Ten-year survival after coronary bypass surgery for unstable angina.
Ten-year survival after coronary bypass surgery for unstable angina.
复制标题
不稳定心绞痛冠状动脉搭桥手术后十年生存率。
DOI：
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发表时间：
1983
影响因子：
158.5
通讯作者：
A. Starr
中科院分区：
文献类型：
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作者：
S. Rahimtoola;D. Nunley;G. Grunkemeier;Joseph Tepley;L. Lambert;A. Starr
我们评估了1970年至1982年1282例不稳定型心绞痛患者行冠状动脉搭桥术的长期结果。手术死亡率为1.8%，前4年为2.5%，后8年半为1.7%。在整个群体中，分别为92 +/-1%和83 +/-2%。对于左心室功能“正常”的患者，它们分别为92 +/-2%和86 +/-3%，对于左心室功能“异常”的患者，它们分别为91 +/-2%和79 +/-4%（P = 0.14）。不稳定型心绞痛患者的三个临床亚组--静息心绞痛、急性心肌梗死恢复后心绞痛和近期发作的进展性心绞痛，其长期生存率无显著差异（P = 0.49）。5年和10年的再手术率分别为6 +/- %和17 +/-3%，目前，61%的幸存者没有心绞痛; 20%的人在剧烈运动时发生心绞痛，14%的人在普通运动时发生心绞痛，我们的结论是，冠状动脉搭桥手术是一种有效的治疗形式（长达10年）的不稳定型心绞痛患者。
We have assessed the long-term results of coronary bypass surgery performed for unstable angina in 1282 patients from 1970 to 1982. The operative mortality was 1.8 per cent; in the first 4 years it was 2.5 per cent, and in the last 8 1/2 years it was 1.7 per cent. Using actuarial techniques, we determined that the 5-year and 10-year survival rates (mean +/- S.E.) were 92 +/- 1 per cent and 83 +/- 2 per cent, respectively, for the whole group. For patients with "normal" left ventricular function, they were 92 +/- 2 per cent and 86 +/- 3 per cent, and for patients with "abnormal" left ventricular function 91 +/- 2 per cent and 79 +/- 4 per cent (P = 0.14). No significant differences were observed in the long-term survival for any of the three clinical subgroups of patients with unstable angina--angina at rest, angina after recovery from acute myocardial infarction, and progressive angina of recent onset (P = 0.49). The reoperation rates at 5 and 10 years were 6 +/- per cent and 17 +/- 3 per cent. Currently, 61 per cent of the survivors have no angina; angina occurs on severe exertion in 20 per cent, on ordinary exertion in 14 per cent, and on mild exertion in 5 per cent. We conclude that coronary bypass surgery is an effective form of therapy (for up to 10 years) in patients with unstable angina.
DOI：
10.1056/nejm198111053051901
发表时间：
1981
期刊：
The New England journal of medicine
影响因子：
--
作者：
Schuster,EH;Bulkley,BH
通讯作者：
Bulkley,BH