title: A Turkish perspective on coronary artery bypass surgery and percutaneous coronary artery intervention in chronic heart failure patients.
abstract: The impact of coronary revascularization methods (coronary artery bypass graft [CABG] surgery and stent implantation) on clinical outcome has not been determined yet in patients with systolic heart failure (SHF). We examined outcomes in patients discharged from our hospital after hospitalization for decompensated SHF. Of 637 patients with SHF (mean age, 64 ± 13 years; mean ejection fraction, 26.5% ± 9%), 402 patients (63%) had coronary artery disease (CAD) and 235 patients (37%) had no CAD; 223 patients (35%) died because of cardiovascular reasons during follow-up. Patients who had stenting alone and patients who had CABG surgery and stenting had better prognosis than patients with CAD but no revascularization procedure (P < .001 and P = .013, respectively). In the patients with SHF having CAD who had stenting and CABG surgery + stenting may have better prognosis compared with patients with CAD who had no revascularization procedure in their past.
authors.affiliation: Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
authors.forename: Güliz
authors.initials: G
authors.lastname: Kozdag
authors.forename: Gökhan
authors.initials: G
authors.lastname: Ertas
authors.forename: Ender
authors.initials: E
authors.lastname: Emre
authors.forename: Mehmet
authors.initials: M
authors.lastname: Yaymaci
authors.forename: Umut
authors.initials: U
authors.lastname: Celikyurt
authors.forename: Göksel
authors.initials: G
authors.lastname: Kahraman
authors.forename: Irem
authors.initials: I
authors.lastname: Yilmaz
authors.forename: Kurtulus
authors.initials: K
authors.lastname: Kuruüzüm
authors.forename: Dilek
authors.initials: D
authors.lastname: Ural
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D002908:Chronic Disease; D001026:Coronary Artery Bypass; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014421:Turkey