Results of conservative treatment of angina pectoris in candidates for aortocoronary saphenous vein bypass

L L Basta; J M Kioschos; F M Abboud

doi:10.1136/hrt.35.5.531

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Results of conservative treatment of angina pectoris in candidates for aortocoronary saphenous vein bypass

Journal article

Open access

Results of conservative treatment of angina pectoris in candidates for aortocoronary saphenous vein bypass

L L Basta, J M Kioschos and F M Abboud

British heart journal, Vol.35(5), pp.531-537

05/1973

DOI: 10.1136/hrt.35.5.531

PMCID: PMC458650

PMID: 4541444

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Abstract

The results of conservative treatment of 30 patients with symptomatic coronary disease who would have been genuine candidates for aortocoronary saphenous vein bypass graft surgery are reported. These patients had severe angina and at least 75 per cent occlusion of one or more coronary arteries associated with good distal run-off (diameter 2 mm or more distal to the obstruction) and adequate myocardial function. The patients were followed for a period of i to 5 years. Six patients had single vessel disease, 5 of whom improved and I deteriorated. Twelve patients had two vessel disease: 6 improved, 4 remained the same, I deteriorated, and died. Twelve patients had three-vessel disease and none improved: 5 of them died, 4 deteriorated, and 3 remained the same. Electrocardiographic findings correlated with the clinical course in patients with two-vessel disease; thus, 5 of the 6 patients who did not improve had electrocardiographic abnormalities at rest or after Master's exercise test, whereas 4 of the 6 patients who improved had normal resting and post-exercise electrocardiograms, and in one of the other cases the electrocardiogram became norrnal at follow-up. It is suggested that many patients with single-vessel disease or two-vessel disease and normal electrocardiograms and who are currently considered for saphenous vein bypass surgery may have a favourable clinical course if treated conservatively.

Follow-Up Studies

Angina Pectoris - mortality

Saphenous Vein - transplantation

Angina Pectoris - diagnosis

Humans

Middle Aged

Propranolol - therapeutic use

Angina Pectoris - drug therapy

Male

Transplantation, Autologous

Angina Pectoris - therapy

Exercise Test

Angina Pectoris - surgery

Coronary Artery Bypass

Electrocardiography

Adult

Female

Aged

Isosorbide Dinitrate - therapeutic use

Details

Title: Subtitle: Results of conservative treatment of angina pectoris in candidates for aortocoronary saphenous vein bypass
Creators: L L Basta
J M Kioschos
F M Abboud
Resource Type: Journal article
Publication Details: British heart journal, Vol.35(5), pp.531-537
Publisher: England
DOI: 10.1136/hrt.35.5.531
PMID: 4541444
PMCID: PMC458650
ISSN: 0007-0769
eISSN: 2053-5864
Language: English
Date published: 05/1973
Academic Unit: Molecular Physiology and Biophysics; Cardiovascular Medicine; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
Record Identifier: 9984025327302771

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