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Prognosis and treatment of asymptomatic coronary artery disease.

Abstract：

:Despite the large number of studies dealing with the natural history of angiographically defined coronary artery disease, there is still a paucity of data on the prognosis of totally asymptomatic persons. From the small number of reported studies, it appears that prognosis in selected asymptomatic patients may be better than that of symptomatic patients. However, the annual mortality rate in the subgroup of asymptomatic patients with triple vessel disease was as high as 4 to 5% in some studies that included patients with prior myocardial infarction or mild symptoms, or both. This has reinforced the views of those who advocate a more aggressive medical/surgical approach to asymptomatic patients with left main and triple vessel disease, especially if they have had a prior infarction. Although several small series of surgically treated patients have been reported to have excellent short-term survival rates, the absence of adequate control groups in nearly all of these studies has left the issue of prophylactic revascularization unresolved. Until there is more knowledge of prognosis in patients not operated on, it is likely to remain unresolved.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Cohn PF

doi

10.1016/s0735-1097(83)80217-4

subject

Has Abstract

pub_date

1983-03-01 00:00:00

pages

959-64

issue

3

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(83)80217-4

journal_volume

1

pub_type

杂志文章

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