Trends in two year risk of repeat revascularisation or death from cardiovascular disease after coronary artery bypass grafting or percutaneous coronary intervention in Western Australia, 1980–2001
Aims: To investigate whether, over the 21 year period 1980–2001, there had been a reduction in the risk of repeat revascularisation or death from cardiovascular disease in the cohort of all patients who were treated by coronary revascularisation in Western Australia. Setting: State of Western Austra...
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Published in | Heart (British Cardiac Society) Vol. 90; no. 9; pp. 1042 - 1046 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
London
BMJ Publishing Group Ltd and British Cardiovascular Society
01.09.2004
BMJ BMJ Publishing Group LTD Copyright 2004 by Heart |
Subjects | |
Online Access | Get full text |
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Summary: | Aims: To investigate whether, over the 21 year period 1980–2001, there had been a reduction in the risk of repeat revascularisation or death from cardiovascular disease in the cohort of all patients who were treated by coronary revascularisation in Western Australia. Setting: State of Western Australia. Patients: All patients treated by coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) between 1980 and 2001. Design: Cohort study. Main outcome measures: Risk of repeat coronary artery revascularisation procedures (CARP) and risk of death from cardiovascular disease after first CARP. Results: After a CABG procedure, the two year risk of repeat revascularisation remained low (less than 2%) across the period 1980–2001. For PCI, however, this risk declined significantly from 33.6% in 1985–9 to 12.4% in 2000–1. The risk of death from cardiovascular disease after a CARP declined by about 50% between 1985 and 2001. Conclusions: Outcomes such as the risk of repeat revascularisation and the risk of death from cardiovascular disease have improved significantly for patients who underwent CARPs across the period 1980–2001. This has occurred despite an increasing trend in first CARP rates among older people and those with a recent history of myocardial infarction. |
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Bibliography: | PMID:15310696 Correspondence to: A/Prof M S T Hobbs School of Population Health, University of Western Australia, 35 Stirling Hwy, Crawley 6009, Western Australia, Australia; mikeh@sph.uwa.edu.au ark:/67375/NVC-1MKLKQC8-6 istex:6403979334DC7F2694BEE94F83B6A235EFD9C26B local:0901042 href:heartjnl-90-1042.pdf ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Correspondence to: A/Prof M S T Hobbs School of Population Health, University of Western Australia, 35 Stirling Hwy, Crawley 6009, Western Australia, Australia; mikeh@sph.uwa.edu.au |
ISSN: | 1355-6037 1468-201X |
DOI: | 10.1136/hrt.2003.022178 |