Document Detail


Advances in coronary heart disease surgery in Latin America.
MedLine Citation:
PMID:  17339572     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The beginnings of coronary artery bypass graft in Latin America could be set in the year 1971. Since then, improvements in technique and greater experience have resulted in a rapid increase in the rate of interventions performed in the region. METHODS AND RESULTS: Searches through PubMed and Literatura Latinoamericana y del Caribe en Ciencias de la Salud, as well as personal communications from specialists from Latin America, have been the source of information. Articles were selected by their content related to the theme, and the authors' nationality and information is mainly from Latin America. Demographic information of the population of Latin America denotes higher age averages, and this implies an increase in the severity of comorbidities in patients who undergo surgery. Longer life expectancy and improvements in medical therapy have implied that patients survive a first intervention beyond the expected time a bypass persists patent. Wall vessel properties of arterial conduits, plus a better anastomotic technique, seem to be the current solution to worsening in the coronary health of patients who undergo revascularization surgery in Latin America. CONCLUSIONS: Despite scarce economic investment in medical sciences, many academic groups contribute to the exploration of therapeutic pharmacological combinations and inclusively apply genetic strategies.
Authors:
Enrique P Gurfinkel; Veronica S Lernoud; Ruben P Laguens; Roberto R Favaloro
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Circulation     Volume:  115     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-06     Completed Date:  2007-03-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1147-53     Citation Subset:  AIM; IM    
Affiliation:
Institute of Cardiology and Cardiovascular Surgery, Favaloro Foundation, Buenos Aires, Argentina. epgurfinkel@ffavaloro.org
Data Bank Information
Bank Name/Acc. No.:
ISRCTN/ISRCTN66068876
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Aged, 80 and over
Angioplasty, Transluminal, Percutaneous Coronary
Atherosclerosis / epidemiology
Cardioplegic Solutions
Combined Modality Therapy
Comorbidity
Coronary Artery Bypass / economics,  methods*,  mortality,  statistics & numerical data,  trends
Coronary Disease / epidemiology,  surgery*,  therapy
Coronary Restenosis / epidemiology,  surgery
Diabetes Mellitus / epidemiology
Diet
Female
Fibrinolytic Agents / therapeutic use
Gene Therapy
Humans
Hyperlipidemias / epidemiology
Latin America / epidemiology
Male
Middle Aged
Myocardial Infarction / surgery
Obesity / epidemiology
Platelet Aggregation Inhibitors / therapeutic use
Randomized Controlled Trials as Topic
Reoperation
Risk Factors
Socioeconomic Factors
Chemical
Reg. No./Substance:
0/Cardioplegic Solutions; 0/Fibrinolytic Agents; 0/Platelet Aggregation Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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