HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Acinapura, A. J. Articles by Cunningham, J. N. Search for Related Content PubMed PubMed Citation Articles by Acinapura, A. J. Articles by Cunningham, J. N., Jr

European Journal of Cardio-Thoracic Surgery, Vol 4, 175-181, Copyright © 1990 by European Association for Cardio-thoracic Surgery

ARTICLES

Demographic changes in coronary artery bypass surgery and its effect on mortality and morbidity

AJ Acinapura, IJ Jacobowitz, MD Kramer, MS Adkins, Z Zisbrod and JN Cunningham Jr
Department of Cardiovascular and Thoracic Surgery, St. Vincent's Hospital, Brooklyn, NY.

Over the past 4-5 years, possibly with the advent of percutaneous transluminal coronary angioplasty (PTCA), there has been a changing patient population for coronary artery bypass surgery (CABS) with a gradual increase in the operative mortality. In an attempt to analyze the changing demographics in patients undergoing CABS and its effect on operative mortality, we analyzed data from 5536 consecutive patients undergoing isolated CABS. There was 4151 patients less than 70 years of age and 1385 patients greater than 70 years. Reoperative CABS procedures were performed in 385 patients, and CABS for post infarction unstable angina pectoris was performed in 578 patients. During the same time period, 2910 patients underwent PTCA. The mean age of bypass patients was 68.5 years with 38% being 70 years or older. The left ventricular ejection fraction in patients undergoing CABS averaged 38%. The average number of bypasses performed was 3.1. In comparison, patients presenting for PTCA were younger (average age 55), had normal ejection fractions (average 55%) and were predominantly treated for single or double vessel disease. The hospital mortality for elective CABS in patients less than 70 years of age was 1.8%, for reoperative CABS 3.6%, for post infarction unstable angina pectoris 4%, and for patients greater than 70 years 8%, for a combined operative mortality of 4.8%. These data suggest that because of the increasing number of elderly patients (greater than 70 years of age), and the increasing number of reoperative CABS cases and acute myocardial infarction patients with unstable angina pectoris presenting for CABS, the operative mortality will continue to rise.

This article has been cited by other articles:

				R. Motallebzadeh, J. M. Bland, H. S. Markus, J. C. Kaski, and M. Jahangiri Health-Related Quality of Life Outcome After On-Pump Versus Off-Pump Coronary Artery Bypass Graft Surgery: A Prospective Randomized Study Ann. Thorac. Surg., August 1, 2006; 82(2): 615 - 619. [Abstract] [Full Text] [PDF]

				O. Jarvinen, J. Julkunen, T. Saarinen, J. Laurikka, and M. R. Tarkka Effect of Diabetes on Outcome and Changes in Quality of Life After Coronary Artery Bypass Grafting Ann. Thorac. Surg., March 1, 2005; 79(3): 819 - 824. [Abstract] [Full Text] [PDF]

				O. Jarvinen, J. Julkunen, T. Saarinen, J. Laurikka, H. Huhtala, and M. R. Tarkka Perioperative myocardial infarction has negative impact on health-related quality of life following coronary artery bypass graft surgery Eur. J. Cardiothorac. Surg., September 1, 2004; 26(3): 621 - 627. [Abstract] [Full Text] [PDF]

				O. Jarvinen, T. Saarinen, J. Julkunen, H. Huhtala, and M. R. Tarkka Changes in health-related quality of life and functional capacity following coronary artery bypass graft surgery Eur. J. Cardiothorac. Surg., November 1, 2003; 24(5): 750 - 756. [Abstract] [Full Text] [PDF]

				K. A. Eagle, R. A. Guyton, R. Davidoff, G. A. Ewy, J. Fonger, T. J. Gardner, J. P. Gott, H. C. Herrmann, R. A. Marlow, W. C. Nugent, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: A report of the American College of Cardiology/ American Heart Association task force on Practice Guidelines (Committee to revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery) J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1262 - 1347. [Full Text] [PDF]