By Donald W. Miller Jr. (auth.)
Few advances in cardiovascular drugs have so captured the inter est of physicians and the general public alike as has coronary artery pass surgical procedure. Cardiologists who lived throughout the period of fake hopes and frustrations of prior" operations" for coronary artery ailment can absolutely take pleasure in what this significant increase bargains to their sufferers. The variety of papers in this subject provided at nationwide conferences attest to its acceptance, but in addition make it more and more tricky for someone to assimilate all of the information. Practitioners who needs to examine coronary artery skip surgical procedure for his or her sufferers could hence have hassle in coming to a couple rational selection concerning the symptoms for the operation and its results. reckoning on the "authority" that one reads, there's nonetheless a few controversy as to which sufferers are applicants for coronary artery surgical procedure. This monograph at the prac tice of coronary artery pass surgical procedure, hence, comes as a welcome boon to cardiologists, surgeons, internists, and normal practitioners who needs to think of referring their sufferers for such surgical procedure. It provides a balanced and average photo of the final topic, as well as containing vital details on such issues as opera tive approach and fiscal influence. Dr. Miller has performed an outstand ing task in bringing jointly in a single textual content the $64000 concerns on the topic of the assessment of sufferers, the traditional background of coronary artery ailment and the advantages and difficulties linked to pass surgery.
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Extra info for The Practice of Coronary Artery Bypass Surgery
None ofthe factors listed clearly discriminates Chapter 2 26 Table 6 Risk Factors Relating to Coronary Heart Disease Unalterable risk factors 1. Age 2. Male sex 3. Family history of coronary heart disease 4. Diabetes Risk factors which may be modified I. Type A behavior pattern 2. Elevated serum cholesterol and triglycerides 3. Diet rich in saturated fats, cholesterol, refined sugar, salt, and total calories 4. Cigarette smoking 5. Hypertension 6. Obesity 7. Sedentary living individuals who will die suddenly rather than develop symptoms of angina pectoris, for example.
Circulation 53:342, 1976 31. Doyle JT: Profile of risk of sudden death in apparently healthy people. Ch'ulation 51 -52 (Suppl III): III-176, 1976 32. Hinkle LE, Carver ST, Stevens M: The frequency of asymptomatic disturbances of cardiac rhythm and conduction in middle-aged men. Am J Cardiol 24:629, 1969 33. Weaver WD, Cobb LA, Hallstrom AP, Hedgecock M: Significance of ventricular dysrhythmias during ambulatory monitoring in patients resuscitated from the sudden death syndrome. Circulation 53-54 (Suppl II): II-In, 1976 34.
In the Western Collaborative Group Study2 an abnormal electrocardiogram in individuals without symptoms or a previous history of myocardial infarction was the initial manifestation of coronary heart disease in 27 percent of the study population. " Although there is a small incidence of falsely positive exercise electrocardiograms, horizontal or downsloping ST segment depression greater than 1 mm on a multistage treadmill test argues strongly in favor of advanced coronary artery disease if it occurs at a submaximal heart rate.
The Practice of Coronary Artery Bypass Surgery by Donald W. Miller Jr. (auth.)