Coronary angiography findings in males with early-onset coronary disease

Autor: Julián R. Reguero, Gustavo I. Cubero, Alberto Batalla
Rok vydání: 2001
Předmět:
Zdroj: International journal of cardiology. 81(1)
ISSN: 0167-5273
Popis: The prevalence of angiographically normal corsomeone more lession.70%; 95normal coronary onary arteries in patients with early coronary disease angiogram. has been difficult to determine because some reports The results are summarized in Table 1. [1,2] have included patients with up to 50% coronary In 87 patients (61%) the lesion was located in the stenosis as well as those free of lumen narrowing. left anterior descending artery. The circumflex Others have distinguished patients with moderate showed lesions in sixty patients (42%) and the right disease from those with normal arteries [3,4]. Howcoronary in seventy-nine patients (55%). We diagever, prospective and retrospective analyses [1–6] of nosed left main coronary artery disease in eight patients with ischemic heart disease at a young age patients (5%). have described angiographically normal coronary In our study with male with early-onset of isarteries in 9–17%. chemic heart disease, we found normal coronary In order to determine the angiographic characterisangiography in 10% of myocardial infarctions. The tics in the early symptomatic coronary artery disease, left anterior descending was the artery more frequentwe studied 142 patients admitted to the coronary care ly affected and isolated left main coronary disease unit by acute myocardial infarction or unstable angina was an infrequent finding. with electrocardiographic ischaemic changes. These patients were prospectively evaluated (mean age 4365) and all of them underwent a coronariographic Table1 study. We decide to score as follow: 15one vessel Angiographic findings stenosis.70%; 25two vessels stenosis.70%; 35 Score n % Infarction Angina three vessels stenosis.70%; 45milking; 55isolated (%) (%) left main coronary artery disease; 65left main cor1 45 32 35 29 onary artery disease and someone more vessel; 75 2 31 22 26 19 isolated vessel stenosis#70%; 85stenosis#70% and 3 23 16 11 20 4 2 1.5 0 2.5 5 3 2 0 3.5 6 5 3.5 0 6 7 5 3.5 5 2.5 *Corresponding author. Tel.: 134-985-091-157; fax: 134-985-0918 15 10.5 13 9.5 157. 9 13 9 10 8 E-mail address: abatalla@telecable.es (A. Batalla).
Databáze: OpenAIRE