Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Unstable angina pectoris: management based on available information

R O Russell, C E Rackley, N T Kouchoukos

    Circulation
    |June 1, 1982
    PubMed
    Summary

    For unstable angina pectoris, neither medical nor surgical therapy alone consistently reduces mortality. Medical management may lead to more angina, while urgent surgery carries a higher risk of nonfatal myocardial infarction.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    A rational approach to wound difficulties after sternotomy: the problem.

    The Annals of thoracic surgery·2001
    Same author

    A rational approach to wound difficulties after sternotomy: reconstruction and long-term results.

    The Annals of thoracic surgery·2001
    Same author

    Safety and efficacy of hypothermic cardiopulmonary bypass and circulatory arrest for operations on the descending thoracic and thoracoabdominal aorta.

    The Annals of thoracic surgery·2001
    Same author

    Single-stage reoperative repair of chronic type A aortic dissection by means of the arch-first technique.

    The Journal of thoracic and cardiovascular surgery·2001
    Same author

    Sex differences in neurological outcomes and mortality after cardiac surgery: a society of thoracic surgery national database report.

    Circulation·2001
    Same author

    As originally published in 1994: dextrorphan inhibits the release of excitatory amino acids during spinal cord ischemia. Updated in 2001.

    The Annals of thoracic surgery·2001

    Area of Science:

    • Cardiology
    • Internal Medicine

    Background:

    • Unstable angina pectoris management remains a clinical challenge.
    • Optimal therapeutic strategies are debated, with no single approach proving uniformly superior for mortality.

    Purpose of the Study:

    • To evaluate the comparative effectiveness of medical versus surgical management for unstable angina pectoris.
    • To inform current clinical practice guidelines for unstable angina treatment.

    Main Methods:

    • Review of prospective randomized studies comparing medical and surgical interventions.
    • Analysis of mortality, angina incidence, and myocardial infarction rates.

    Main Results:

    • No significant difference in mortality between medical and surgical management was observed.

    Related Experiment Videos

  • Medical management was associated with a higher incidence of angina pectoris.
  • Urgent surgery in earlier studies indicated a higher rate of nonfatal myocardial infarction.

    • Conclusions:

    • Current management involves intensive medical therapy and early coronary arteriography.
    • Coronary artery bypass graft surgery is recommended for left main or three-vessel disease within weeks.
    • Medical management is advised for other cases, with elective surgery considered for persistent symptoms.