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Acute coronary syndrome

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Therapy

Coronary artery bypass graft surgery

However the procedure is more risky than angioplasty. a  

Why?

  • Patients take roughly 5 weeks longer to return to work a and are at increased risk of a myocardial infarction before discharge. a
  • One in thirty die within one month of CABG. (3.2%: 95% CI: 2.2% to 4.2%) a

CABG causes more procedural myocardial infarction than PTCA

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNH
(95% CI)
severe angina a CABG angioplasty myocardial infarction
at discharge
2.1% -120%
(-270% to -26%)
-42
(-130 to -25)
 

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Authors   CM   Ball , N   Shenker
Reviewer   I K   Jang
CAT Writers   N   Shenker , CJ   Wotton , CM   Ball , RS   Phillips