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The Annals of Thoracic Surgery, Vol 25, 449-453, Copyright © 1978 by The Society of Thoracic Surgeons
DH Tyras, HB Barner, GC Kaiser, JE Codd, H Laks and VL Willman
During the period January, 1970, through June, 1977, 1,541 patients
underwent coronary artery bypass grafting; 241 of them were women (15.6%).
Operative mortality rates for the entire study were 2.4% in men and 3.7% in
women, but they showed a marked decline in women during 1975 to mid-1977,
with only 2 deaths in 140 patients (1.4%). Women comprised a larger
percentage of patients (16.7%) in these later years. Women were slightly
older, received fewer grafts, had better preservation of ventricular
function on preoperative studies, and had more severe anginal symptoms than
men. Patency rates were significantly lower in women at 1 month, 1 year,
and 3 years. Five-year survival was not significantly different between
women (88.3%) and men (93.5%). Many of these findings may be explained on
the basis of women having smaller coronary arteries than men. These
favorable results differ from earlier reports of higher mortality rates in
women and indicate that myocardial revascularization should not be withheld
from female patients.
ARTICLES
Myocardial revascularization in women
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