Veterans Administration Coronary Cooperative Study

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Abstract
THE DEBATE on the merits of coronary artery bypass continues on in editorial pages, most recently inJAMA1and in theAmerican Journal of Cardiology.2The debate was initiated by Eugene Braunwald, MD, in September 1977, when he suggested that "coronary arteriography is not always resisted vigorously" by practicing physicians caring for patients with angina pectoris. Braunwald3also said that a more insidious problem is that an industry has been built around the coronary artery bypass procedure. Dr Braunwald's comment was based on a preliminary report of a Veterans Administration Cooperative Study, which suggested that in male veterans with chronic stable angina, coronary artery bypass surgery did not prolong survival. This report has now been disputed by its own participants4and by several nonparticipating hospitals.5-7Wadsworth VA (Los Angeles) and San Francisco VA hospitals, both of which dropped out of the cooperative study in 1972,

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