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Survival of coronary artery disease patients with stable pain and normal left ventricular function treated medically or surgically at Duke University

Publication ,  Journal Article
Whalen, RE; Jr, FEH; Lee, KL; Rosati, RA
Published in: Circulation
1982

We evaluated the survival rates of medically and surgically treated patients with one-, two- or three-vessel coronary artery disease (CAD), stable pain, and normal left ventricular function observed at the Duke University Medical Center over an 11-year period. There was no statistical difference in survival when medical and surgical treatment were compared in patients with one-, two or three-vessel disease (≥75% vessel occlusion). However, the survival curve of patients with three-vessel disease treated surgically consistently exceeded that of those treated medically over a 7-year follow-up period. This difference was not statistically significant, but suggests the need for further study in this group. When patients with 50% or greater lesions in three vessels, stable angina and normal left ventricular function were evaluated, surgical survival was greater than medical survival, although the difference is not statistically significant. The survival in the Duke medical group is substantially higher than that reported for medical patients in the European Cooperative Trial, which suggests that the significant differences in surgical survival in the European Cooperative Trial were largely due to a lower medical survival than that in the Duke medical group.

Duke Scholars

Published In

Circulation

Publication Date

1982

Volume

65

Issue

7 II

Start / End Page

II-49-II-52

Related Subject Headings

  • Cardiovascular System & Hematology
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

Published In

Circulation

Publication Date

1982

Volume

65

Issue

7 II

Start / End Page

II-49-II-52

Related Subject Headings

  • Cardiovascular System & Hematology
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology