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December 1, 1974Annals of Internal Medicine

Medical Perspectives in Coronary Artery Surgery—A Caveat

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Why the study?

What are the indications and outcomes of coronary artery bypass grafting in patients with coronary atherosclerosis?

Population

Patients with symptomatic occlusive coronary atherosclerosis

Design

Review

Authors

WDW. Bruce DunkmanUniversity of Minnesota Medical Center

Discussion

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Implication

Provides historical perspective on CABG recommendations; leaves open applicability to modern revascularization strategies.

Key Points

  • Critically evaluate the immediate results and long-term effects of coronary artery bypass grafting on morbidity and mortality against the natural history of symptomatic coronary atherosclerosis.
  • Conducted a comprehensive clinical review of surgical history and the natural progression of symptomatic occlusive coronary artery disease.
  • Synthesized observational evidence to establish recommendations across specific clinical subsets, including stable and unstable angina, left main disease, and acute myocardial infarction.
  • Highlights the extensive adoption and major economic impact of coronary bypass grafting prior to establishing firm proof of prolonged survival benefits.
  • Defines tailored clinical recommendations for surgical management in stable angina, Prinzmetal's angina, main left coronary artery disease, and concurrent valve replacement.

Structured PICO

What are the indications and outcomes of coronary artery bypass grafting in patients with coronary atherosclerosis?

P
Population
Patients with symptomatic occlusive coronary atherosclerosis
I
Intervention
Coronary artery bypass grafting (CABG)
O
Outcome
Morbidity and mortalityhard clinical

This historical review provides a critical evaluation and recommendations for the use of coronary artery bypass grafting in various presentations of coronary artery disease.

Cite This Study

W. Bruce Dunkman (1974) studied this question.

synapsesocial.com/papers/6a7ced6990c42991d50eb207https://doi.org/10.7326/0003-4819-81-6-817
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Some Reflections on the Coronary Bypass Operation1972 · 19 citations
  2. 2Left Main Coronary Artery Stenosis1974 · 78 citations
  3. 3Surgery for Complications of Acute Myocardial Infarction1972 · 63 citations
  4. 4Factors Influencing Infarct Size Following Experimental Coronary Artery Occlusions1971 · 1,485 citations