The effect of coronary revascularization treatment timing on mortality in patients with stable ischemic heart disease in British Columbia

Sean Hardiman, Guy Fradet, Lisa Kuramoto, Michael Law, Simon Robinson, Boris Sobolev
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Abstract

Background Prior research has shown that patients with stable ischemic heart disease who undergo delayed coronary artery bypass graft (CABG) surgery face higher mortality rates than those who receive CABG within the time recommended by physicians. However, this research did not account for percutaneous coronary intervention (PCI), a widely available alternative to delayed CABG in many settings. We sought to establish whether there was a difference in mortality between timely PCI and delayed CABG.
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不列颠哥伦比亚省冠状动脉血运重建治疗时机对稳定型缺血性心脏病患者死亡率的影响
背景 以前的研究表明,接受延迟冠状动脉旁路移植手术(CABG)的稳定型缺血性心脏病患者的死亡率高于在医生建议的时间内接受 CABG 的患者。然而,这项研究并没有考虑到经皮冠状动脉介入治疗(PCI),在许多情况下,经皮冠状动脉介入治疗可广泛替代延迟的冠状动脉搭桥术。我们试图确定及时进行 PCI 和延迟进行 CABG 之间的死亡率是否存在差异。
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