Bathgate A J, Irving J B
Department of Cardiology, St John's Hospital, Livingston, West Lothian, UK.
Heart. 1997 Dec;78(6):584-6. doi: 10.1136/hrt.78.6.584.
To determine the status of patients 10 years after referral for coronary artery bypass graft (CABG) surgery.
Retrospective analysis of case notes from all patients referred between 1 April 1981 and 31 March 1985. Full information gathered from hospital notes, GP records, and Registrar General for Scotland.
District General Hospital, West Lothian, Scotland.
102 patients referred for CABG during study period. Cardiac surgery was undertaken in Brompton Hospital, London, Royal Infirmary, Edinburgh, and Western Infirmary, Glasgow.
At 10 years after operation 32 patients had died (27 cardiac, five non-cardiac causes). Full data were not available for five patients. Of the 65 remaining patients 24 had no angina, 13 had had a repeat procedure (CABG or angioplasty), and 28 had angina.
Long term benefits of CABG surgery is disappointing. Further steps are required to reduce progression of disease in this population.
确定冠状动脉旁路移植术(CABG)手术后10年患者的状况。
对1981年4月1日至1985年3月31日期间转诊的所有患者的病例记录进行回顾性分析。从医院病历、全科医生记录和苏格兰总登记官处收集完整信息。
苏格兰西洛锡安地区综合医院。
研究期间转诊接受CABG的102例患者。心脏手术在伦敦的布朗普顿医院、爱丁堡皇家医院和格拉斯哥西部医院进行。
术后10年,32例患者死亡(27例死于心脏原因,5例死于非心脏原因)。5例患者没有完整数据。其余65例患者中,24例无心绞痛,13例接受了再次手术(CABG或血管成形术),28例有心绞痛。
CABG手术的长期益处令人失望。需要采取进一步措施来减少该人群中疾病的进展。