© 2002 by Heart
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Ischaemic heart disease
Off-pump CABG after carotid surgery is safe 
Patients with combined coronary and carotid artery disease are at high risk of perioperative stroke and myocardial infarction. Of 2556 patients scheduled for off-pump bypass surgery (CABG), 82 patients with > 70% carotid stenosis were found by screening with duplex scanning (3% of the group). The mean age of the patients was 63 years. Carotid endarterectomy was immediately followed by off-pump CABG. There was no hospital mortality. One patient had perioperative myocardial infarction and another a transient ischaemic attack. It seems that, in the correct hands, combined procedures can be safe.
Meharwal ZS, Mishra A, Trehan N. Safety and efficacy of one stage off-pump coronary artery operation and carotid endarterectomy. Ann Thorac Surg 2002;73:793–7.[Abstract/Full Text]
ß Blockers as anti-inflammatory agents?
Aspirin and pravastatin lower C reactive protein (CRP) concentrations and reduce vascular risk, underlining the importance of inflammation in
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