title: Surgical management for acute coronary insufficiency with three year's follow-up.
abstract: In this report, acute coronary sufficiency is defined as unstable angina requiring narcotics for relief and an unstable electrocardiogram with or without transient mild enzyme elevations. Forty-five consecutive patients with this syndrome underwent coronary artery grafting with the saphenous vein within 48 hours of the onset of symptoms. They were followed for 3 years. There was an 8.8 per cent operative mortality rate. One long-term survivor sustained a fatal myocardial infarction 18 months postoperatively. One nonfatal myocardial infarction occurred 6 weeks postoperatively. Therefore, the 3 year cumulative mortality rate was 11 per cent and the 3 year myocardial infarction rate was 4 per cent. Thirty-eight patients are in Class I clinical status, 1 is in Class II, and 1 is in Class III.
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000601:surgery; D001158:Arteries; D003237:Connecticut; D003327:Coronary Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology / Q000401:mortality; D012501:Saphenous Vein / Q000637:transplantation; D014182:Transplantation, Autologous