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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
|
pubmed:dateCreated |
1992-2-20
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pubmed:abstractText |
We analyze retrospectively the short- and long-term results of coronary artery bypass surgery in 50 patients with severe left ventricular dysfunction operated in a period of 11 years. Sixty-six percent of patients had unstable angina and 12% of total presented angina post-acute postmyocardial infarction. Thirty-eight percent of patients were in preoperative functional class III-IV of NYHA. Three-vessel disease was present in 70% of the patients, two-vessel in 30%, and the main trunk was affected in 12% of the global. Hospital mortality was 4% (2/50) due to low cardiac output syndrome. Follow-up was available in all the survivors and ranged 6 months-11 years (mean: 4.8 +/- 3.1). During follow-up, 13 patients died, but in only six was due to cardiac cause. The 35 patients followed were in functional class I-II of NYHA. Eighty-eight percent of the patients were angina free at follow-up. Actuarial analysis, after exclusion of 3 patients who died of causes no directly related to the heart, showed an intrahospital survival rates of 96%; at first year was 92, at 3rd was 78%, and 5th year survival rates were 75%. In conclusion, patients with symptomatic angina and preoperative severe left ventricular dysfunction, coronary artery bypass graft has a low hospital mortality, is effective in improving angina and heart failure, and the long-term survival is acceptable.
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pubmed:language |
spa
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0300-8932
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
44
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
511-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1767105-Actuarial Analysis,
pubmed-meshheading:1767105-Acute Disease,
pubmed-meshheading:1767105-Age Factors,
pubmed-meshheading:1767105-Coronary Artery Bypass,
pubmed-meshheading:1767105-Coronary Disease,
pubmed-meshheading:1767105-Follow-Up Studies,
pubmed-meshheading:1767105-Hospital Mortality,
pubmed-meshheading:1767105-Humans,
pubmed-meshheading:1767105-Length of Stay,
pubmed-meshheading:1767105-Retrospective Studies,
pubmed-meshheading:1767105-Sex Factors,
pubmed-meshheading:1767105-Spain,
pubmed-meshheading:1767105-Ventricular Function, Left
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pubmed:year |
1991
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pubmed:articleTitle |
[The long-term results of aortocoronary bypass surgery in patients with a severe preoperative left ventricular dysfunction].
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pubmed:affiliation |
Unidad de Cirugía Cardíaca, Hospital de la Santa Creu i Sant Pau, Barcelona.
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pubmed:publicationType |
Journal Article,
English Abstract
|