| Autor: |
Arnett, Ernest N., Isner, Jeffrey M., Redwood, David R., Kent, Kenneth M., Baker, William P., Ackerstein, Harold, Roberts, William C., Arnett, E N, Isner, J M, Redwood, D R, Kent, K M, Baker, W P, Ackerstein, H, Roberts, W C |
| Předmět: |
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| Zdroj: |
Annals of Internal Medicine; Sep79, Vol. 91 Issue 3, p350-356, 7p |
| Abstrakt: |
Of 10 patients with fatal coronary heart disease undergoing coronary angiography 0 to 69 d (average, 21) before necropsy, the amount of narrowing in 61 coronary arteries observed angiographically (diameter reduction) during life by three angiographers was compared with that observed histologically (cross-sectional area) at necropsy. No overestimations of the degree of narrowing were made angiographically. Of 11 coronary arteries or their subdivisions narrowed 0 to 50% in cross-sectional area histologically, none were underestimated angiographically; of eight narrowed 51% to 75% histologically, seven had been underestimated, and of 42 narrowed 76% to 100% histologically, 17 were underestimated angiographically. The coronary atherosclerotic plaquing was diffuse (greater than 25% cross-sectional area narrowing) in 90% of 467 five-millimetre segments of coronary artery examined (24 cm per patient), and this diffuseness of the atherosclerotic process seems to be the major reason for angiographic underestimation of coronary narrowings. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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