PMID- 7886359
OWN - NLM
STAT- MEDLINE
DCOM- 19950412
LR  - 20080610
IS  - 1661-8157 (Print)
IS  - 1661-8157 (Linking)
VI  - 84
IP  - 8
DP  - 1995 Feb 21
TI  - [Surgical therapy in unstable angina pectoris].
PG  - 216-9
AB  - In order to assess the value of surgical revascularization of coronary arteries 
      in patients with unstable angina pectoris, a series of 551/3397 consecutive 
      patients belonging to New York Heart Association (NYHA) class IV was 
      investigated. Fulfillment of at least two of the following criteria is mandatory 
      for diagnosis unstable angina pectoris: slightly increased CK (< 300 IU/l), 
      modified ECG at rest (decreased ST-T, increased ST), therapy-resistant 
      post-infarction angina, therapy-resistant angina at rest, increased severity, 
      duration or frequency of angina attacks within the last three months, 
      insufficient therapeutic response. Patients with acute myocardial infarction were 
      excluded from analysis. 362/551 patients out of the investigated cohort fulfilled 
      criteria of unstable angina pectoris NYHA class IV; in 189/551 patients, criteria 
      of stable angina pectoris NYHA class IV were fulfilled (controls). The mean 
      follow-up period for these patients was 72 +/- 33 months (24 +/- 144 months). 
      There were no differences regarding age, percentage of patients with three vessel 
      disease, ejection fraction of the left ventricle and of cardiogenic shock. The 
      mean number of aortocoronary grafts was 3.8 +/- 1.3 in patients with unstable 
      angina, compared to 3.4 +/- 1.5 in patients with stable angina pectoris (p < 
      0.05). An intra-aortic balloon pump had to be applied in 8% of patients with 
      unstable angina compared to 3% in stable angina. A mortality of 2% within 30 days 
      of surgery was registered in unstable compared to 3% in stable angina pectoris 
      (n.s).(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - von Segesser, L K
AU  - von Segesser LK
AD  - Klinik fur Herz- und Gefasschirurgie, Universitatsspital, Zurich.
FAU - Poop, J
AU  - Poop J
FAU - Laske, A
AU  - Laske A
FAU - Niederhauser, U
AU  - Niederhauser U
FAU - Schonbeck, M
AU  - Schonbeck M
FAU - Vogt, P
AU  - Vogt P
FAU - Turina, M
AU  - Turina M
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Chirurgische Therapie bei instabiler Angina pectoris.
PL  - Switzerland
TA  - Praxis (Bern 1994)
JT  - Praxis
JID - 101468093
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Angina, Unstable/*surgery
MH  - Cohort Studies
MH  - *Coronary Artery Bypass/mortality
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Survival Rate
EDAT- 1995/02/21 00:00
MHDA- 1995/02/21 00:01
CRDT- 1995/02/21 00:00
PHST- 1995/02/21 00:00 [pubmed]
PHST- 1995/02/21 00:01 [medline]
PHST- 1995/02/21 00:00 [entrez]
PST - ppublish
SO  - Praxis (Bern 1994). 1995 Feb 21;84(8):216-9.