[Comparative efficacy of conservative and surgical treatment of ischemic heart disease in long-term prospective follow-up studies].
The author presents comparative results of conservative and surgical (coronary artery bypass) treatment of 125 men (mean age 52.3 +/- 6.1 years) with ischemic heart disease (IHD). Though all the patients have indications for surgical treatment, 47 (37.6%) of them rejected surgery. They comprised a group of conservative treatment (CT) vs a group of surgical treatment (coronary artery bypass) consisting of 78 (62.4%) patients. The groups were matched by age, IHD severity, coronary affection and concomitant diseases. A 5-year follow-up revealed a marked difference between the groups: left ventricular function has improved significantly in the operated patients. In CT group 5-year survival reached 89.4%, in operated patients it was 94.9%. Thus, direct revascularization of the myocardium improves quality of life in more than in half of the operated patients who were able to resume their jobs.
Chernov
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D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D005080:Exercise Test; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D011446:Prospective Studies; D014665:Vasodilator Agents / Q000627:therapeutic use*
D014665:Vasodilator Agents