Usefulness of right-sided cardiac catheterization during 'routine' coronary angiography
| Autor: | Ahmed U. Jamaluddin, Alan D. Kogan, Alfred J. Anderson, Jose Ballesteros |
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| Rok vydání: | 1990 |
| Předmět: |
Male
Cardiac Catheterization medicine.medical_specialty Hypertension Pulmonary medicine.medical_treatment Coronary Disease Coronary Angiography Preoperative care Coronary artery disease Internal medicine Preoperative Care medicine Humans Cardiac Surgical Procedures Aged Cardiac catheterization medicine.diagnostic_test business.industry Mortality rate Angiography Middle Aged Prognosis medicine.disease Pulmonary hypertension Community hospital Heart failure Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The American Journal of Cardiology. 65:1034-1037 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/0002-9149(90)91011-t |
| Popis: | In the absence of a specific indication, the performance of right-sided cardiac catheterization during coronary angiography has always been controversial. 1 Proponents justify it based on the need for a complete cardiac evaluation in each patient and its “training value,” 2 while the potential increased morbidity and radiation exposure involved in the procedure are often cited as factors that mitigate against its routine use. 3 In this era of medical cost containment, the added cost of right-sided heart catheters and physicians' fees further aggravate this controversy. In a recent series of 219 patients who underwent coronary angiography and right-sided cardiac catheterization, Shanes et al4 argued against its routine use. One third of their patients had abnormal right pressures but the presence of pulmonary hypertension did not appear to influence the diagnosis or therapeutic recommendations. These findings and conclusions were contradicted by Barron et al,5 who reported on 2,178 coronary angiography patients who had no signs or symptoms of valvular disease or congestive heart failure but in whom there was a 14.5% incidence of unsuspected and significant abnormalities diagnosed by right-sided cardiac catheterization. To identify more clearly both the incidence of pulmonary hypertension in the catheterization laboratory of a community hospital and its possible effect on the treatment and mortality rates of patients with symptomatic coronary artery disease, we undertook the following study. |
| Databáze: | OpenAIRE |
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