PMID- 9395945
OWN - NLM
STAT- MEDLINE
DCOM- 19980106
LR  - 20190921
IS  - 0886-0440 (Print)
IS  - 0886-0440 (Linking)
VI  - 12
IP  - 3
DP  - 1997 May-Jun
TI  - Coronary artery bypass grafting in patients with chronic congestive heart 
      failure: a 10-year experience with 203 patients.
PG  - 167-75
AB  - From 1983 to 1992, 203 patients with chronic congestive heart failure and no 
      angina underwent primary coronary artery bypass. This represented 3% of patients 
      undergoing coronary artery bypass grafting. Ninety-two percent of the patients 
      were in New York Heart Association (NYHA) functional class III or IV prior to 
      undergoing coronary artery bypass grafting. Thallium perfusion imaging was 
      performed in 21% of the patients, with a reversible defect present in 88%. An 
      internal mammary artery graft was used in 70% of the patients. The hospital 
      mortality was 6.0% and the actuarial survival at 5 years was 59%. An improvement 
      in NYHA functional class occurred in 75% of the surviving patients with a mean 
      improvement of 1.6 +/- 0.6 functional classes. Univariate analysis identified 
      risk factors for hospital death as emergency operation, recent myocardial 
      infarction (< 30 days), and the need for an intra-aortic balloon pump. A trend 
      emerged for nonuse of an internal mammary artery to predict hospital death. A 
      positive thallium perfusion scan was not a predictor of early or late survival, 
      nor did it influence NYHA functional class. The use of the internal mammary 
      artery significantly enhanced late survival (p = 0.01), however, did not affect 
      the functional class of survivors. We conclude that coronary artery bypass 
      grafting is effective in ameliorating symptoms of chronic congestive heart 
      failure in patients suffering from chronic ischemic cardiomyopathy and can be 
      performed with acceptable early and late mortality.
FAU - Anderson, W A
AU  - Anderson WA
AD  - Department of Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey 
      08015, USA.
FAU - Ilkowski, D A
AU  - Ilkowski DA
FAU - Mahan, V L
AU  - Mahan VL
FAU - Anolik, G
AU  - Anolik G
FAU - Fernandez, J
AU  - Fernandez J
FAU - Laub, G W
AU  - Laub GW
FAU - Chen, C
AU  - Chen C
FAU - McGrath, L B
AU  - McGrath LB
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Actuarial Analysis
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Chronic Disease
MH  - *Coronary Artery Bypass
MH  - Female
MH  - Heart Failure/mortality/*surgery
MH  - Hospital Mortality
MH  - Humans
MH  - Internal Mammary-Coronary Artery Anastomosis
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Survival Analysis
MH  - Treatment Outcome
EDAT- 1997/05/01 00:00
MHDA- 1997/12/13 00:01
CRDT- 1997/05/01 00:00
PHST- 1997/05/01 00:00 [pubmed]
PHST- 1997/12/13 00:01 [medline]
PHST- 1997/05/01 00:00 [entrez]
AID - 10.1111/j.1540-8191.1997.tb00118.x [doi]
PST - ppublish
SO  - J Card Surg. 1997 May-Jun;12(3):167-75. doi: 10.1111/j.1540-8191.1997.tb00118.x.