The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Evaluation of Myocardial Revascularization with Arterial Implants: An Objective Study Using Electrocardiography and Maximal Stress Testing

W. E. BLOOMER, M.D.; M. H. ELLESTAD, M.D.; A. J. BELAND, M.D.; J. A. COPE, M.D.; and E. R. PALAREA, M.D.
[+] Article, Author, and Disclosure Information

▸Requests for reprints should be addressed to William E. Bloomer, M.D., 3440 Atlantic Ave., Long Beach, Calif. 90807

Ann Intern Med. 1970;73(6):913-919. doi:10.7326/0003-4819-73-6-913
Text Size: A A A

A study was made of 164 patients who had received systemic arterial implants for myocardial revascularization. This included 63 patients with a single Vineberg, 78 with a double Vineberg, and 23 in whom splenic artery implants had been performed with or without internal mammary artery implants. All had preoperative coronary arteriograms, and all but six had preoperative treadmill stress tests. Operative mortality was 6.7%. In 93 patients, all of whom had had positive stress tests preoperatively, comparison was made with postoperative stress tests 6 months to a year after operation. In 28% no ischemia could be demonstrated on maximal stress testing. In an additional 34.4% there was significant improvement. Postoperative angiography of the implants was obtained in 53 patients who had been studied by treadmill stress testing. The stress testing was found to be a more critical objective method of appraisal of functional improvement.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Journal Club
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.