Left main coronary artery spasm. A potential cause for angiographic misdiagnosis of severe coronary artery disease

1976 ◽  
Vol 136 (3) ◽  
pp. 350-351 ◽  
Author(s):  
E. S. Murphy
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Coronary Artery Spasm ◽  
Severe Coronary Artery Disease ◽  
Left Main ◽  
Severe Coronary Artery ◽  
Artery Disease

scholarly journals CORONARY ARTERY DISEASE IN THE ELDERLY

2012 ◽  
Vol 19 (06) ◽  
pp. 804-807
Author(s):  
ZAHOOR ASLAM KHATTAK ◽  
MUHAMMAD QAISER Khan ◽  
HAMID SHARIF KHAN ◽  
Zafar Ul Islam
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Left Main Coronary Artery ◽  
The Elderly ◽  
Severe Coronary Artery Disease ◽  
Left Main ◽  
Severe Coronary Artery ◽  
Artery Disease ◽  
Vessel Coronary Artery

Objective: The objective of our study is to assess the severity of coronary artery disease in the elderly and predict the safetyoutcome of coronary angiography. Study design: A cross sectional observational study. Setting: AFIC/NIHD Rawalpindi. Period: February2011 and August 2011. Method: The study population included 100 elderly patients (age>60years) undergoing coronary angiography.Coronary angiography data were obtained from the Siemens Queries software system, which maintains the database including detailedangiographic findings of all patients at this institution. Significant lesions were defined as those with >70% diameter narrowing of coronaryarteries (>50% for the left main coronary artery). We attempted to quantify the “severity of CAD” by ascertaining the prevalence of high-riskcoronary anatomy (HRCA, defined as >50% stenosis of the left main coronary artery and/or significant three-vessel coronary artery disease).More than 70% stenosis in more than one coronary artery was considered as severe coronary artery disease. Results: Our study cohortcomprised of 100 consecutive subjects 82 (82.0%) men and 18 (18.0%) women with a mean age of 78.6 years (Range 70 years - 94 years). 77patients (77.0%) had severe coronary artery disease; 50 with triple vessel coronary artery disease (TVCAD) 1 with TVCAD with Left Main StemDisease, 26 had double coronary artery disease (DVCAD). 12 patients (12.0%) had moderate coronary artery disease with single vesselinvolvement (SVCAD), 6 patients (6.0%) had subcritical coronary artery disease with < 60 % stenosis in any of the vessel while only 5 patients(5%) had a normal coronary angiogram. Conclusions: Patients of elderly age group have more severe CAD and coronary angiography is arelatively safe procedure.

A Survey of Transesophageal Echocardiography

2018 ◽  
pp. 65-68
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Syntax Score ◽  
Severe Coronary Artery Disease ◽  
Left Main ◽  
Attractive Option ◽  
Severe Coronary Artery ◽  
Artery Disease

This case focuses on the use of cardiac stents vs. coronary artery bypass surgery for severe coronary artery disease by asking the question: Should patients with severe coronary artery disease (three-vessel and/or left main disease) be treated with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG)? For patients with three-vessel and/or left main coronary artery disease, CABG reduced rates of major cardiovascular and cerebrovascular events compared with PCI. This difference was largely driven by a reduction in the need for repeat revascularization procedures among patients receiving CABG. Patients who received PCI had a lower rate of stroke, however, which may make PCI an attractive option for some patients. In addition, the authors suggest that patients with less complex coronary artery disease (as assessed using the SYNTAX score) may be particularly good candidates for PCI, but this hypothesis requires further validation.

Severe Coronary artery disease in 6 years old child

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
A.-H. Dayeh ◽  
G. Taurosinov ◽  
J. El Bahi ◽  
D. Schranz ◽  
N. Evagelopoulos ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Severe Coronary Artery Disease ◽  
Severe Coronary Artery ◽  
Artery Disease

scholarly journals Ten-year all-cause death after percutaneous or surgical revascularization for men and women with multivessel or left main coronary artery disease: insights from the SYNTAX extended survival study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
H Hara ◽  
K Takahashi ◽  
D Klaveren ◽  
M Ono ◽  
H Kawashima ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Mortality Rates ◽  
Public Institution ◽  
Funding Source ◽  
Left Main ◽  
Main Coronary Artery Disease ◽  
Artery Disease ◽  
Extended Survival

Abstract Background In patients with complex coronary artery disease (CAD), women favored coronary artery bypass grafting surgery (CABG) compared to percutaneous coronary intervention (PCI) at 5 years in the SYNTAX trial, whereas mortality rates after PCI and CABG were not different in men. On the other hand, poor outcomes of women undergoing PCI were not observed in the PRECOMBAT and BEST trials. The long-term optimal revascularization strategy according to gender has not been fully evaluated. Purpose In the SYNTAX Extended Survival (SYNTAXES) study, no significant difference existed in all-cause death between PCI and CABG at 10 years. This study aimed to assess treatment effect of PCI and CABG for 10-year all-cause death according to gender. Methods The SYNTAXES study evaluated vital status up to 10 years in 1,800 patients with de novo three-vessel disease (3VD) and/or left main coronary artery disease (LMCAD) randomized to treatment with CABG or PCI in the SYNTAX trial, and the pre-specified primary endpoint was all-cause death at 10 years. In this prespecified analysis, all-cause death at 10 years according to gender in patients undergoing PCI or CABG was evaluated. Results Of 1800 patients, 402 (22.3%) were women and 1398 (77.7%) were men. In women, the rate of mortality was significantly higher in the PCI arm at 5 years than in the CABG arm (19.3% vs. 10.3%; Log-rank p=0.010, Figure A), but the rates of mortality were not different at 10 years between the PCI and CABG arms (33.0% vs. 32.5%; Log-rank p=0.600, Figure A). In men, the mortality rate tended to be higher in the PCI arm at 10 years than in the CABG arm (27.0% vs. 22.5%; Log-rank p=0.082, Figure B), although the mortality rates were not different at 5 years between the PCI and CABG arms (12.4% vs. 12.3%; Log-rank p=0.957, Figure B). Conclusion The efficacy of CABG observed at 5 years disappeared at 10 years in women, whereas the efficacy of CABG became apparent after 5 years in men. Figure 1 Funding Acknowledgement Type of funding source: Public Institution(s). Main funding source(s): Erasmus University Medical Centre, Rotterdam, Netherlands, reference: MEC-2016-716

scholarly journals Severe Coronary Artery Disease in a Person Living with HIV

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 595
Author(s):  
Mircea Bajdechi ◽  
Cosmin Mihai ◽  
Alexandru Scafa-Udriste ◽  
Ali Cherry ◽  
Diana Zamfir ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Severe Coronary Artery Disease ◽  
Atypical Symptoms ◽  
Coronary Syndrome ◽  
Severe Coronary Artery ◽  
Artery Disease ◽  
Living With Hiv ◽  
Missed Diagnoses

The pathophysiology of accelerated atherosclerosis in people living with Human Immunofediciency virus (HIV) is complex. Coronary artery disease (CAD) has become an important cause of mortality in these patients. They often have atypical symptoms, leading to frequently missed diagnoses. We report a case of a 51-year-old male undergoing antiretroviral therapy who was admitted for acute coronary syndrome. He had severe coronary artery disease that involved difficult management.

scholarly journals THREE-YEAR OUTCOMES AFTER REVASUCLARIZATON IN PATIENTS WITH UNPROTECTED LEFT MAIN CORONARY ARTERY DISEASE

2021 ◽  
Vol 77 (18) ◽  
pp. 1220
Author(s):  
Kazunori Mushiake ◽  
Masanobu Ohya ◽  
Chihiro Fujii ◽  
Takeshi Tada ◽  
Hiroyuki Tanaka ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Main Coronary Artery Disease ◽  
Artery Disease
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