Document Detail


Coronary artery bypass grafting within 30 days of an acute myocardial infarction.
MedLine Citation:
PMID:  11343563     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
METHODS: From November 1991 to November 1999, 478 consecutive patients underwent coronary artery bypass grafting and 68 of these underwent an operation within 30 days of AMI. The data of these patients were analyzed retrospectively. Univariate and multivariate analyses of many variables were performed regarding operative mortality.
RESULTS: Operative mortality (7.4%) was significantly higher in the patients with an acute myocardial infarction than in the patients without it (0.8%) during the same period as the subjects of this study. Coronary artery bypass grafting without arterial grafts was solely determined to be the predictor of survival. The survival curve demonstrated better long-term results in patients undergoing bypass grafting with arterial grafts than in patients undergoing bypass grafting with venous grafts alone.
CONCLUSIONS: If hemodynamic conditions can not be stabilized, then coronary artery bypass grafting using arterial grafts, when indicated, should be performed even early after AMI.
Authors:
T Hirotani; T Kameda; S Shirota; Y Nakao
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  7     ISSN:  1341-1098     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-05-09     Completed Date:  2001-07-26     Revised Date:  2014-07-28    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  28-34     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aged
Aged, 80 and over
Coronary Artery Bypass* / mortality
Female
Humans
Male
Middle Aged
Myocardial Infarction / mortality*,  surgery*
Retrospective Studies
Risk Assessment
Survival Analysis
Time Factors

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


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