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A 3-year follow-up of participation in peer support groups after a cardiac event.

https://arctichealth.org/en/permalink/ahliterature53243
Source
Eur J Cardiovasc Nurs. 2004 Dec;3(4):315-20
Publication Type
Article
Date
Dec-2004
Author
Cathrine Hildingh
Bengt Fridlund
Author Affiliation
School of Social and Health Sciences, Halmstad University, Otto Torells Gata 16, Varberg 432 44, Sweden. Catherine.Hildingh@hos.hh.se
Source
Eur J Cardiovasc Nurs. 2004 Dec;3(4):315-20
Date
Dec-2004
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Angioplasty, Transluminal, Percutaneous Coronary - rehabilitation
Case-Control Studies
Coronary Artery Bypass - rehabilitation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction - rehabilitation
Outcome Assessment (Health Care)
Peer Group
Prospective Studies
Research Support, Non-U.S. Gov't
Self-Help Groups
Sweden
Abstract
Secondary prevention is an important component of a structured rehabilitation programme following a cardiac event. Comprehensive programmes have been developed in many European countries, the vast majority of which are hospital based. In Sweden, all patients with cardiac disease are also given the opportunity to participate in secondary prevention activities arranged by the National Association for Heart and Lung Patients [The Heart & Lung School (HL)]. The aim of this 3-year longitudinal study was to compare persons who attended the HL after a cardiac event and those who declined participation, with regard to health aspects, life situation, social network and support, clinical data, rehospitalisation and mortality. Totally 220 patients were included in the study. The patients were asked to fill in a questionnaire on four occasions, in addition to visiting a health care center for physical examination. After 3 years, 160 persons were still participating, 35 of whom attended the HL. The results show that persons who participated in the HL exercised more regularly, smoked less and had a denser network as well as more social support from nonfamily members than the comparison groups. This study contributes to increased knowledge among healthcare professionals, politicians and decision makers about peer support groups as a support strategy after a cardiac event.
PubMed ID
15572020 View in PubMed
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A 5-year psycho-medical follow-up study of coronary by-pass artery graft patients.

https://arctichealth.org/en/permalink/ahliterature46469
Source
Scand J Rehabil Med. 1996 Mar;28(1):27-31
Publication Type
Article
Date
Mar-1996
Author
E. Líndal
P. Hartharson
J. Magnússon
H. Alfrethsson
Author Affiliation
Department of Psychiatry, National University Hospital, Reykjavik, Iceland.
Source
Scand J Rehabil Med. 1996 Mar;28(1):27-31
Date
Mar-1996
Language
English
Publication Type
Article
Keywords
Aged
Coronary Artery Bypass - psychology
Depression - etiology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Questionnaires
Time Factors
Abstract
This is a 5-year follow-up study of coronary artery by-pass graft (CABG) patients. Our aim was: To study the development of previously rated psycho-medical aspects, with special reference to depression among the CABG patients. The patients were sent two questionnaires, one of which focused on psycho-medical factors and the other on depression. The average rate of participation was 80%. The most important results were that previously high levels of depression were no longer to be found and that post-operative depression among the CABG patients clearly disappears over time.
PubMed ID
8701233 View in PubMed
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[10-12 years' clinical results in 300 initial patients undergoing aortocoronary bypass at the Montreal Cardiology Institute].

https://arctichealth.org/en/permalink/ahliterature242152
Source
Union Med Can. 1983 Mar;112(3):229-34
Publication Type
Article
Date
Mar-1983

30-day mortality after coronary artery bypass grafting and valve surgery has greatly improved over the last decade, but the 1-year mortality remains constant.

https://arctichealth.org/en/permalink/ahliterature269410
Source
Ann Card Anaesth. 2015 Apr-Jun;18(2):138-42
Publication Type
Article
Author
Laura Sommer Hansen
Vibeke Elisabeth Hjortdal
Jan Jesper Andreasen
Poul Erik Mortensen
Carl-Johan Jakobsen
Source
Ann Card Anaesth. 2015 Apr-Jun;18(2):138-42
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Analysis of Variance
Cohort Studies
Coronary Artery Bypass - mortality
Denmark - epidemiology
Female
Heart Valves - surgery
Humans
Kaplan-Meier Estimate
Male
Postoperative Complications - mortality
Risk assessment
Risk factors
Sex Factors
Abstract
European system for cardiac operative risk evaluation (EuroSCORE) is a valuable tool in control of the quality of cardiac surgery. However, the validity of the risk score for the individual patient may be questioned. The present study was carried out to investigate whether the continued fall in short-term mortality reflects an actual improvement in late mortality, and subsequently, to investigate EuroSCORE as predictor of 1-year mortality.
A population-based cohort study of 25,602 patients from a 12-year period from three public university hospitals undergoing coronary artery bypass grafting (CABG) or valve surgery. Analysis was carried out based on EuroSCORE, age and co-morbidity factors (residual EuroSCORE).
During the period the average age increased from 65.1 ± 10.0 years to 68.9 ± 10.7 years (P
Notes
Comment In: Ann Card Anaesth. 2015 Apr-Jun;18(2):143-425849680
PubMed ID
25849679 View in PubMed
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[35-year practice of treatment of acute coronary syndrome in 3rd central military clinical hospital n. a. A.A.Vishnevsky].

https://arctichealth.org/en/permalink/ahliterature137718
Source
Voen Med Zh. 2010 Oct;331(10):18-27
Publication Type
Article
Date
Oct-2010
Author
S A Beliakin
A A Prokhorchik
Source
Voen Med Zh. 2010 Oct;331(10):18-27
Date
Oct-2010
Language
Russian
Publication Type
Article
Keywords
Acute Coronary Syndrome - diagnosis - therapy
Angioplasty, Balloon, Coronary
Coronary Artery Bypass
Fibrinolytic Agents - administration & dosage
Hospitals, Military
Humans
Retrospective Studies
Russia
Abstract
Results of 35-years clinical investigation on acute coronary syndrome performed in the 3rd Central military clinical hospital named after A.A. Vishnevsky are presented. Research topics are the following: pathways of blood coagulation alterations,lipid metabolism, improving drug management of ischemic heart disease exacerbations, new medical technologies in diagnostics and treatment of acute coronary syndrome. Decision procedure in patient with acute coronary syndrome was developed in the Hospital. Criteria for percutaneous coronary interventions and coronary artery bypass surgery were elaborated. Original scale for death and cardiac complications risk assessment in patients with acute myocardial infarction undergoing coronary artery stenting was developed. According to the scale, differential scheme of antiplatelet therapy was introduced, and its implementation resulted in decrease of complications rate. Advantage of early invasive strategy vs. conservative approach was proven.
PubMed ID
21254581 View in PubMed
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[A 20-year follow-up of Danish coronary artery bypass patients].

https://arctichealth.org/en/permalink/ahliterature215805
Source
Ugeskr Laeger. 1995 Feb 13;157(7):889-92
Publication Type
Article
Date
Feb-13-1995
Author
C A Bertelsen
K. Høier-Madsen
K. Folke
P F Hansen
Author Affiliation
Thoraxkirurgisk afdeling R., Amtssygehuset i Gentofte.
Source
Ugeskr Laeger. 1995 Feb 13;157(7):889-92
Date
Feb-13-1995
Language
Danish
Publication Type
Article
Keywords
Adult
Coronary Artery Bypass - mortality
Denmark
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Revascularization
Prognosis
Quality of Life
Reoperation
Retrospective Studies
Time Factors
Abstract
This study describes the influence of complete revascularization on the long term survival of patients following coronary artery bypass surgery. The patient population consists of 100 consecutive patients discharged from our department after undergoing a coronary bypass operation between November 1973 and July 1978. Patients who survived less than 30 days postoperatively are excluded from the study. The patient population consists of 87 males and 13 females. Mean age was 52.2 years at time of surgery. The rate of revascularization was estimated by coronary angiography, performed between one and 34 months postoperatively, in contrast to other similar studies found in the literature, where such estimation was performed peroperatively. Twenty-five of 86 patients were completely revascularized at postoperative angiographic estimation. Long term survival for the patient population and for the group of completely revascularized patients were compared to the expected survival of the Danish background population (comparable age and sex). Long term survival for the patient population as a whole was similar to that found in similar studies. There was an expected increased mortality compared to the Danish background population.
PubMed ID
7701650 View in PubMed
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The ability to achieve complete revascularization is associated with improved in-hospital survival in cardiogenic shock due to myocardial infarction: Manitoba cardiogenic SHOCK Registry investigators.

https://arctichealth.org/en/permalink/ahliterature134718
Source
Catheter Cardiovasc Interv. 2011 Oct 1;78(4):540-8
Publication Type
Article
Date
Oct-1-2011
Author
Farrukh Hussain
Roger K Philipp
Robin A Ducas
Jason Elliott
Vladimír D┼żavík
Davinder S Jassal
James W Tam
Daniel Roberts
Philip J Garber
John Ducas
Author Affiliation
Section of Cardiology Dept. of Cardiac Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. fhussain@sbgh.mb.ca
Source
Catheter Cardiovasc Interv. 2011 Oct 1;78(4):540-8
Date
Oct-1-2011
Language
English
Publication Type
Article
Keywords
Aged
Angioplasty, Balloon, Coronary - adverse effects - mortality
Cardiovascular Agents - adverse effects - therapeutic use
Catheterization, Swan-Ganz
Coronary Angiography
Coronary Artery Bypass - adverse effects - mortality
Female
Hospital Mortality
Humans
Logistic Models
Male
Manitoba
Middle Aged
Myocardial Infarction - complications - diagnosis - mortality - therapy
Odds Ratio
Patient Discharge - statistics & numerical data
Registries
Retrospective Studies
Risk assessment
Risk factors
Shock, Cardiogenic - diagnosis - etiology - mortality - therapy
Survival Analysis
Survival Rate
Time Factors
Treatment Outcome
Abstract
To identify predictors of survival in a retrospective multicentre cohort of patients with cardiogenic shock undergoing coronary angiography and to address whether complete revascularization is associated with improved survival in this cohort.
Early revascularization is the standard of care for cardiogenic shock. Coronary bypass grafting and percutaneous intervention have complimentary roles in achieving this revascularization.
A total of 210 consecutive patients (mean age 66 ± 12 years) at two tertiary centres from 2002 to 2006 inclusive with a diagnosis of cardiogenic shock were evaluated. Univariate and multivariate predictors of in-hospital survival were identified utilizing logistic regression.
ST elevation infarction occurred in 67% of patients. Thrombolysis was administered in 34%, PCI was attempted in 62% (88% stented, 76% TIMI 3 flow), CABG was performed in 22% (2.7 grafts, 14 valve procedures), and medical therapy alone was administered to the remainder. The overall survival to discharge was 59% (CABG 68%, PCI 57%, medical 48%). Independent predictors of mortality included complete revascularization (P = 0.013, OR = 0.26 (95% CI: 0.09-0.76), hyperlactatemia (P = 0.046, OR = 1.14 (95% CI: 1.002-1.3) per mmol increase), baseline renal insufficiency (P = 0.043, OR = 3.45, (95% CI: 1.04-11.4), and the presence of anoxic brain injury (P = 0.008, OR = 8.22 (95% CI: 1.73-39.1). Within the STEMI with concomitant multivessel coronary disease subgroup of this population (N = 101), independent predictors of survival to discharge included complete revascularization (P = 0.03, OR = 2.5 (95% CI: 1.1-6.2)) and peak lactate (P = 0.02).
The ability to achieve complete revascularization may be strongly associated with improved in-hospital survival in patients with cardiogenic shock.
Notes
Comment In: Catheter Cardiovasc Interv. 2011 Oct 1;78(4):549-5021953751
PubMed ID
21547996 View in PubMed
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ABO blood group distribution and severity of coronary artery disease among patients undergoing coronary artery bypass surgery in Northern Finland.

https://arctichealth.org/en/permalink/ahliterature53595
Source
Thromb Res. 2002 Nov 1;108(2-3):195-6
Publication Type
Article
Date
Nov-1-2002
Author
Fausto Biancari
Jari Satta
Risto Pokela
Tatu Juvonen
Author Affiliation
Division of Cardio-thoracic and Vascular Surgery, Department of Surgery, University of Oulu, P.O. Box 21, Finland. faustobiancari@yahoo.it
Source
Thromb Res. 2002 Nov 1;108(2-3):195-6
Date
Nov-1-2002
Language
English
Publication Type
Article
Keywords
ABO Blood-Group System
Coronary Arteriosclerosis - blood - etiology - surgery
Coronary Artery Bypass
Female
Finland
Humans
Male
Middle Aged
Prognosis
Risk factors
PubMed ID
12590958 View in PubMed
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Absence of bias against smokers in access to coronary revascularization after cardiac catheterization.

https://arctichealth.org/en/permalink/ahliterature176495
Source
Int J Qual Health Care. 2005 Feb;17(1):37-42
Publication Type
Article
Date
Feb-2005
Author
Jacques Cornuz
Peter D Faris
P Diane Galbraith
Merril L Knudtson
William A Ghali
Author Affiliation
Department of Medicine, University of Lausanne, Lausanne, Switzerland.
Source
Int J Qual Health Care. 2005 Feb;17(1):37-42
Date
Feb-2005
Language
English
Publication Type
Article
Keywords
Alberta - epidemiology
Angioplasty, Balloon, Coronary - utilization
Attitude of Health Personnel
Cardiac Catheterization - utilization
Cohort Studies
Coronary Artery Bypass - utilization
Coronary Disease - diagnosis - therapy
Female
Humans
Male
Middle Aged
Myocardial Revascularization - utilization
Prejudice
Prospective Studies
Smoking - epidemiology
Abstract
Many consider smoking to be a personal choice for which individuals should be held accountable. We assessed whether there is any evidence of bias against smokers in cardiac care decision-making by determining whether smokers were as likely as non-smokers to undergo revascularization procedures after cardiac catheterization.
Prospective cohort study. Subjects and setting. All patients undergoing cardiac catheterization in Alberta, Canada.
Patients were categorized as current smokers, former smokers, or never smokers, and then compared for their risk-adjusted likelihood of undergoing revascularization procedures (percutaneous coronary intervention or coronary artery bypass grafting) after cardiac catheterization.
Among 20406 patients undergoing catheterization, 25.4% were current smokers at the time of catheterization, 36.6% were former smokers, and 38.0% had never smoked. When compared with never smokers (reference group), the hazard ratio for undergoing any revascularization procedure after catheterization was 0.98 (95% CI 0.93-1.03) for current smokers and 0.98 (0.94-1.03) for former smokers. The hazard ratio for undergoing coronary artery bypass grafting was 1.09 (1.00-1.19) for current smokers and 1.00 (0.93-1.08) for former smokers. For percutaneous coronary intervention, the hazard ratios were 0.93 (0.87-0.99) for current smokers and 1.00 (0.94-1.06) for former smokers.
Despite potential for discrimination on the basis of smoking status, current and former smokers undergoing cardiac catheterization in Alberta, Canada were as likely to undergo revascularization procedures as catheterization patients who had never smoked.
PubMed ID
15668309 View in PubMed
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Access to myocardial revascularization procedures: closing the gap with time?

https://arctichealth.org/en/permalink/ahliterature170348
Source
BMC Public Health. 2006;6:60
Publication Type
Article
Date
2006
Author
Alain Vanasse
Théophile Niyonsenga
Josiane Courteau
Abbas Hemiari
Author Affiliation
Family Medicine Department, Faculty of Medicine, Université de Sherbrooke, Sherbrooke (QC), J1H 5N4, Canada. alain.vanasse@usherbrooke.ca
Source
BMC Public Health. 2006;6:60
Date
2006
Language
English
Publication Type
Article
Keywords
Adult
Aged
Angioplasty, Balloon, Coronary - utilization
Cardiac Care Facilities - supply & distribution
Cohort Studies
Coronary Artery Bypass - utilization
Female
Geography
Health Services Accessibility - statistics & numerical data
Humans
Incidence
Male
Middle Aged
Myocardial Infarction - epidemiology - surgery
Myocardial Revascularization - utilization
Patient Discharge
Quebec - epidemiology
Registries
Time Factors
Abstract
Early access to revascularization procedures is known to be related to a more favorable outcome in myocardial infarction (MI) patients, but access to specialized care varies widely amongst the population. We aim to test if the early gap found in the revascularization rates, according to distance between patients' location and the closest specialized cardiology center (SCC), remains on a long term basis.
We conducted a population-based cohort study using data from the Quebec's hospital discharge register (MED-ECHO). The study population includes all patients 25 years and older living in the province of Quebec, who were hospitalized for a MI in 1999 with a follow up time of one year after the index hospitalization. The main variable is revascularization (percutaneous transluminal coronary angioplasty or a coronary artery bypass graft). The population is divided in four groups depending how close they are from a SCC ( or = 105 km). Revascularization rates are adjusted for age and sex.
The study population includes 11,802 individuals, 66% are men. The one-year incidence rate of MI is 244 individuals per 100,000 inhabitants. At index hospitalization, a significant gap is found between patients living close ( or = 32 km). During the first year, a gap reduction can be observed but only for patients living at an intermediate distance from the specialized center (64-105 km).
The gap observed in revascularization rates at the index hospitalization for MI is in favour of patients living closer (
Notes
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PubMed ID
16524458 View in PubMed
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925 records – page 1 of 93.