Coronary artery disease is associated with valvular heart disease, but could it Be a predictive factor?
| Autor: | Nicolas Moussallem, Anthony Matta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
CAD coronary artery disease NDSUH Notre-Dame de Secours University Hospital Heart Valve Diseases Coronary Artery Disease 030204 cardiovascular system & hematology Coronary Angiography MR mitral regurgitation Coronary artery disease 0302 clinical medicine Mitral valve Prevalence Mitral Valve Stenosis 030212 general & internal medicine Heart Valve Prosthesis Implantation valvular heart disease medicine.anatomical_structure Aortic valve stenosis Cardiology cardiovascular system Female Cardiology and Cardiovascular Medicine medicine.medical_specialty RD1-811 Short Communication Aortic valve disease AS aortic stenosis Regurgitation (circulation) macromolecular substances CVD cardiovascular disease 03 medical and health sciences Internal medicine medicine Humans AR aortic regurgitation Diseases of the circulatory (Cardiovascular) system cardiovascular diseases Aged Retrospective Studies Mitral regurgitation business.industry Aortic Retrospective cohort study Aortic Valve Stenosis medicine.disease MS mitral stenosis Stenosis VHD valvular heart disease RC666-701 Surgery business |
| Zdroj: | Indian Heart Journal, Vol 71, Iss 3, Pp 284-287 (2019) Indian Heart Journal |
| ISSN: | 0019-4832 |
| Popis: | Objective: This study was conducted to evaluate the prevalence of significant coronary artery disease (CAD) in patients with severe valvular heart disease (VHD) and the association between these two cardiac entities. Our research aims to introduce the theory of a possible causal relationship. Methods: A retrospective study was conducted on 1308 consecutive patients who underwent surgery for severe VHD in the cardiovascular department of Notre-Dame de Secours University Hospital (NDSUH) between December 2000 and December 2016. According to transthoracic echocardiography, patients were divided into 4 groups: patients with severe aortic stenosis (AS), patients with severe aortic regurgitation (AR), patients with severe mitral stenosis (MS), and patients with severe mitral regurgitation (MR). Preoperative coronary angiographies were reviewed for the presence or the absence of significant CAD (≥50% luminal stenosis). Chi-square test and 2 × 2 tables were used. Results: Of the 1308 patients with severe VHD, 1002 patients had isolated aortic valve disease, 240 patients had isolated mitral valve disease, and 66 patients had combined aortomitral valve disease. CAD was detected in 27.75% of all patients with severe VHD, in 32% of patients with isolated aortic valve disease, and in 15% of patients with isolated mitral valve disease. Statistical analysis showed a higher prevalence in patients with severe aortic valve stenosis and a significant relationship between CAD and aortic valve disease, mainly severe AS (p |
| Databáze: | OpenAIRE |
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