Document Detail


Long-term angiographic assessment of the influence of coronary risk factors on native coronary circulation and saphenous vein aortocoronary grafts.
MedLine Citation:
PMID:  300215     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The influence of smoking, hyperlipidemia, and glucose intolerance on graft patency and rate of progression of obstructive disease in the native circulation was assessed in 99 patients 1 1/2 years after aortocoronary bypass grafting. There were 24 patients in whom none of these risk factors was identified. There were 42 patients with one, 29 with two, and four with three risk factors. Overall graft patency rate was 74%. Graft patency was not significantly influenced by any of these factors either singly or in combination. Progression of obstructive disease in both proximal and distal segments of grafted vessels and in nongrafted vessels was not significantly increased by the presence of one, two, or three risk factors. Over all, there was progression in 56% of segments proximal to grafts, in 8% distal to grafts, and in 14% of nongrafted vessels. Longer term studies will be required to establish any adverse influence of these risk factors on saphenous vein bypass grafts and native circulation.
Authors:
P R McLaughlin; N D Berman; B C Morton; L Schwartz; J E Morch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  93     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1977 Mar 
Date Detail:
Created Date:  1977-04-15     Completed Date:  1977-04-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  327-33     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angina Pectoris / surgery*
Blood Glucose / analysis
Coronary Angiography
Coronary Artery Bypass*
Coronary Circulation*
Coronary Disease / radiography
Diabetes Complications*
Female
Follow-Up Studies
Glucose Tolerance Test
Humans
Hyperlipidemias / complications*
Lipids / blood
Male
Middle Aged
Postoperative Complications / blood,  epidemiology*
Prognosis
Risk
Saphenous Vein / transplantation
Smoking / complications*
Transplantation, Autologous
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Lipids

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


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