Coronary Artery Bypass Surgery in Chinese Septuagenarians

Abstract

Arteriosclerosis has been well known to be intimately connected with the human aging process, and thus the prevalence of coronary artery disease increases with the advance of age.On the other hand, senility seems to cause extra surgical risk when a patient undergoes a major operation such as coronary artery revascularization. In the past, physicians, and perhaps patients too, took a conservative attitude toward coronary artery bypass surgery for aged patients. But in the author's experience with 38 patients aged seventy years or more, there were 3 deaths (7.9%), a mortality rate not significantly different from that (4.9%) of another group of 264 patients aged less than seventy years. Thus, the author concludes that currently coronary artery bypass surgery can be safely performed upon Chinese septuagenarians with limited surgical risks and satisfactory consequences.

Plasma B‐type natriuretic peptide in predicting outcomes of elective coronary artery bypass surgery

“…Interestingly, Khan et al [16] have suggested that models for predicting outcome after CABG should be tested for potential interactions between age and risk factors. In our previous series, we also found that older patients had prolonged ICU stay and hospitalization following CABG surgery [17]. Moreover, Olsen et al [18] recommended that cardiovascular risk prediction by NT-proBNP was affected by age.…”