Document Detail

Current expectations for survival and complications in coronary artery bypass grafting.
MedLine Citation:
PMID:  10146519     Owner:  NLM     Status:  MEDLINE    
The outcome of coronary artery bypass surgery is best assessed in terms of two independent components: the operative mortality and complications on the one hand, and the late survival and relief of symptoms on the other. The expected operative mortality rate in a particular patient can be calculated with reasonable accuracy from preoperative risk factors. This calculation also enables results from different units to be compared by correcting for the preoperative risk factors in the patient population. Despite improvements in cardiopulmonary bypass, there is still a low but appreciable incidence of subtle neuropsychological changes induced by coronary artery bypass grafting. The expected long-term results of the procedure must be determined from the results of surgery in the past. However, allowance must be made for two new influences. One is the expected improvement in the long-term results of current surgery, due to the improved longevity of currently used graft conduits such as the internal mammary artery. The other is the worsening of late results of present-day coronary artery bypass grafting caused by the greater number of preoperative risk factors in patients currently accepted for surgery, such as old age, impaired left ventricular function, and reoperation.
F L Rosenfeldt; J Wong
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  8     ISSN:  0268-4705     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-02-24     Completed Date:  1994-02-24     Revised Date:  2006-05-04    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  910-8     Citation Subset:  T    
Baker Medical Research Institute and Alfred Hospital, Prahran, Victoria, Australia.
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MeSH Terms
Coronary Artery Bypass / adverse effects*,  mortality
Coronary Disease / surgery
Follow-Up Studies
Postoperative Complications
Risk Factors
Survival Analysis
Treatment Outcome

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

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