[Care of patients following coronary bypass surgery from the internist's viewpoint].
Follow-up of bypass patients in the early postoperative phase involves the management of complications such as perioperative myocardial infarction, postoperative arrhythmias, pericarditis, postcardiotomy-syndrome, fever, infection and chest pain. The longterm management has to focus on changes in lifestyle with particular regard to risk factors for coronary atherosclerosis. Diagnostic tools for work-up of postoperative chest pain include stress testing and radionuclide techniques; ultrafast computerized tomography is superior in the evaluation of bypass function to cine-NMR. Conventional angiography is still the only method to reliably visualize graft patency and anastomotic sites. Indications for reoperations can be well defined.
Pachinger
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II. Internen Abteilung, Kardiologie, A.ö. Krankenhauses Wels.
D001145:Arrhythmias, Cardiac / Q000628:therapy; D002309:Cardiology; D002637:Chest Pain / Q000628:therapy; D001026:Coronary Artery Bypass; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy; D010493:Pericarditis / Q000628:therapy; D011182:Postoperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000628:therapy*
Betreuung von Patienten nach koronarer Bypassoperation aus internistischer Sicht.