[The effects of coronary artery bypass grafting in men under the age of 45].
In Poland young and middle-aged men are a population at risk of premature development of ischemic heart disease (IHD). This prospective study was designed in order to estimate the effects of coronary artery bypass grafting (CABG) on survival and quality of life in this population. 60 men aged (mean&SD) 41 +/- 3.2 years, operated on in 1993 at the Department of Cardiosurgery, Medical University of Lódź, were enrolled into the study. The study protocol included two postoperative follow-up examinations: after 2 and 5 years. A perioperative mortality rate was 3.3%, 2-years survival rate 92% and 5-years one 87%. Asymptomatic survival rates were 75% et 44%, respectively. During the first follow-up examination a significant improvement of exercise performance compared with preoperative period, was observed. However, at the same time there was no improvement in left ventricular function, measured as its ejection fraction in echocardiography. The effects of CABG procedure on risk factors control, medical treatment and professional activity were also analysed. The long-term results of CABG operations in young men, as far as survival rates are concerned, are good. However, the longer follow-up period was analysed the less beneficial influence of the operations on patients' clinical state and quality of life was observed.
Jander
S
S
Kliniki Kardiochirurgii Instytutu Kardiologii Akademii Medycznej w Lodzi.
Jaszewski
R
R
Zasłonka
J
J
Iwaszkiewicz
A
A
D000328:Adult; D000367:Age Factors; D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D016896:Treatment Outcome