Document Detail


Risk factors among patients undergoing repeat aorta-coronary bypass procedures.
MedLine Citation:
PMID:  3491933     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is estimated that as many as 7% of patients who have an aorta-coronary bypass operation will require a second bypass procedure within 10 to 12 years. Using information from the Milwaukee Cardiovascular Data Registry, we matched 166 men who underwent two coronary bypass operations at least 6 months apart, between 1968 and 1981, with 428 patients who had a single procedure. Patients were matched according to date of operation and left ventricular wall motility function for analysis of risk factors for repeat operation. Elevated triglyceride levels were found to be the strongest risk factors associated with reoperation. In addition, both younger age and less complete revascularization during the first operation were significant predictive factors of repeat operation. The results suggest that efforts to reduce plasma triglyceride levels and ensure adequate revascularization may significantly reduce the need for repeat coronary bypass.
Authors:
M H Fox; H W Gruchow; J J Barboriak; A J Anderson; R G Hoffmann; R J Flemma; J F King
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  93     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1987 Jan 
Date Detail:
Created Date:  1987-02-10     Completed Date:  1987-02-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  56-61     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Coronary Artery Bypass / adverse effects*
Follow-Up Studies
Heart Ventricles / physiopathology
Humans
Male
Middle Aged
Myocardial Contraction
Myocardial Revascularization / adverse effects
Prognosis
Reoperation
Risk
Statistics as Topic
Triglycerides / blood
Grant Support
ID/Acronym/Agency:
HL29011/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Triglycerides

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


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