Long-term mortality in patients with coronary heart disease after surgical revascularization and percutaneous coronary intervention
Introduction. Numerous randomized trials have compared success of surgical myocardial revascularization (CABG) and percutaneous coronary intervention (PCI) in the treatment of coronary artery disease. Large clinical registries published that compared to percutaneous intervention, coronary surgery is...
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Veröffentlicht in: | Opsta medicina 2014, Vol.20 (3-4), p.88-97 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Introduction. Numerous randomized trials have compared success of surgical myocardial revascularization (CABG) and percutaneous coronary intervention (PCI) in the treatment of coronary artery disease. Large clinical registries published that compared to percutaneous intervention, coronary surgery is still associated with better long-term survival. Objective. The aim was to examine the overall and cardiac mortality after coronary artery bypass graft and percutaneous coronary intervention and examine the validity of non-randomized studies in the evaluation of their successes. Method. The study included 186 patients with coronary artery disease (57.2 ± 7.5 years), 93 (50%) with CABG (57.9 ± 9.0 years) and 93 (50%) with PCI (56.3 ± 5.0) (p>0.05). From the total number of patients was isolated a subgroup of 109 patients who had intervention more than five years ago, 62 (56.9%) of them with CABG and 47 (43.1%) with PCI. We assessed the overall and cardiac mortality in patients with CABG and PCI. Start of the follow-up was the date of myocardial revascularization. Patients with CABG were followed 84.4 ± 64.4 months, and those with PCI 65.7 ± 49.4 months (p |
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ISSN: | 0354-7132 2217-3994 |
DOI: | 10.5937/opmed1404088M |