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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
18
|
| pubmed:dateCreated |
1994-1-12
|
| pubmed:abstractText |
In a prospective, angiographically controlled study, 339 consecutive patients were examined to evaluate the pre-, peri- and postoperative risk factors for occurrence of myocardial infarction, and recurrence of severe angina during 5 years after coronary artery bypass grafting (CABG). The incidence of myocardial infarction was 6% and the recurrence of severe angina 13%. No pre- or perioperative variable could predict the occurrence of myocardial infarction. Postoperative ejection fraction was significantly lower in patients with than without myocardial infarction (58 +/- 10% vs 50 +/- 11%; p < 0.001), and the Cox proportional-hazards method showed a low postoperative ejection fraction to be the only significant risk factor for the occurrence of myocardial infarction (p = 0.02). Patients with a recurrence of severe angina had higher blood total cholesterol concentrations (7.7 +/- 1.4 vs 7.0 +/- 1.3 mmol/liter; p < 0.05) and triglyceride levels (2.7 mmol/l +/- 1.5 vs 2.0 +/- 1.0 mmol/liter; p < 0.01) than did those without angina, and also more often had > or = 1 occluded bypass graft 3 months after CABG (p < 0.05). No other pre- or postoperative variable could predict the recurrence of angina. Both total blood cholesterol concentration and triglyceride level were significant predictors of the risk of recurrent severe angina by the Cox proportional-hazards method (p = 0.01 and 0.03, respectively). Thus, reduced ejection fraction is a risk factor for subsequent myocardial infarction, whereas blood lipid abnormalities predict the recurrence of severe angina during the 5 years after CABG.(ABSTRACT TRUNCATED AT 250 WORDS)
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0002-9149
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:day |
15
|
| pubmed:volume |
72
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1371-5
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:8256729-Adult,
pubmed-meshheading:8256729-Angina Pectoris,
pubmed-meshheading:8256729-Coronary Angiography,
pubmed-meshheading:8256729-Coronary Artery Bypass,
pubmed-meshheading:8256729-Female,
pubmed-meshheading:8256729-Humans,
pubmed-meshheading:8256729-Incidence,
pubmed-meshheading:8256729-Lipids,
pubmed-meshheading:8256729-Male,
pubmed-meshheading:8256729-Middle Aged,
pubmed-meshheading:8256729-Myocardial Infarction,
pubmed-meshheading:8256729-Physical Examination,
pubmed-meshheading:8256729-Predictive Value of Tests,
pubmed-meshheading:8256729-Prospective Studies,
pubmed-meshheading:8256729-Recurrence,
pubmed-meshheading:8256729-Risk Factors,
pubmed-meshheading:8256729-Statistics as Topic
|
| pubmed:year |
1993
|
| pubmed:articleTitle |
Clinical and angiographic prediction of myocardial infarction and recurrence of severe angina during a five-year follow-up after coronary artery bypass grafting.
|
| pubmed:affiliation |
Department of Medicine, Oulu University Central Hospital, Finland.
|
| pubmed:publicationType |
Journal Article
|