Coronary artery bypass surgery indications
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Coronary Artery Bypass Surgery Microchapters | |
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Pathophysiology | |
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Diagnosis | |
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Treatment | |
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Perioperative Monitoring | |
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Surgical Procedure | |
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Special Scenarios | |
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Coronary artery bypass surgery indications On the Web | |
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Directions to Hospitals Performing Coronary artery bypass surgery indications | |
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Risk calculators for Coronary artery bypass surgery indications | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editors-in-Chief: Cafer Zorkun, M.D., Ph.D. [2], Mohammed A. Sbeih, M.D. [3]
Indications for CABG
Alternative treatments for coronary artery disease include:
- Medical management (statins, antihypertensives, smoking cessation, tight blood sugar control in diabetics)
- Percutaneous coronary intervention (PCI)-Both PCI and CABG are more effective than medical management at relieving symptoms,[2] (e.g. angina, dyspnea, fatigue), but repeat procedures are required more frequently after PCI.[2]
CABG is the preferred treatment with:[2]
- Disease of the left main coronary artery (LMCA). LMCA disease is associated with sudden death; therefore, lesions of the LMCA are sometimes referred to as widow makers.
- Disease of all three coronary vessels (LAD, LCX and RCA).
- Diffuse disease not amendable to treatment with a PCI.
- CABG is the likely the preferred treatment with other high-risk patients such as those with severe ventricular dysfunction (i.e. low ejection fraction), or diabetes mellitus patients, particularly those with disease involving the left anterior descending artery.[2]