Acute coronary insufficiency an urgent surgical condition

R. M. Lawson, R. Chapman, J. Wood, Albert Starr

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

In 4I of 220 consecutive patients who had a coronary artery bypass operation between July 1973 and March 1974 the operation was for acute coronary insufficiency (recurrent chest pain with transient electrocardiographic changes persisting after admission to hospital). Their mean age was 54 (range 33-70 years). Eleven patients had had angina before, i4 had had at least one myocardial infarction, and I6 presented de novo. Eight of the latter i6 patients required only a single graft, usually to the left anterior descending artery, a significantly greater number than the two of the other 25 patients (P<o.oi). Fourteen of these I6 patients had normal ventricular contraction, a significantly higherproportion than the 13 of the remaining 25 (P<o.o5). No collaterals were seen in any of the Io with single-vessel disease, which was significantlyfewer than five out of I8 with double- and nine out of I3 with triple-vessel disease (P <o.oo5). Patients with rapidly developing obstruction, especially in the proximal left anterior descending artery, may not have time to develop collaterals, present acutely with good ventricular function, and may be particularly at risk. There was no operative mortality. Three patients had a perioperative myocardial infarction, and there was one late death. At follow-up averaging 9.7 months (range 5-14 months) 32 (80%) patients were angina-free, no myocardial infarctions had occurred, and 85% were fully employed. Urgent coronary artery bypass grafting is a safe and effective treatmentfor acute coronary insufficiency.

Original languageEnglish (US)
Pages (from-to)1053-1058
Number of pages6
JournalHeart
Volume37
Issue number10
DOIs
StatePublished - 1975
Externally publishedYes

Fingerprint

Myocardial Infarction
Coronary Artery Bypass
Arteries
Ventricular Function
Chest Pain
Transplants
Mortality

ASJC Scopus subject areas

  • Gastroenterology
  • Cardiology and Cardiovascular Medicine

Cite this

Lawson, R. M., Chapman, R., Wood, J., & Starr, A. (1975). Acute coronary insufficiency an urgent surgical condition. Heart, 37(10), 1053-1058. https://doi.org/10.1136/hrt.37.10.1053

Acute coronary insufficiency an urgent surgical condition. / Lawson, R. M.; Chapman, R.; Wood, J.; Starr, Albert.

In: Heart, Vol. 37, No. 10, 1975, p. 1053-1058.

Research output: Contribution to journalArticle

Lawson, RM, Chapman, R, Wood, J & Starr, A 1975, 'Acute coronary insufficiency an urgent surgical condition', Heart, vol. 37, no. 10, pp. 1053-1058. https://doi.org/10.1136/hrt.37.10.1053
Lawson, R. M. ; Chapman, R. ; Wood, J. ; Starr, Albert. / Acute coronary insufficiency an urgent surgical condition. In: Heart. 1975 ; Vol. 37, No. 10. pp. 1053-1058.
@article{b668cab9eecd4502abc71db6984513b6,
title = "Acute coronary insufficiency an urgent surgical condition",
abstract = "In 4I of 220 consecutive patients who had a coronary artery bypass operation between July 1973 and March 1974 the operation was for acute coronary insufficiency (recurrent chest pain with transient electrocardiographic changes persisting after admission to hospital). Their mean age was 54 (range 33-70 years). Eleven patients had had angina before, i4 had had at least one myocardial infarction, and I6 presented de novo. Eight of the latter i6 patients required only a single graft, usually to the left anterior descending artery, a significantly greater number than the two of the other 25 patients (P",
author = "Lawson, {R. M.} and R. Chapman and J. Wood and Albert Starr",
year = "1975",
doi = "10.1136/hrt.37.10.1053",
language = "English (US)",
volume = "37",
pages = "1053--1058",
journal = "Heart",
issn = "1355-6037",
publisher = "BMJ Publishing Group",
number = "10",

}

TY - JOUR

T1 - Acute coronary insufficiency an urgent surgical condition

AU - Lawson, R. M.

AU - Chapman, R.

AU - Wood, J.

AU - Starr, Albert

PY - 1975

Y1 - 1975

N2 - In 4I of 220 consecutive patients who had a coronary artery bypass operation between July 1973 and March 1974 the operation was for acute coronary insufficiency (recurrent chest pain with transient electrocardiographic changes persisting after admission to hospital). Their mean age was 54 (range 33-70 years). Eleven patients had had angina before, i4 had had at least one myocardial infarction, and I6 presented de novo. Eight of the latter i6 patients required only a single graft, usually to the left anterior descending artery, a significantly greater number than the two of the other 25 patients (P

AB - In 4I of 220 consecutive patients who had a coronary artery bypass operation between July 1973 and March 1974 the operation was for acute coronary insufficiency (recurrent chest pain with transient electrocardiographic changes persisting after admission to hospital). Their mean age was 54 (range 33-70 years). Eleven patients had had angina before, i4 had had at least one myocardial infarction, and I6 presented de novo. Eight of the latter i6 patients required only a single graft, usually to the left anterior descending artery, a significantly greater number than the two of the other 25 patients (P

UR - http://www.scopus.com/inward/record.url?scp=0016811560&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0016811560&partnerID=8YFLogxK

U2 - 10.1136/hrt.37.10.1053

DO - 10.1136/hrt.37.10.1053

M3 - Article

VL - 37

SP - 1053

EP - 1058

JO - Heart

JF - Heart

SN - 1355-6037

IS - 10

ER -