November 1, 1989CirculationOpen Access

Medical compared with surgical management of unstable angina. 5-year mortality and morbidity in the Veterans Administration Study.

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Why the study?

Does surgical plus medical management improve 5-year survival and reduce repeat hospitalizations compared to medical management alone in patients with unstable angina?

Population

468 patients with unstable angina. Stratified by LV function.

Comparison

Surgical plus medical treatment vs Medical treatment alone

Design

RCT, Prospective randomized protocol stratified by clinical presentation and…

Follow-up

60 months (5 years)

Authors

APAttilio ParisiForo Italico University of Rome SKS KhuriOman Medical College RDRobert H. DeupreeLouisiana State University

Discussion

Member takes

Implication

Supports surgery in unstable angina with three-vessel disease; extends evidence for reduced hospitalizations versus medical therapy alone.

Structured PICO

Does surgical plus medical management improve 5-year survival and reduce repeat hospitalizations compared to medical management alone in patients with unstable angina?

Population

468 patients with unstable angina (type 1: progressive or new onset relieved by medication, n=374; type 2: prolonged bouts poorly or incompletely relieved by medication, n=94). Stratified by LV function (normal n=334, abnormal n=134).

Intervention

Surgical plus medical treatment

Comparator

Medical treatment alone

Outcome

5-year mortality and morbidity (repeat hospitalizations for cardiac reasons)hard clinical

Surgical management of unstable angina improves 5-year survival in patients with three-vessel disease or impaired LV function and reduces repeat cardiac hospitalizations compared to medical therapy alone.

Cite This Study

Parisi et al. (1989) studied this question.

synapsesocial.com/papers/6a712baffebe604dd709e25a https://doi.org/10.1161/01.cir.80.5.1176

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Implication

Supports surgery in unstable angina with three-vessel disease; extends evidence for reduced hospitalizations versus medical therapy alone.

Medical compared with surgical management of unstable angina. 5-year mortality and morbidity in the Veterans Administration Study.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Medical compared with surgical management of unstable angina. 5-year mortality and morbidity in the Veterans Administration Study.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider