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PubMed · 303324

Coronary artery surgery.

A W Gale·M X Shanahan·V P Chang·H M Windsor
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Abstract

This paper assesses the results in 543 patients undergoing coronary artery surgery between 1969 and March, 1976. Indications included angina, acute infarction and ventricular arrhythmia, and there were some angina-free patients. Surgical techniques were constantly reviewed and frequently changed. The mortality in all groups was 4.2%. The mortality in chronic stable angina (424 cases) was 3%, but as from January, 1975, it has been 2%. The perioperative infarction rate in all groups was 10.7%, and this condition was the most significant cause of perioperative mortality. Modern principles of myocardial protection during surgery have helped to lower mortality and morbidity rates.

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Coronary Artery BypassCoronary DiseaseEndarterectomyFemaleFollow-Up StudiesHumansMaleMiddle AgedMyocardial InfarctionMyocardial RevascularizationPostoperative ComplicationsJournal Article

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A W Gale, M X Shanahan, V P Chang, H M Windsor. 1977-08-27. Coronary artery surgery.. https://pubmed.ncbi.nlm.nih.gov/303324/

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PubMed2007

Invited commentary.

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Coronary Artery Bypass↗
PubMed2007

Current trends in coronary artery disease in women.

PURPOSE OF REVIEW: There are some striking sex differences regarding presentation, symptoms and sign, diagnosis, and treatment of coronary artery disease. Historically, healthcare delivery to women has been plagued with treatment bias favoring men. This review will present relevant cardiovascular physiologic sex differences, current treatment options for coronary artery disease both surgical and medical, and clinical outcomes of such treatments. RECENT FINDINGS: In the past, pharmacologic and interventional studies generally excluded women from their subjects. As a result, women have been traditionally treated based on the findings in their male counterparts. Recent studies examining sex differences in the treatment of coronary artery disease have given new insight into the hormonal and behavioral influences associated with coronary artery disease. Finally, these studies have drawn attention to possibly inadvertent discrepancies in the way men and women are treated for coronary artery disease. SUMMARY: Despite significant advances in medical and surgical approaches to treat coronary artery disease, it remains and will continue to be the most important healthcare challenge of the 21st century. Whereas efforts are underway to encourage inclusion of more women in therapeutic trials, the educational process, particularly in medical school, needs to broadly address sex specific pathophysiology and treatment, rather than relying on sub-subspecialty training for optimizing healthcare delivery in women.

Coronary Artery Bypass↗