Results of coronary artery surgery in patients with poor left ventricular function (CASS).

  title={Results of coronary artery surgery in patients with poor left ventricular function (CASS).},
  author={Edwin L. Alderman and Lloyd D Fisher and Paul Litwin and G. C. Kaiser and William O Myers and Charles Maynard and Frederick Levine and Melvin D Schloss},
  volume={68 4},
We identified 420 medically treated and 231 surgically treated patients (coronary graft plus myocardial surgery in 30%) who had severe left ventricular dysfunction manifest by an ejection fraction below 0.36 and markedly abnormal wall motion. Compared with medically treated patients, those treated surgically had more severe angina (56.7% vs 29.0% class III or IV; p less than .001), less heart failure as predominant symptom (11.1% vs 18.8%; p less than .003), more severe coronary disease (66.7… CONTINUE READING


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