ABSTRACT
The aim of this study was to compare clinical and functional status after coronary artery bypass grafting or percuraneous coronary angioplxty [PTCA]. The study included 96 patients; 86 patients were males and 10 patients were females with age ranged from 28 years to 66 years [mean of 29]. The patients were divided into two groups, group I undergoing CABG and group II undergoing PTCA. Assessment of global left ventricular function via measuring ejection fraction by modified Simpson's role technique and regional systolic function by dividing the left ventricular into 16 segments as documented by ASE was carried out. LV function indices improved slightly significant or non- significantly in CABG group than PTCA and both groups had the same survival rate. The need for intervention was more in PTCA group. In-hospital mortality was more in CABG group, anginal attacks and need for anti ischemic medications were more prevalent in PTCA group. There was no significant difference between both groups regarding quality of life. The study concluded that CABG does not appear to be associated with unacceptable morbidity. Patients with graftable vessels and reduced EF should not be denied CABG on the basis of their reduced LV function, for many of these patients CABG is probably the most appropriate treatment