Evolution of coronary insufficiency after coronary artery bypass grafting in post-myocardial infarction patients: Results prospective follow-up for five years
At. Teplyakov et al., Evolution of coronary insufficiency after coronary artery bypass grafting in post-myocardial infarction patients: Results prospective follow-up for five years, KARDIOLOGIY, 41(4), 2001, pp. 34-38
Post-myocardial infarction patients with multivessel coronary artery stenos
es were prospectively followed-up for 5 years after coronary artery bypass
grafting (CABG). Characteristics of the state of coronary vascular bed, of
microcirculation in the ischemic myocardium, and of central hemodynamics we
re correlated with peculiarities of angina development, dynamics of cardiac
pump function and exercise tolerance. Myocardial perfusion scintigraphy wi
th thallium-199 showed that transient perfusion defects increased during fo
llow up from 4,5+/-11,0 to 10,8+/-1,6% (p<0,01). Patients with exercise tol
erance less than 50 W after CABG significantly more often (p<0,01) had low
(<1,0 mmol/l) high density lipoprotein cholesterol.