Survival of patients with mild angina or myocardial infarction without angina: a comparison of medical and surgical treatment

• Published in: British Heart Journal Vol. 59; no. 6; pp. 641 - 647
• Main Authors: Proudfit, W L, Kramer, J R, Goormastic, M, Loop, F D
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and British Cardiovascular Society 01.06.1988; BMJ; BMJ Publishing Group LTD
• Subjects: Adult; Aged; Angina Pectoris - mortality; Angina Pectoris - surgery; Angina Pectoris - therapy; Biological and medical sciences; Cardiology. Vascular system; Coronary Artery Bypass; Coronary heart disease; Female; Follow-Up Studies; Heart; Humans; Male; Medical sciences; Middle Aged; Myocardial Infarction - mortality; Myocardial Infarction - surgery; Myocardial Infarction - therapy; Human; Chemotherapy; Infarct; Surgery; Myocardium; Cardiovascular disease; Angina pectoris; Coronary heart disease; Survival; Comparative study
• ISSN: 0007-0769; 1468-201X; 2053-5864
• DOI: 10.1136/hrt.59.6.641

A group of 390 patients with mild angina pectoris or myocardial infarction without subsequent angina had early coronary bypass operation. Five year survival was significantly higher (95.4%) than in a similarly selected medically treated group (88.5%) reported before. One death occurred in the 30 day postoperative period. Five year survival in the 179 patients who had internal mammary artery grafts was 98.9%. Survival for patients with mild angina and satisfactory left ventricular function (96.2%) was significantly higher than in the medical subset (91.3%). In the patient population studied, five year survival was higher in patients who had early bypass operations than in those who did not.