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Long-term survival of patients with low ejection fraction: surgical versus medical management.
MedLine Citation:
PMID:  15227278     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
From May 1974 to December 1982, 3,592 patients underwent cardiac catheterization at the Buffalo Veterans' Administration Medical Center. Three hundred sixty-three patients (10.2%) presented with ejection fractions (EFs) < 40%. Of these, 194 had significant coronary artery disease. Follow-up data for retrospective analysis of survival rates were available for 173 of the 194 patients. Fifty-eight of these 173 had undergone coronary artery bypass surgery, while the remaining 115 had received medical treatment. The cumulative survival rates at 8 years for patients with EFs < 25% reveal a significantly better survival rate (61% vs. 29%, p <.03) for surgically treated patients. We conclude that coronary artery bypass surgery yields higher 8-year survival rates than does medical treatment for patients with compromised left ventricular function and significantly low EFs (< 25%).
Authors:
V Balu; L Szmedra; D Dean; J Bhayana
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  15     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  1988  
Date Detail:
Created Date:  2004-06-30     Completed Date:  2005-02-07     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  44-8     Citation Subset:  -    
Affiliation:
Cardiology Section, Buffalo Veterans' Administration Medical Center, State University of New York at Buffalo, USA.
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