Complementary Roles of Surgical and Medical Therapy for Angina Pectoris
Authors: RICHARD GORLIN
Journal: Annals of Internal Medicine (1985)

Editorials1 June 1985Complementary Roles of Surgical and Medical Therapy for Angina PectorisRICHARD GORLIN, M.D.RICHARD GORLIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-102-6-848 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe role of coronary artery bypass surgery in the management of chronic coronary heart disease is undergoing a slow but inexorable transformation. This change has been attributed by many to the recent reports of the Coronary Artery Surgery Study Group (1, 2). Although the results of this study are clearly of great importance, they reflect only part of the changing scene that has led to a more clearly defined and diminished set of indications for revascularization surgery in the 1980s.First, one must recognize that both morbidity and mortality from coronary heart disease have gradually declined in the United States...References1. Coronary Artery Surgery Study (CASS): a randomized trial of coronary artery bypass surgery: survival data. Circulation. 1983;68:939-50. CrossrefMedlineGoogle Scholar2. Coronary Artery Surgery Study (CASS): A randomized trial of coronary artery bypass surgery: quality of life in patients randomly assigned to treatment groups. Circulation. 1983;68:951-60. CrossrefMedlineGoogle Scholar3. HAVLIK R, FEINLEIB M, and THOM T, eds: Proceedings of the Conference on the Decline in Coronary Heart Disease Mortality. Bethesda, Maryland: National Institutes of Health; 1979. (NIH publication no. 79-1610). Google Scholar4. MAY G, EBERLEIN K, FURBERG C, PASSAMANI E, and DEMETS D. Secondary prevention after myocardial infarction: a review of long-term trials. Prog Cardiovasc Dis. 1982;24:331-52. CrossrefMedlineGoogle Scholar5. . Timolol-induced reduction in mortality and reinfarction in patients surviving acute myocardial infarction. N Engl J Med. 1981;304:801-7. CrossrefMedlineGoogle Scholar6. BERGLUND G, SANNERSTEDT R, and ANDERSSON O. Coronary heart-disease after treatment of hypertension. Lancet. 1978;1:15. Google Scholar7. RAPAPORT E and REMEDIOS P. The high risk patient after recovery from myocardial infarction: recognition and management. J Am Coll Cardiol. 1983;1(2 pt 1):391-400. CrossrefMedlineGoogle Scholar8. GORLIN R and FUSTER V. The role of pharmacotherapy in secondary prevention of myocardial infarction and death. Mt Sinai J Med (NY). 1984;51:229-36. MedlineGoogle Scholar9. RENTROP K, BLANKE H, and KARSCH K. Acute myocardial infarction: intracoronary application of nitroglycerin and streptokinase. Clin Cardiol. 1979;2:354-63. CrossrefMedlineGoogle Scholar10. AUERON F and GRUENTZIG A. Percutaneous transluminal coronary angioplasty: indications and current status. Primary Cardiol. 1984;10:35-102. Google Scholar11. CAMPEAU L, ENJALBERT M, LESPERANCE J, VAISLIC C, GRONDIN C, and BOURASSA M. Atherosclerosis and late closure of aortocoronary saphenous vein grafts: sequential antiographic studies at 2 weeks, 1 year, 5 to 7 years, and 10 to 11 years after surgery. Circulation. 1983;68(3 pt 2):II-1-7. Google Scholar12. . Eleven-year survival in the Veterans Administration randomized trial of coronary bypass surgery for stable angina. N Engl J Med. 1984;311:1333-9. CrossrefMedlineGoogle Scholar13. . Long-term results of prospective randomised study of coronary artery bypass surgery in stable angina pectorsis. Lancet. 1982;2:1173-80. MedlineGoogle Scholar14. GORLIN R and FUSTER V. The timing of bypass surgery [Editorial]. Primary Cardiol. 1984;10:10-1. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: RICHARD GORLIN, M.D.Affiliations: Mount Sinai School of Medicine New York, New York PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe psychiatric and social consequences of coronary artery surgerySurgery for Angina PectorisWALTER M. GERHOLD, M.D. 1 June 1985Volume 102, Issue 6 Page: 848-850 Keywords Angina Cardiac surgery Coronary arteries Coronary heart disease Morbidity Mortality Revascularization Surgery ePublished: 1 December 2008 Issue Published: 1 June 1985 PDF downloadLoading ...