On the occasion of the inauguration of the Department of Heart Surgery at the Rehabilitation Center in Bad Krozingen, we held under the aus pices of the European Society of Cardiology an International Symposium on March 17 to 18, 1978 with the topic: . "Coronary Heart Surgery - a Rehabilitation Measure" This book contains the papers given at that time. The editors of this book, together with the other members of the sci entific committee - H. Denolin from Brussels, Ch. Hahn from Geneva, and F. Loogen from DUsseldorf - aimed at selecting controversial top ics as well as speakers representing…mehr
On the occasion of the inauguration of the Department of Heart Surgery at the Rehabilitation Center in Bad Krozingen, we held under the aus pices of the European Society of Cardiology an International Symposium on March 17 to 18, 1978 with the topic: . "Coronary Heart Surgery - a Rehabilitation Measure" This book contains the papers given at that time. The editors of this book, together with the other members of the sci entific committee - H. Denolin from Brussels, Ch. Hahn from Geneva, and F. Loogen from DUsseldorf - aimed at selecting controversial top ics as well as speakers representing different viewpoints. Thus avoid ing portrayal of an image of a world of coronary bypass surgery in which all problems have found a solution. In keeping with the topic of the meeting, special emphasis was drawn to the long-term functional results of aortocoronary bypass surgery; symptomatic imprQvement be ing, in most patients, significant enough and lasting for at least some years, thus allowing the patients to return to work. However, a combination of social, economic, and psychological factors may hamper optimal rehabilitation, as can be seen from some of the following papers. The incorporation of heart surgery into a rehabilitation center - being the motif of this symposium - may hopefully stimulate a global approach to cardiac rehabilitation which includes surgical, medical, psychological, vocational, and social rehabilitation mea sures. Bad Krozingen, January 1979 H. Roskamm M. Schmuziger Table of Contents 1.
1. Controversial Points in Selection of Patients for Surgery.- Changing Medical and Surgical Therapy in Coronary Artery Disease - Need for Prospective Studies.- A Critical Review of the Veterans Administrative Cooperative Study.- The Effect of Coronary Bypass on Longevity - a Nonrandomized Study.- The Effects of Aortocoronary Bypass Surgery on Life Expectancy - a Nonrandomized Study.- Does Coronary Bypass Surgery Prolong Life Expectancy?.- Are There Indications for Surgery in Asymptomatic Patients?.- Factors to Prolong Survival in Patients with Coronary Artery Disease.- Preinfarction Angina due to LAD Stenosis - a Surgical Follow-up.- Aortocoronary Bypass Surgery in Patients with Organic Coronary Atherosclerosis Combined with Spasm.- Indications and Results of Emergency Coronary Revascularization.- 2. Controversial Points in Surgical Tactics and Techniques.- Complete Revascularization, Including Moderate Stenosis?.- Is Revascularization Limited to Good Quality and High Caliber Vessels?.- Diffuse Coronary Artery Disease; Is it a Contraindication for Surgery?.- Revascularization of Partially Infarcted Areas - Pathologist's Point of View.- Revascularization of Partially Infarcted Myocardium.- Indications for Distal Coronary Artery Endarterectomy and Proximal Coronary Artery Bypass Grafts.- Patency Rate and Functional Results of Left Anterior Descending Bypass Surgery by Internal Mammary Artery.- The Internal Mammary Artery as a Coronary Artery Bypass Graft.- Does the Choice of Grafts (Veins or IMA) Influence Patency Rate and Functional Results?.- Intra-operative Estimation of Technical and Functional Causes of Limited Aortocoronary Bypass Flow.- 3. Indications for and Results of Aneurysmectomy.- Tachyarrhythmia as an Indication for Cardiac Surgery.- Does Aneurysmectomy Reduce Life-Threatening Ventricular Arrhythmias?.- Modification of Ventricular Function by Hypercontraction of the Surviving Heart Muscle Following Myocardial Infarction 174.- Factors Influencing Results in Surgery of Postinfarction Ventricular Aneurysms.- Functional Analysis of the Left Ventricle with Postinfarction Aneurysm.- 4. Anesthesia and Myocardial Protection in Coronary Heart Surgery.- Primary Importance of Myocardial Blood Flow in Determining in the Survival of Ischemic Myocardium.- Myocardial Protection by Cardioplegic Solutions.- Myocardial Protection by Pulsatile Flow - Clinical Experience.- Comparative Study of Three Methods of Myocardial Protection.- Anesthesia for Coronary Artery Surgery.- Myocardial Protection by a Calcium Antagonist.- Myocardial Protection and Postoperative Care with Vasodilator Therapy (Nitrates).- Can Postoperative Care be Facilitated by Preoperative Preparation?.- 5. Functional Results of Coronary Heart Surgery.- Factors Influencing Long-Term Improvement of Angina Pectoris, Exercise Tolerance, and Exercise Electrocardiography in Patients After Vein Bypass Surgery.- Long-Term Effect of Coronary Bypass Surgery on Exercise Tolerance: A 2-Year Randomized Study.- Improvement of Hemodynamics During Exercise.- Pulmonary Artery Pressure During Exercise and LV Diastolic Compliance Before and After Coronary Artery Surgery.- Factors Influencing Improvement of Hemodynamics During Exercise.- Thallium201 Myocardial Perfusion Scintigraphy for the Evaluation of Post Coronary Bypass Patients.- Regional Ventricular Function at Rest, During Leg Raising and Physical Exercise Before and After Aortocoronary Bypass Surgery.- Global and Regional Postoperative Left Ventricular Function in Relation to Preoperative Function and Degree of Revascularization.- Early Myocardial Depression After Coronary Artery Bypass Surgery.- Indications for and Results of Reoperation.- 6. What Can be Done to Improve Long-Term Results and Vocational Rehabilitation?.- Recent Changes in Incidence and Course of Hepatitis After Heart Surgery.- Contributing Factors Preventing Return to Work of Cardiac Surgery Patients.- Clinical Results and Social Implications in Patients Af
1. Controversial Points in Selection of Patients for Surgery.- Changing Medical and Surgical Therapy in Coronary Artery Disease - Need for Prospective Studies.- A Critical Review of the Veterans Administrative Cooperative Study.- The Effect of Coronary Bypass on Longevity - a Nonrandomized Study.- The Effects of Aortocoronary Bypass Surgery on Life Expectancy - a Nonrandomized Study.- Does Coronary Bypass Surgery Prolong Life Expectancy?.- Are There Indications for Surgery in Asymptomatic Patients?.- Factors to Prolong Survival in Patients with Coronary Artery Disease.- Preinfarction Angina due to LAD Stenosis - a Surgical Follow-up.- Aortocoronary Bypass Surgery in Patients with Organic Coronary Atherosclerosis Combined with Spasm.- Indications and Results of Emergency Coronary Revascularization.- 2. Controversial Points in Surgical Tactics and Techniques.- Complete Revascularization, Including Moderate Stenosis?.- Is Revascularization Limited to Good Quality and High Caliber Vessels?.- Diffuse Coronary Artery Disease; Is it a Contraindication for Surgery?.- Revascularization of Partially Infarcted Areas - Pathologist's Point of View.- Revascularization of Partially Infarcted Myocardium.- Indications for Distal Coronary Artery Endarterectomy and Proximal Coronary Artery Bypass Grafts.- Patency Rate and Functional Results of Left Anterior Descending Bypass Surgery by Internal Mammary Artery.- The Internal Mammary Artery as a Coronary Artery Bypass Graft.- Does the Choice of Grafts (Veins or IMA) Influence Patency Rate and Functional Results?.- Intra-operative Estimation of Technical and Functional Causes of Limited Aortocoronary Bypass Flow.- 3. Indications for and Results of Aneurysmectomy.- Tachyarrhythmia as an Indication for Cardiac Surgery.- Does Aneurysmectomy Reduce Life-Threatening Ventricular Arrhythmias?.- Modification of Ventricular Function by Hypercontraction of the Surviving Heart Muscle Following Myocardial Infarction 174.- Factors Influencing Results in Surgery of Postinfarction Ventricular Aneurysms.- Functional Analysis of the Left Ventricle with Postinfarction Aneurysm.- 4. Anesthesia and Myocardial Protection in Coronary Heart Surgery.- Primary Importance of Myocardial Blood Flow in Determining in the Survival of Ischemic Myocardium.- Myocardial Protection by Cardioplegic Solutions.- Myocardial Protection by Pulsatile Flow - Clinical Experience.- Comparative Study of Three Methods of Myocardial Protection.- Anesthesia for Coronary Artery Surgery.- Myocardial Protection by a Calcium Antagonist.- Myocardial Protection and Postoperative Care with Vasodilator Therapy (Nitrates).- Can Postoperative Care be Facilitated by Preoperative Preparation?.- 5. Functional Results of Coronary Heart Surgery.- Factors Influencing Long-Term Improvement of Angina Pectoris, Exercise Tolerance, and Exercise Electrocardiography in Patients After Vein Bypass Surgery.- Long-Term Effect of Coronary Bypass Surgery on Exercise Tolerance: A 2-Year Randomized Study.- Improvement of Hemodynamics During Exercise.- Pulmonary Artery Pressure During Exercise and LV Diastolic Compliance Before and After Coronary Artery Surgery.- Factors Influencing Improvement of Hemodynamics During Exercise.- Thallium201 Myocardial Perfusion Scintigraphy for the Evaluation of Post Coronary Bypass Patients.- Regional Ventricular Function at Rest, During Leg Raising and Physical Exercise Before and After Aortocoronary Bypass Surgery.- Global and Regional Postoperative Left Ventricular Function in Relation to Preoperative Function and Degree of Revascularization.- Early Myocardial Depression After Coronary Artery Bypass Surgery.- Indications for and Results of Reoperation.- 6. What Can be Done to Improve Long-Term Results and Vocational Rehabilitation?.- Recent Changes in Incidence and Course of Hepatitis After Heart Surgery.- Contributing Factors Preventing Return to Work of Cardiac Surgery Patients.- Clinical Results and Social Implications in Patients Af
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