Key result
Coronary artery bypass grafting is more effective than medical treatment in relieving symptoms of chronic disabling angina pectoris, though further research is needed to answer remaining questions.
Why the study?
Does coronary artery bypass grafting improve symptoms compared to medical treatment in patients with chronic disabling angina pectoris?
Does coronary artery bypass grafting improve symptoms compared to medical treatment in patients with chronic disabling angina pectoris?
This review highlights that while CABG effectively relieves angina symptoms compared to medical therapy, further research is needed to determine its impact on survival and cost-effectiveness.
CABG may relieve symptoms in chronic disabling angina; leaves open survival benefit and cost-effectiveness.
In the past 20 years, basic and clinical research have provided new information on coronary artery surgery. For example, several studies have shown that coronary artery bypass grafting is more effective than medical treatment in relieving the symptoms of chronic disabling angina pectoris. However, we still do not have definitive answers to many questions. What factors in the patient, in the operation and in the care after operation determine success in surgical treatment? Does the operation prolong useful life? Is the operation affordable? These questions are difficult. Further research is needed to solve complex problems relating to surgical vs medical treatment of coronary artery disease.
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Kirklin et al. (1979) conducted a review in Coronary artery disease. Coronary artery bypass grafting vs. Medical treatment was evaluated. Coronary artery bypass grafting is more effective than medical treatment in relieving symptoms of chronic disabling angina pectoris, though further research is needed to answer remaining questions.
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