Key result
Coronary bypass surgery currently lacks evidence for preventing infarction or prolonging life and should be reserved for life-threatening disease recalcitrant to optimal medical management.
Population
Patients with coronary heart disease
Design
Editorial
Authors
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Supports limiting CABG to refractory life-threatening cases; leaves open the need for definitive trials in stable disease.
Early reflections on coronary bypass surgery urged caution, noting a lack of evidence for preventing infarction or prolonging life and recommending it only for severe, medically refractory cases.
William W. L. Glenn (1972) conducted an editorial in Coronary heart disease. Coronary bypass operation was evaluated. Coronary bypass surgery currently lacks evidence for preventing infarction or prolonging life and should be reserved for life-threatening disease recalcitrant to optimal medical management.
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