Coronary Bypass Surgery in the Elderly

Ethical, Economical and Quality of Life Aspects

  • Paul J. Walter

Part of the Developments in Cardiovascular Medicine book series (DICM, volume 161)

Table of contents

  1. Front Matter
    Pages i-xx
  2. Demographics and health policy

  3. Favourable clinical results of CABG in the elderly

    1. Front Matter
      Pages 25-25
    2. Janos Szécsi, Paul Herijgers, Ilse Scheys, Willem Flameng
      Pages 41-53
    3. Francis Fontan, Alain Becat, Guy Fernandez, Nicolas Sourdille, Pascal Reynaud, Paul Montserrat
      Pages 55-59
    4. Gideon Sahar, Ehud Raanani, Itzhak Hertz, Ron Brauner, Bernardo A. Vidne
      Pages 61-68
  4. Health care costs of elderly CABG patients

    1. Front Matter
      Pages 69-69
  5. Clinical, economical and ethical controversies

  6. The heart of the matter: Health-related quality of life after CABG in the elderly

  7. Rehabilitation

    1. Front Matter
      Pages 211-211
  8. Back Matter
    Pages 223-268

About this book


Coronary artery bypass surgery in the elderly: Too often or too seldom? It is a testimony to scientific advances that raising a simple inquiry today, such as whether coronary artery bypass surgery is done too often or too seldom in elderlypatients, requiresanexplorationofwhatviewsonemightholdonseveral medical as well as non-medical issues. Unlike earlier years when doctors were clinically free to decide what should be done with a patient, health has become an expensive human right, decisions about which also involve the patient, the epidemiologist, the health policy administrator, politicians, the exchequer, and the philosopher. In its broadest definition health has come to mean the core of well-being and, therefore, the goal ofany socio-economic system. Until only a decade ago, medical opinion regarding how often coronary artery bypass surgery (CABG) was indicated or useful was unclear. Becauseof multi-organ senescence, the elderly were expected to have a higher rate operative morbidity and mortality and, having crossed an advanced life span, might not live very long after the operation. Decision making on medical grounds first depends on knowing if a patient can survive an operation compared to how long they would survive without it, i. e.


Bypass Public Health age assessment cardiovascular ethics rehabilitation

Editors and affiliations

  • Paul J. Walter
    • 1
  1. 1.Department of Cardiovascular SurgeryUniversity Hospital AntwerpAntwerpBelgium

Bibliographic information

  • DOI
  • Copyright Information Kluwer Academic Publishers 1995
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-4093-8
  • Online ISBN 978-94-011-0209-4
  • Series Print ISSN 0166-9842
  • Buy this book on publisher's site