Ten year follow up of patients referred for coronary artery bypass grafting from a single district general hospital

• Published in: Heart (British Cardiac Society) Vol. 78; no. 6; pp. 584 - 586
• Main Authors: Bathgate, A J, Irving, J B
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and British Cardiovascular Society 01-12-1997; BMJ; BMJ Publishing Group LTD
• Subjects: Adult; Age; Aged; Angina pectoris; Angina Pectoris - etiology; Angina Pectoris - surgery; audit; Biological and medical sciences; Cardiovascular disease; Cholesterol; Coronary Artery Bypass; coronary artery bypass surgery; Coronary Disease - complications; Coronary Disease - mortality; Coronary Disease - surgery; Coronary vessels; Exercise Tolerance; Female; Follow-Up Studies; Heart attacks; Heart rate; Hospitals; Hospitals, District; Hospitals, General; Humans; Male; Medical imaging; Medical prognosis; Medical sciences; Middle Aged; Mortality; Multiple myeloma; repeat procedure; Retrospective Studies; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; survival; Treatment Outcome; Human; Relapse; Prognosis; Aortocoronary; Bypass; Follow up study; Surgery; Cardiovascular disease; Graft; Coronary heart disease; Long term; Survival
• ISSN: 1355-6037; 1468-201X
• DOI: 10.1136/hrt.78.6.584

Objective To determine the status of patients 10 years after referral for coronary artery bypass graft (CABG) surgery. Design Retrospective analysis of case notes from all patients referred between 1 April 1981 and 31 March 1985. Full information gathered from hospital notes, GP records, and Registrar General for Scotland. Setting District General Hospital, West Lothian, Scotland. Patients 102 patients referred for CABG during study period. Cardiac surgery was undertaken in Brompton Hospital, London, Royal Infirmary, Edinburgh, and Western Infirmary, Glasgow. Results At 10 years after operation 32 patients had died (27 cardiac, five non-cardiac causes). Full data were not available for five patients. Of the 65 remaining patients 24 had no angina, 13 had had a repeat procedure (CABG or angioplasty), and 28 had angina. Conclusions Long term benefits of CABG surgery is disappointing. Further steps are required to reduce progression of disease in this population.