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Changing Medical and Surgical Therapy in Coronary Artery Disease — Need for Prospective Studies

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Coronary Heart Surgery

Abstract

Following the pioneering efforts of Favalaro, reported in 19 68, it quickly became apparent that the aortocoronary bypass graft was the first surgical procedure to reliably and reproducibly increase coro­nary blood flow in patients with coronary artery disease. Coronary artery disease is generally a mechanical problem. In most patients the large external arteries proximal to the intramyocardial branches are blocked. Hence the success of bypass.

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References

  1. Garceau, A.J., Donaldson, R.M. (Jr.), O’Hara, E.T., Callow, A., Muench, H., Chalmers, T.C.: Controlled trial of prophylactic portacaval shunt surgery. N. Engl. J. Med. 270, 496 (1964)

    Article  PubMed  CAS  Google Scholar 

  2. Richards, D.W., Bland, E.F., White; P.D.: A complete twenty-five-year follow up study of 456 patients with angina pectoris. J. Chron. Dis. 4, 423–433 (1956)

    Article  PubMed  Google Scholar 

  3. Kannell, W.B., Feinleib, M.: Natural history of angina pectoris in the Framing- ham study. Prognosis and survival. Am. J. Cardiol. 29, 154–163 (1972)

    Article  Google Scholar 

  4. Frank, C.W., Weinblatt, E., Shapiro, S.: Angina pectoris in men. Circulation 47, 509–517 (1973)

    PubMed  CAS  Google Scholar 

  5. Wilhelmsson, C., Elmfeldt, D., Vedin, J.A., Tibblin, G., Wilhelmsen, L.: Smoking and myocardial infarction. Lancet 1, 1975/I, 415

    Article  Google Scholar 

  6. Wilhelmsson, C., Wilhelmsen, L., Vedin, J.A., Tibblin, G., Werkö, L.: Reduction of sudden deaths after myocardial infarction by treatment with alprenolol. Lancet 2, 1974/I, 1157

    Article  PubMed  CAS  Google Scholar 

  7. A Multicentre International Study Report: Improvement in prognosis of myocardial infarction by long-term beta-adrenoreceptor blockade using practolol. Br. Med. J. 3, 735 (1975)

    Article  Google Scholar 

  8. Owen, C.A. (Jr.): Animal models of human diseases. Proc. Mayo Clin. 53, 193–194 (1978)

    Google Scholar 

  9. Anturane Reinfarction Trial Research Group: Sulfinpyrazone in the prevention of cardiac death after myocardial infarction. N. Engl. J. Med. 298, 289–294 (1978)

    Article  Google Scholar 

  10. Byar, D.P., Simon, R.M., Friedewald, W.T., Schlesselman, J.J., DeMets, D.L., Ellenberg, J.H., Gail, M.H., Ware, J.H.: Randomized clinical trials: Perspectives on some recent ideas. N. Engl. J. Med. 295, 74–80 (1976)

    Article  PubMed  CAS  Google Scholar 

  11. Chalmers, T.C.: Randomization of the first patient. Med. Clin. North Am. 59, 1035–1039 (1975)

    PubMed  CAS  Google Scholar 

  12. Shaw, L.W., Chalmers, T.C.: Ethics in cooperative clinical trials. Ann. NY Acad. Sci. 169, 487–495 (1970)

    Article  PubMed  CAS  Google Scholar 

  13. Bertolasi, C.A., Tronge, J.E., Carreno, C.A., Jalon, J., Vega, M.R.: Unstable angina: prospective and randomized study of its evolution, with and without surgery. Am. J. Cardiol. 33, 201 (1974)

    Article  PubMed  CAS  Google Scholar 

  14. Conti, C.R., Gilbert, J.B., Hodges, M., Hutter, A.M., Kaplan, E., Newell, J., Resnekov, L., Rosati, R., Ross, R.S., Russell, R.O., Schroeder, J.S., Wolk, M.: Unstable angina pectoris: Randomized study of surgical versus medical therapy: National cooperative unstable angina pectoris study group. Am. J. Cardiol. 35, 129 (1975)

    Article  Google Scholar 

  15. Selden, R., Neill, W.A., Ritzmann, L. W., Okies, J.E., Anderson, R.P.: Medical versus surgical therapy for acute coronary insufficiency: A randomized study. N. Engl. J. Med. 293, 1329–1333 (1975)

    Article  PubMed  CAS  Google Scholar 

  16. Mathur, V.S., Guinn, G.A., Anastassiades, L.C., Chahine, R.A., Korompai, F.L., Montero, A.C., Luchi, R.J.: Surgical treatment for stable angina pectoris: Prospective randomized study. N. Engl. J. Med. 292, 709–713 (1975)

    Article  PubMed  CAS  Google Scholar 

  17. Kloster, F., Kremkau, L., Rahimtoola, S., Griswold, H., Ritzmann, L., Neill, W., Starr, A.: Prospective randomized study of coronary bypass surgery for chronic stable angina. Circulation 52 [Suppl. 2], 90 (1975)

    Google Scholar 

  18. Murphy, M.L., Hultgren, H.N., Detre, K., Thomsen, J., Takaro, T., and participants of the Veterans Administration Cooperative Study: Treatment of chronic stable angina. A preliminary report of survival data of the randomized Veterans Administration study. N. Engl. J. Med. 297, 621–627 (1977)

    Article  PubMed  CAS  Google Scholar 

  19. Varnauskas, E.: Need for Coronary Bypass Surgery in Europe. In: Coronary Heart Surgery — A Rehabilitation Measure. Roskamm, H., Schmuziger, M. (eds.), Berlin Heidelberg New York: Springer 1979

    Google Scholar 

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© 1979 Springer Verlag Berlin Heidelberg

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Killip, T. (1979). Changing Medical and Surgical Therapy in Coronary Artery Disease — Need for Prospective Studies. In: Roskamm, H., Schmuziger, M. (eds) Coronary Heart Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67295-8_1

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  • DOI: https://doi.org/10.1007/978-3-642-67295-8_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67297-2

  • Online ISBN: 978-3-642-67295-8

  • eBook Packages: Springer Book Archive

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