Comparison of Long-term Efficacy of Medical Treatment versus Coronary Artery Bypass Grafting (CABG) in Multivessel Coronary Artery Disease
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概要
- 論文の詳細を見る
The longterm results of medical therapy and coronary artery bypass grafting (CABG) were compared in patients with multivessel disease. All patients were confirmed to have≥75% luminal narrowing of major coronary arteries by coronary arteriogram. When multivessel disease was stratified into double and triple vessel disease, the outcomes varied. In triplevessel disease, the outcome with CABG was good, but the outcome was unfavorable in those employing medical therapy, particularly in patients with decreased left ventricular (LV) function. In patients with doublevessel disease with good LV function, the longterm results with medical therapy were just as favorable as those with CABG. However, doublevessel disease complicated by reduced LV function (ejection fraction≤40%) had a clearly less favorable outcome when treated with medical therapy than with CABG. Thus, it is important for patients with multivessel disease to undergo revascularization if indicated, to improve their prognosis. On the other hand, the incidence of cardiac events arising from vein graft occlusions tended to increase in CABG patients after 5 years or more following surgery.
著者
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Ishiwata Sugao
Cardiovascular Center Toranomon Hospital
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Iwase Takashi
Cardiovascular Center Toranomon Hospital
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Makuuchi Haruo
Cardiology And Cardiovacular Surgery Yokohama Rosai Hospital
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YANAGISHITA Yoshiki
Cardiovacular Center,Toranomon Hospital
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SEKI Akira
Cardiovacular Center,Toranomon Hospital
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Komiyama Nobuyuki
Cardiovascular Center, Division of Cardiology, Toranomon Hospital
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Komiyama Nobuyuki
Cardiovascular Center Toranomon Hospital
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Nakanishi Shigemoto
Cardiovascular Center Division Of Surgery And Cardiology Department Of Diagnostic Radiology Toranomo
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Naruse Yoshihiro
Cardiovascular Center Toranomon Hospital
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Nishiyama Shinichiro
Cardiology And Cardiovacular Surgery Yokohama Rosai Hospital
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KOBAYASHI Toshiya
Cardiovascular Center, Division of Cardiology, Toranomon Hospital
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YANAGISHITA Yoshiki
Cardiovascular Center, Division of Cardiology, Toranomon Hospital
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NAKANISHI Shigemoto
Cardiovascular Center, Division of Cardiology, Toranomon Hospital
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ISHIWATA Sugao
Cardiovascular Center, Division of Cardiology, Toranomon Hospital
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MAKUUCHI Haruo
Cardiovascular Center, Division of Cardiology, Toranomon Hospital
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NARUSE Yoshihiro
Cardiovascular Center, Division of Cardiology, Toranomon Hospital
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