Why the study?
Does coronary bypass surgery improve long-term survival and symptoms in patients with acute rest angina?
Does coronary bypass surgery improve long-term survival and symptoms in patients with acute rest angina?
Coronary bypass for acute rest angina provides satisfactory long-term symptom relief and lifestyle preservation, though with a 1.4% annual mortality rate and a 20% reoperation rate over approximately 10 years.
Supports symptom relief after bypass for acute rest angina; leaves open survival benefit versus medical therapy.
We followed up for 6.5 to 10.3 years 100 consecutive patients who had had coronary bypasses (1.8 per person) for acute angina at rest. There was a mean of 2.1 coronary stenoses per person. Mortality rates were 1.4% per postoperative year, or 2.2 times that of normal subjects of the same age. Angina was usually satisfactorily relieved but severe recurrences, mainly from late graft closure, required reoperation in 20 patients. Life style has been preserved; and 91 resumed work, with 52 at an average age of 61 years continuing to work eight years later. Better results that these may be obtained from the improved diagnostic and therapeutic methods of the 1980's.
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Rogers et al. (1982) studied this question.
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