title: Outcomes of patients with prior coronary artery bypass graft who present with acute coronary syndrome.
abstract: Generally, patients with prior coronary artery bypass graft (CABG) are often under-represented in acute coronary syndrome (ACS) clinical trials. Nevertheless, there is growing global attention concerning their short- and long-term prognosis. Some reports suggest prior CABG as an independent risk factor for increased mortality, while others report an equal or a more favorable prognosis despite their adverse baseline clinical characteristics. The reasons for this 'risk-mortality paradox' need to be further evaluated. More recent reports showed a significant reduction in in-hospital morbidity and mortality over a 20-year period of follow up that may be attributed to the improvement in surgical CABG techniques and increased use of evidence-based therapies over the past two decades. In the current review we discuss the available literature regarding outcomes of prior CABG patients who are presenting with ACS.
authors.affiliation: Department of Cardiology, Erbil Teaching Hospital, Erbil, Kurdistan, Iraq.
authors.forename: Rafid Fayadh
authors.initials: RF
authors.lastname: Al-Aqeedi
authors.forename: Jassim
authors.initials: J
authors.lastname: Al Suwaidi
mesh_terms: D054058:Acute Coronary Syndrome / Q000401:mortality / Q000503:physiopathology* / Q000628:therapy; D001026:Coronary Artery Bypass; D019317:Evidence-Based Medicine; D017052:Hospital Mortality; D006801:Humans; D011379:Prognosis; D012307:Risk Factors; D013997:Time Factors
keywords: acute coronary syndrome; coronary artery bypass graft; evidence-based therapy; mortality; outcome