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[Unstable angina pectoris from surgical view (author's transl)]
Herz
|February 1, 1978
Summary
Unstable angina pectoris patients treated with combined medical and surgical therapy showed significant pain relief and improved graft patency. Elective procedures are recommended over emergency interventions for better outcomes.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Cardiac Medicine
Context:
- Unstable angina pectoris (UAP) management presents unique challenges.
- A significant percentage of UAP patients have complex coronary artery disease.
- Combined medical and surgical approaches are considered for UAP.
Purpose:
- To evaluate the efficacy of a combined medical and surgical treatment strategy for unstable angina pectoris.
- To assess clinical outcomes, graft patency, and mortality rates in UAP patients.
Summary:
- 37 UAP patients received combined therapy, with 86% having multi-vessel disease.
- Medical treatment achieved pain relief in most patients; surgical revascularization involved 67 vein bypasses.
- Hospital mortality was 2.7%, late mortality 2.8%, with 84% of patients pain-free and improved post-operatively.
Impact:
- Combined therapy led to significant clinical improvement and return to work for many UAP patients.
- High graft patency (84%) was observed, indicating long-term effectiveness of surgical intervention.
- Findings support elective surgical treatment for UAP, showing comparable outcomes to stable angina.