disease. Further problems are the possible surgical management of high risk patients at discharge after myocardial infarction and the final position of non-surgical coronary artery manipulations. |
| Databáze: | OpenAIRE |
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