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Among patients who had coronary artery bypass grafting (cabg) while taking guideline-recommended medications compared to those taking medication alone. Previous smaller studies had been conducted prior to major developments in medical therapy and cardiac surgery that have led to current treatment guidelines. viagra canada online After nearly five years of follow-up, researchers found that bypass surgery reduced the risk of death from any cause by 14 percent when compared to medical therapy alone, although the finding was not statistically significant (p=. 123). Bypass surgery significantly reduced the risk of cardiovascular death by 19 percent (p=0. taking both viagra and viagra 05) and the combined risk of death from any cause plus hospitalization by 26 percent (p<0. buy viagra canada 001). "these findings have the potential to change clinical practice," velazquez said. over the counter viagra substitute cvs "the current approach for making treatment decisions for many heart failure patients today either ignores the potential treatable contribution of coronary artery disease or, if it is discovered, places them on an express train toward surgery. viagra camaro commercial music " "this study finally provides doctors and patients with the necessary details to have informed discussions about the potential risks and benefits, to optimize medical therapy and determine if or when bypass surgery should be considered. buy viagra cheap " velazquez added, "stich should give physicians and patients comfort that decisions about surgery should not be avoided but do not need to be rushed. In other words, the message should be: take the local train. taking both viagra and viagra " stich is a multi-center, international clinical trial that enrolled 2,136 patients between july 2002 and may 2007. The study reported today included 99 medical centers in 22 countries that recruited patients with heart failure caused by coronary artery disease or a previous heart attack. Researchers randomly assigned 602 patients to optimal medical therapy alone and 610 patients to coronary bypass surgery plus optimal medical therapy. When researchers analyzed the data on patients based on the treatment assigned by the study, not accounting for those who "crossed over" from the group for which they were originally randomized, 40 percent of people in the medical therapy group had died after five years compared to 35 percent among those who had surgery. generic viagra canada When the crossovers were included in the analysis, patients who received bypass surgery had a 30 percent lower rate of death compared to those that remained on medical therapy alone. The researchers note that th. buy generic viagra viagra without prescription