Cause of death during 13 years after coronary artery bypass grafting with emphasis on cardiac death

• Published in: International journal of food sciences and nutrition Vol. 38; no. 5; pp. 283 - 286
• Main Authors: Herlitz, Johan, Brandrup-Wognsen, Gunnar, Caidahl, Kenneth, Haglid-Evander, Maria, Hartford, Marianne, Karlson, Björn W., Karlsson, Thomas, Sjöland, Helén
• Format: Journal Article
• Language: English
• Published: England Informa UK Ltd 2004; Taylor & Francis
• Subjects: Aged; Cause of Death; Coronary Arteriosclerosis/mortality; Coronary Artery Bypass - mortality; Coronary artery bypass grafting; Coronary Artery Disease - mortality; Female; Humans; Male; MEDICAL AND HEALTH SCIENCES; MEDICIN OCH HÄLSOVETENSKAP; Middle Aged; Prospective Studies; Risk Factors; Sweden - epidemiology; Time Factors; Sweden
• ISSN: 0963-7486; 1401-7431; 1651-2006; 1465-3478; 1651-2006
• DOI: 10.1080/14017430410021615

Objective-To describe the cause of death in the long term after coronary artery bypass grafting (CABG) with particular emphasis on cardiac death. Patients and setting-All the patients in western Sweden without simultaneous valve surgery and without previous CABG who underwent CABG in 1988-1991 in Göteborg, Sweden. Design-Prospective, observational study for 10.6-13.6 years (i.e. until the end of 2001). Various factors contributing to death were described, with the emphasis on cardiac death. Results-In all, 2000 patients were included in the survey. The all-cause mortality rate was 39%. Fifty-eight per cent of all deaths were judged as cardiac deaths. The most frequent cause of death was heart failure (65% among patients who died within 30 days after CABG and 36% among those who died >30 days after CABG). The second most common cause of death was myocardial infarction (56 and 29%, respectively), followed by cancer (0 and 24%, respectively), stroke (21 and 18%, respectively) and infection (8 and 11%, respectively). Conclusion-The factors most commonly contributing to death in the long term after CABG were, in order of frequency, heart failure, myocardial infarction, cancer, stroke and infection.