Document Detail


Surgical treatment of angina pectoris in the elderly.
MedLine Citation:
PMID:  6977697     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We collected hospital and follow-up data for a consecutive series of 35 patients aged 65 years and over who underwent coronary artery bypass grafting for the relief of severe angina pectoris between January, 1974, and June, 1979. The inhospital mortality was 2.8% (one patient). Three patients (9%) suffered perioperative myocardial infaction, three (9%) were reoperated upon for early postoperative bleeding, and four (11%) had significant cerebrovascular complications. Only the latter rate differs significantly (P = 0.05) from the rate of complications reported in published series which include patients of all ages. Late mortality at a mean of 24.3 months follow-up was 12% (four late deaths). Relief of angina in survivors was excellent, with 20 of the 30 survivors (67%) free of chest pain at the time of follow-up. Twenty-five of the 30 survivors (82%) reported no limitation of their activities. Results in the elderly group were compared with those obtained for 322 consecutive patients of all ages, tha latter group having an operative mortality of 3.4%, a late mortality (at a mean of 15 months follow-up) of 12%, complete relief of angina in 62% and complete freedom from physical incapacity in 61% of survivors. Good short-term and long-term results can be obtained from coronary artery bypass grafting in symptomatic elderly patients, but with an increased risk of cerebrovascular complications.
Authors:
M Higginbothom; D Hunt; A White; J Clarebrough
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  2     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:    1981 Dec 12-26
Date Detail:
Created Date:  1982-05-21     Completed Date:  1982-05-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  664-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Angina Pectoris / mortality,  rehabilitation,  surgery*
Coronary Artery Bypass* / mortality
Disability Evaluation
Female
Follow-Up Studies
Humans
Male
Postoperative Complications
Reoperation

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


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