Brockman S K, Goldman S M
Cardiovasc Clin. 1987;17(3):65-72.
In order to evaluate CABG in patients with depressed left ventricular function, 117 patients with an EF under 35 percent were analyzed. All patients had angina pectoris. Congestive heart failure was present in 38 percent, and one or more myocardial infarctions in 90 percent. The period of followup was up to 72 months. The hospital mortality rate was 4 percent and the late mortality rate 6 percent. Although ideal randomized trials comparing surgical and medical therapy in patients with angina and depressed left ventricular function are not available, we nevertheless believe that CABG should be available to this subset of patients. The majority of these patients will derive clinical benefit from CABG.
为了评估左心室功能不全患者的冠状动脉旁路移植术（CABG），对117例射血分数（EF）低于35%的患者进行了分析。所有患者均患有心绞痛。38%的患者存在充血性心力衰竭，90%的患者有过一次或多次心肌梗死。随访期长达72个月。医院死亡率为4%，晚期死亡率为6%。尽管尚无比较心绞痛和左心室功能不全患者手术治疗与药物治疗的理想随机试验，但我们仍然认为，这部分患者应可接受CABG治疗。这些患者中的大多数将从CABG中获得临床益处。
