Document Detail

Clinical assessment following coronary revascularization.
MedLine Citation:
PMID:  8409547     Owner:  NLM     Status:  MEDLINE    
There remains a need to establish adequate protocols for investigating the short- and long-term follow-up of revascularization procedures. For coronary angioplasty the most reliable basis for decision-making in managing patients is the symptomatology of the patient. For bypass surgery a protocol should be established to evaluate patients late, at 5 to 10 years following bypass surgery, in particular those with saphenous vein grafting, as graft and patient survival begins to fall after this period. Investigation after this may be too late for many patients who may already have several occluded grafts and poor left ventricular function, two of the most important prognostic factors post bypass surgery. The improvement and refinement of non-invasive investigations has led to a better understanding of the value and limitations of many of these tests, but it is particularly important that the limitations of many investigation are fully appreciated when they are used to influence clinical decisions. In this regard, a study comparing and integrating the predictive value of the persistence or return to symptoms, a positive non-invasive test, and a positive invasive test would surely prove invaluable.
K J Beatt; F Fath-Ordoubadi; T Huehns
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  International journal of cardiac imaging     Volume:  9 Suppl 1     ISSN:  0167-9899     ISO Abbreviation:  Int J Card Imaging     Publication Date:  1993  
Date Detail:
Created Date:  1993-11-16     Completed Date:  1993-11-16     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8600426     Medline TA:  Int J Card Imaging     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  77-83     Citation Subset:  IM    
Academic Unit of Cardiovascular Medicine, Charing Cross and Westminster Medical School, London, UK.
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MeSH Terms
Coronary Angiography
Coronary Artery Bypass
Exercise Test
Heart / physiology
Heart Function Tests
Myocardial Ischemia / diagnosis*,  physiopathology,  surgery
Myocardial Revascularization*
Thallium Radioisotopes / diagnostic use
Reg. No./Substance:
0/Thallium Radioisotopes

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

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