| Coronary artery surgery for ischemic heart failure: risks, benefits, and the importance of assessment of myocardial viability. | |
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MedLine Citation:
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PMID: 11251125 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Heart failure and left ventricular dysfunction are common and are most often caused by myocardial ischemia/infarction secondary to occlusive coronary artery disease. Although recent refinements in medical therapy have resulted in improved survival, morbidity and mortality remain high in patients with advanced heart failure. Heart transplantation remains an option for selected patients, and implantable left ventricular assist devices may soon provide another treatment strategy for such patients. However, patients with established postischemic heart failure, significant myocardial viability, and coronary artery anatomy amenable to surgical revascularization can derive significant functional and survival benefit after coronary artery surgery, albeit with an increased perioperative risk. We discuss the role of coronary artery surgery in ischemic heart failure and review the evidence for such an approach. |
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Authors:
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M Pitt; M E Lewis; R S Bonser |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Progress in cardiovascular diseases Volume: 43 ISSN: 0033-0620 ISO Abbreviation: Prog Cardiovasc Dis Publication Date: 2001 Mar-Apr |
Date Detail:
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Created Date: 2001-03-19 Completed Date: 2001-04-12 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376442 Medline TA: Prog Cardiovasc Dis Country: United States |
Other Details:
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Languages: eng Pagination: 373-86 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2001 by W.B. Saunders Company |
Affiliation:
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Department of Cardiac Surgery, Queen Elizabeth Hospital Medical Centre, Birmingham, England. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Coronary Artery Bypass* Heart / physiopathology Heart Failure / mortality, pathology, physiopathology, surgery* Humans Myocardial Ischemia / mortality, pathology, physiopathology, surgery* Myocardial Stunning / pathology, physiopathology, surgery Myocardium / ultrastructure Risk Factors Survival Rate Ventricular Dysfunction, Left / physiopathology, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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