Statistical and deterministic aspects of treatment decision making in patients with multivessel coronary artery disease

• Autorzy: Walichiewicz P. , Mróz Z. , Drwal G.
• Języki publikacji: EN

Abstrakty

EN

Data of 137 patients with multivessel coronary artery disease were analyzed retrospectively to determine what clinical information had any relation with the selected treatment method. The deterministic analysis indicates a larger number of factors influencing the choice of treatment than the statistical analysis. Elements significant for the choice of treatment, determined both by deterministic analysis and statistical analysis: state of LAD below D1, state of D1, peripheral part of RCA, systolic function of antero-lateral segment, global left ventricular ejection fraction in angiography and echocardiography. Deterministic analysis proved that in the process of reaching the decision about choice of treatment, physicians took into consideration the results of large randomized trials, i.e. patient's age, state of left ventricular ejection fraction and state of proximal LAD segment (in this paper: state of LAD above first diagonal branch). Statistical analysis pointed only to the state of ejection fraction.

Słowa kluczowe

EN

decision making; rough sets; multivessel coronary artery disease

• Wydawca: Polish Academy of Sciences, Committee of Automatic Control and Robotics
• Czasopismo: Archives of Control Sciences
• Rocznik: 2000
• Tom: Vol. 10, no. 3/4
• Strony: 185--196
• Opis fizyczny: Bibliogr. 17 poz., tab., wzory

Twórcy

autor

Walichiewicz P.

• Department of Cardiology, Silesian School of Medicine, 41-800 Zabrze, Skłodowskiej-Curie 10, Poland

autor

Mróz Z.

• Department of Computer Science, Silesian University of Technology, Gliwice, Poland

autor

Drwal G.

• Department of Computer Science, Silesian University of Technology, Gliwice, Poland

Bibliografia

• [1] Z. Pawlak: Rough sets. Int. Journal of Inform. Comp. Sc., 11 (1982), 341-356.
• [2] Z. Pawlak: Decision tables and decision algorithms. Bull. Polish Acad. Sc., 33 (1990), 487.
• [3] Z. Pawlak: Theoretical Aspects of Reasoning about Data. Kluwer Academic Publishers, 1991.
• [4] B. J. Gersh, R. M. Califf, F. D. Loop, C. W. Akins, D. B. Pryor T. C. Takaro: Coronary bypass surgery in chronic stable angina. Circulation, 79 (Suppl). (1989), I-46-I-59.
• [5] T. Killip, E. Passamani K. Davisthe: CASS Principal Investigators and Their Associates Coronary Artery Surgery Study (CASS) a randomized trial of coronary artery bypass surgery: survival data. Circulation, 68 (1983), 939 950.
• [6] E. Passamani, K. B. Davis, M. J. Gillespie, T. Kallip: A randomized trial of coronary artery bypass surgery. Survival of patients with a low ejection fraction. N. Eng. J. Med., 312 (1985). 1665-71.
• [7] J. D. Pigott, N. T. Kouchoukos, A. Oberman, G. R. Cutter: Late results of surgical and medical therapy for patients with coronary artery disease and depressed left ventricular function. J. Am. Coll. Cardiol., (1985), 1036-45.
• [8] M. B. Mock, I. Rinqvist, L. D. Fisher: Survival of medically treated patients in the coronary artery surgery study (CASS) registry. Circulation, 66 (1982). 562-8.
• [9] E. Varnauskas: Twelve-year survival in the randomized European Coronary Surgery Study. N. Engl. J. Med., 319 (1988), 332-7.
• [10] N. Wang, S. R. Gundry, G. Arsdel, A. J. Razzouk, A. Hill, M. Sjolander, K. A. Cavazos, J. H. Brewer, E. E. Vyhmeister, L. L. L. Bailey: Percutaneous transluminal coronary angioplasty failures in patients with multivessel disease. Is there an increased risk. J. Thorac. Cardiovasc. Surg., 110(1) (1995), 214-23.
• [11] E. L. Alderman, L. D. Fisher, P. Litwin: Results of coronary artery surgery in patients with poor left ventricular function (CASS). Circulation, 68 (1983), 785-95.
• [12] R. M. Califf, F. E. Harell Jr., K. C. Lee, J. S. Rankin, M. A. Hlatky, D. B. Mark, R. H. Jones, L. H. Muhlbaier, H. N. Oldham, D. B. Pryor: The evolution of medical and surgical therapy for coronary artery disease. A 15 ear prospective. JAMA, 261 (1989), 2077-86.
• [13] O. N. Nwasokwa, J. H. Koss, G. H. Friedman, A. H. Grunwald, H. M. Bodenheimer: Bypass surgery lor chronic stahle angina: predictors of survival benefit and Strategy for patients selection. Am. Int. Med., 114(12), (1991), 1035 49.
• [14] G. C. Keiser, K. B. Davis, L. D. Fisher: Survival following coronary artery bypass grafting in patients with severe angina pectoris (CASS). An observational study. J. Thorac. Cardiovasc. Surg., 89 (1985), 513.
• [15] J. L. Vacek, T. L. Rosamond, H. W. Stites, S. K. Rawe, W. Robuck, G. Dittmeier G. D. Beauchamp: Comparison of percutaneous transluminal coronary angioplasty versus coronary artery bypass grafting for multivessel coronary artery disease. Am. J. Cardial., 69 (1992), 592-7.
• [16| J. H. O'Keefe Jr., J. J. Allan, B. D. McCallister, D. R. McConahay, J.L. Vacek, .J. H. Piehler, R. Ligan, G. O. Hartzler: Angioplasty versus by pass surgery for multivessel coronary disease with left ventricular ejection fraction <40%. Am. J. Cardiol., 71(11), (1993), 897-901.
• [17] J. Julien: Cardiac complications in non-insulin "dependent diabetes tnellilus. J. Diabetes complications. 11(2), (1997), 123-30.