Affordable Access

Publisher Website

Surgical Management of the Preinfarction Syndrome

Authors
Journal
The Annals of Thoracic Surgery
0003-4975
Publisher
Elsevier
Publication Date
Volume
16
Issue
3
Identifiers
DOI: 10.1016/s0003-4975(10)64993-4
Keywords
  • Original Articles
Disciplines
  • Biology
  • Medicine

Abstract

Abstract The indications for coronary reconstruction have been extended to include those patients with the preinfarction syndrome who have failed to respond to medical therapy. Preinfarction syndrome is characterized by: (1) rapidly progressive angina; (2) exacerbation of previously stable angina; and (3) recurrent bouts of coronary insufficiency. During a three-year period 60 patients with this syndrome ranging in age between 30 and 72 years underwent urgent or emergency bypass procedures. Twenty showed electrocardiographic evidence of previous myocardial infarction. Single-vessel disease (> 75% obstruction) was demonstrated by coronary angiography in 18, double-vessel disease in 14, and triple-vessel involvement in 28. The operative technique is described. Eight sustained an early and 5 a late myocardial infarction with 1 and 3 deaths, respectively. A detailed analysis of these patients is presented including restudies and pathological findings. Of the 56 survivors, only 2 continue to have incapacitating angina. From this experience we conclude that the surgical management of a selected group of patients with the preinfarction syndrome is associated with a lower mortality and an improved functional result when compared with the natural history of the syndrome.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Surgical management of the preinfarction syndrome.

on The Annals of Thoracic Surgery September 1973

PREINFARCTION SYNDROME--MANAGEMENT AND FOLLOW-UP.

on The American Journal of Cardio... July 1964

Preinfarction syndrome‚ÄĒManagement and follow-up

on The American Journal of Cardio... Jan 01, 1964

Management of preinfarction angina. Evaluation and...

on Journal of Thoracic and Cardio... January 1976
More articles like this..