Comparison of late (four years) functional health status between percutaneous transluminal angioplasty intervention and off-pump left internal mammary artery bypass grafting for isolated high-grade narrowing of the proximal left anterior descending coronary artery

• Published in: The American journal of cardiology 2004-12, Vol.94 (11), p.1414-1417
• Main Authors: Drenth, Derk J., Veeger, Nic J.G.M., Middel, Berrie, Zijlstra, Felix, Boonstra, Piet W.
• Format: Article
• Language: English
• Subjects: Angina Pectoris - complications; Angioplasty, Balloon, Coronary; Biological and medical sciences; Cardiology. Vascular system; Coronary Artery Disease - surgery; Decision Making; Diseases of the cardiovascular system; Female; Follow-Up Studies; Health Status; Humans; Male; Medical sciences; Middle Aged; Myocardial Revascularization - methods; Postoperative Complications; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Risk Factors; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Time Factors
• ISSN: 0002-9149; 1879-1913
• DOI: 10.1016/j.amjcard.2004.08.016

In a 4-year follow-up study, we compared functional health status (FHS) in patients randomized to surgery (n = 51) or angioplasty (n = 51) for an isolated narrowing of the proximal left anterior descending coronary artery. FHS was assessed with the Short Form-36 and the Minnesota Living with Heart Failure questionnaires. Although the occurrence of angina (p = 0.036) and major adverse cardiac and cerebrovascular events (p = 0.02) was significantly higher 4 years after angioplasty, FHS did not differ between treatments and was comparable to a healthy reference population.