Current Status and Problems in Long-term Management of Patients Undergoing Coronary Artery Bypass Surgey in Japan
スポンサーリンク
概要
- 論文の詳細を見る
We studied 272 patients undergoing coronary artery bypass surgery (CABS) to clarify the long-term effects of CABS and to identify problems in long term management. Data on patients' pre and postoperative medical status were obtained from hospital files. A specially designed questionnaire was sent to all patients to assess residual angina, return to work, non-work physical activity and improvement in the quality of life after a mean follow-up of 29 months. Multivessel disease accounted for 89% of all patients and complete revascularization was achieved in 55%. A total of 131 events of complications associated with CABS occurred in 112 patients ; post-transfusion hepatitis was the most frequent complication (26%). Graft patency rate was 89% at the time of hospital discharge. Bypass grafts were patent in 95% of 243 grafts which were restudied at a mean period of 19 months after the first study. There was no significant difference in the patency rate between patients with well controlled, poorly controlled or discontinued anticoagulant therapy. Patients who were relieved from angina, returned to gainful work and had no limitation in non-work physical activity accounted for 74%, 79% and 73%, respectively. By subjective assessment, the quality of life improved in 76% of all patients. Objectively, contributing factors preventing improvement in the life quality were residual angina and post-transfusion hepatitis. There were 13 patients who were readmitted because of cardiac events. Three patients died from these events including two from sudden death during follow-up. We conclude that the beneficial effects of CABS are actually attainable. New approaches shoud be considered for increasing graft patency rate to an angina-producing artery and in preventing post-transfusion hepatitis. In this study, the benefits of the long-term use of anticoagulant therapy is questionable.
- 社団法人日本循環器学会の論文
- 1986-09-20
著者
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Fujuta Tsuyoshi
Department Of Cardiovascular Surgery National Cardiovascular Center
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Fujita Tsuyoshi
Department Of Cardiology Tokyo Women's Medical Univercity
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Saito Muneyasu
The Heart Institute Of Japan Tokyo Women's Medical University
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Kito Yoshitsugu
Department of Cardiovascular Surgery National Cardiovascular Center
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Ohara Kuniyoshi
Department of Thoracic and Cardiovascular Surgery, Kitasato University School of Medicine
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Fujita Tsuyoshi
Department Of Cardiovascular Surgery National Cardiovascular Center
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Fujita Tsuyoshi
Dept. Of Surgery National Cardiovascular Center
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Ohara Kuniyoshi
Department Of Thoracic And Cardiovascular Surgery Kitasato University School Of Medicine
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Ohara Kuniyoshi
北里大学 医学部胸部外科学
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Ohara Kuniyoshi
北里大学 胸部心臓血管外科
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Kito Y
National Cardiovascular Center
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Kito Yoshitsugu
Department Of Surgery University Of Mississippi Medical Center Jackson
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HAZE Kazuo
Cardiac Division, Department of Internal Medicine, National Cardiovascular Center
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HIRAMORI Katsuhiko
Cardiac Division, Department of Internal Medicine, National Cardiovascular Center
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SUMIYOSHI Tetsuya
Cardiac Division, Department of Internal Medicine, National Cardiovascular Center
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FUKAMI Kenichi
Cardiac Division, Department of Internal Medicine, National Cardiovascular Center
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SAITO Muneyasu
Cardiac Division, Department of Internal Medicine, National Cardiovascular Center
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Fukami Kenichi
Division Of Cardiology Iwate Medical College
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Tatsumi Fujio
Department Of Cardiorogy The Heart Institute Of Japan Tokyo Women's Medical University
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Katsube Yoshiki
The First Department of Medicine and the Department of Medical Information Science
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KITOH YOSHITSUGU
National Cardiovascular Center
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Fujita Tsuyoshi
The Department Of Cardiovascular Surgery National Cardibvascular Center
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Kajino Yasuhisa
Department Of Pediatrics Masuda Red Cross Hospital
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Hiramori Katsuhiko
Cardiac Division Department Of Internal Medicine National Cardiovascular Center
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Tatsumi Fujio
Department Of Cardiology Tokyo Women's Medical Univercity
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Fuiita Tsuyoshi
National Cardiovascular Center
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Fukami Kenichi
Iwate Medical University
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Ohara Kuniyoshi
Divisioh Of Cardiac Surgery National Cardiovascular Center
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Ohara Kuniyoshi
Department Of Cardiovascular Surgery Kitasato University School Of Medicine
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Kawashima Yasunaru
First Department Of Surgery And Department Of Physiological Chemistry Osaka University Medical Schoo
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Fujita Tsuyoshi
Department Of Cardiology The Heart Institute Of Japan Tokyo Women's Medical University
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Kobayashi Yasuhiko
Division Of Cardiovascular Surgery Osaka Minami National Hospital
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Fakami Kenichi
Cardiac Division Department Of Internal Medicine National Cardiovascular Center
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Fuiita Tsuyoshi
Department Of Cardiology Tokyo Women's Medical Univercity
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Fujita Tsuyoshi
Department Of Intensive Care Unit & Cardiovascular Surgery National Cardiovascular Center
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Oki Katsuyoshi
The Heart Instltute Japan Tokyo Women's Medical College
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Fujita Tsuyoshi
National Cardiovascular Center Department Of Cardiovascular Surgery.
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Haze Kazuo
Cardiac Division Department Of Internal Medicine National Cardiovascular Center
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Fujita Tsuyoshi
Divisioh Of Cardiac Surgery National Cardiovascular Center
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Fujita Tsuyoshi
Department Of Cardiac Surgery. National Cardiovascular Center Hospital
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