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- $Unique_ID{BRK01611}
- $Pretitle{}
- $Title{What Are the Real Facts About Heart Bypass Surgery?}
- $Subject{heart surgery bypass Circulatory System operation operations angina
- diseases disease Coronary artery arteries congestive atherosclerosis blood
- flow vessels vessel circulation}
- $Volume{G-3, G-4}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- What Are the Real Facts About Heart Bypass Surgery?
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- QUESTION: What are the real facts about heart (by-pass) surgery? I am
- terrified of all surgery, but two doctors have already counseled me to
- seriously consider the operation. Isn't it possible that I could just take
- the right medications to correct my problem, without all the risks of surgery?
- I would be most grateful if you would please address this problem in your
- wonderful column.
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- ANSWER: Many factors help to determine if bypass surgery is appropriate in
- any case of heart disease: age, the specific anatomy of the patient's heart,
- and the degree to which its functioning is impaired.
- This form of surgery is now widely practiced, and relatively low-risk.
- Bypass surgery is usually appropriate if the symptoms of heart disease being
- experienced are life-threatening and significantly restrict your lifestyle,
- while not responding to medical therapy.
- In most cases, the surgery relieves the painful angina experienced in
- heart disease, eliminating the need for medication to accomplish the same
- goal. Related emotional problems of anxiety, depression, fatigue, and sleep
- problems are also alleviated. Bypass surgery is being performed on people in
- their 80's and 90's, with impressive long-term results. In one study
- comparing surgical vs. medical treatment for heart disease sufferers over 65
- years of age, 62 percent of the surgical group was free of chest pain 5 years
- after treatment, while only 29 percent of the medical group could make the
- same statement.
- Coronary artery surgery has also been shown to increase life span. In
- another study, 88 percent of patients who underwent surgery were alive after
- four years, versus 63 percent of a medical treatment group.
- There are a variety of conditions that fall under the heading of "heart
- disease," and not all of them respond to bypass surgery. Cases of congestive
- heart disease do not respond to surgery as well as angina.
- One major consideration in bypass surgery is how long the bypass grafts
- will remain open before narrowing due to atherosclerosis. If the blood flow
- through these new, surgically implanted blood vessels becomes restricted,
- symptoms of angina can return, and the individual again runs the risk of heart
- attack. According to studies, approximately 60 percent of these grafts are
- still effective 10 to 12 years after surgery.
- If you are undecided about your own decision, ask your doctor to explain
- your condition and his or her recommended course of action in greater detail.
- If necessary, don't be hesitant to seek out a third opinion.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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