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European Journal of Cardio-Thoracic Surgery, Vol 10, 173-178, Copyright © 1996 by European Association for Cardio-thoracic Surgery
O Risum, M Abdelnoor, JL Svennevig, K Levorstad and S Nitter-Hauge
The long-term results of 1025 patients, 912 men and 113 women, undergoing
coronary artery bypass grafting (CABG) at the Cardiovascular Unit of
Rikshospitalet, Oslo, between 1982 and 1986, were analyzed on factors
associated with the return of angina pectoris and of non-fatal post CABG
myocardial infarction. The closing date was 1st January 1993, with a mean
follow-up time of 7.4 years. Recurrent angina pectoris was experienced by
118 (11.6%) patients and 102 (10%) patients experienced non-fatal post CABG
myocardial infarction during the observation period. Altogether 30 possible
risk factors were analyzed. The cumulative incidence of recurrent angina
was initially low after operation, followed by a rise after 4 years. One, 5
and 10 years after the operation, survival free from angina rates were
97.8%, 91.8% and 80.6%, respectively. The cumulative incidence of post CABG
myocardial infarction was also low initially, followed by a rise after 4
years. The survival free of non-fatal post CABG myocardial infarction rate
was 98.9%, 96% and 83.5%, at 1, 5 and 10 years after surgery, respectively.
The incremental risk factor of recurrent angina pectoris was hypertension.
The independent risk factors of non-fatal post CABG myocardial infarction
were hypertension and preoperative stenosis of the left-sided, versus
right-sided, coronary arteries. The study emphasizes the favorable effect
of coronary bypass surgery on the functional outcome in patients with
symptomatic coronary artery disease.
ARTICLES
Risk factors of recurrent angina pectoris and of non-fatal myocardial infarction after coronary artery bypass surgery
Surgical Dept A, Rikshospitalet, University of Oslo, Norway.
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