scholarly journals Comparison of six risk scores in patients with triple vessel coronary artery disease undergoing PCI: Competing factors influence mortality, myocardial infarction, and target lesion revascularization

2013 ◽  
Vol 82 (6) ◽  
pp. 855-868 ◽  
Author(s):  
Jason C. Kovacic ◽  
Atul M. Limaye ◽  
Samantha Sartori ◽  
Paul Lee ◽  
Roshan Patel ◽  
...  
Author(s):  
Xiuxiu Cui ◽  
Huaying Bo ◽  
Yu Dong ◽  
Ying Wang ◽  
wenxing chang ◽  
...  

AIM Using three-dimensional ultrasound speckle tracking echocardiography (3D-STE) to evaluate left ventricular (LV) function in patients with triple vessel coronary artery disease(TVD) without myocardial infarction. METHODS Sixty patients with TVD without myocardial infarction were divided into two groups according to the results of coronary angiography. Group B (n=31):50%≤the stenosis rate of all triple vessel coronary artery<75%; Group C (n=29):the stenosis rate of all triple vessel coronary artery≥75%. Thirty healthy subjects were recruited as the group A. We measured LV end-diastolic and end-systolic volume (LVEDV, LVESV) and LV ejection fraction (LVEF) using real-time dynamic three-dimensional echocardiography. The 3D-STE parameters of LV included global longitudinal strain (GLS), global area strain (GAS), global radial strain (GRS) and global circumferential strain (GCS). The correlation between 3D-STE parameters and NT-proBNP were analyzed by Pearson linear correlation analysis. RESULTS In group C, LVEDV and LVESV were significantly increased (all P<0.05), while LVEF, GLS, GRS, GCS and GAS were significantly decreased compared with groups A and B (all P<0.05). In groups A and B, there were no statistical differences in LVEDV, LVESV and LVEF. However, GLS, GCS and GAS were lower in group B than in group A (all P<0.05). The correlation analysis showed a negative correlation between the absolute values of GLS, GRS, GCS, GAS and NT-proBNP in group C (r=-0.866、-0.587、-0.428、-0.600,P<0.001、P=0.001、P=0.020、P=0.010). CONCLUSIONS Our study shows that 3D-STE can evaluate the LV function in patients with triple vessel coronary artery disease without myocardial infarction through multiple strain parameters.


2015 ◽  
Vol 22 (12) ◽  
pp. 1569-1573
Author(s):  
Muhammad Ijaz Bhatti ◽  
Usman Javed Iqbal ◽  
Nasir Iqbal

Background: Thrombolysis In Myocardial Infarction (TIMI) risk score predictsadverse clinical outcomes in patients with non–ST-elevation acute coronary syndromes(NSTEACS). Whether this score correlates with the coronary anatomy is unknown. Objective:To determine the frequency of low, moderate and high TIMI risk score in patients of NSTEACSand to compare the frequency of two vessel coronary artery disease on angiography withlow, moderate and high TIMI risk scores in patients of NSTE-ACS. Study design: This was across sectional study. Setting: Department of Cardiology, Gulab Devi Chest Hospital, Lahore.Duration: Six months. Patients and Methods: Total 170 patients were included in the study.Patients’ selection was done with the help of a pre-defined inclusion and exclusion criteria. TIMIrisk score was calculated for each patient and patients were categorized into low, moderate andhigh risk groups (as per operational definition). Patients were further evaluated with coronaryangiograms to assess the double vessel CAD. All angiographies were performed by a singlephysician. Data analysis was done on SPSS version 17. Results: Mean age of our patients was54.81±10.55 years. Gender distribution shows that there were 106(62%) male and 64(38%)female patients. TIMI score risk classification showed that among 50(29.4%) patients TIMI riskscore was low, among 107(62.9%) patients it was moderate and in 13(7.6%) patients it washigh. There were 105(62%) patients who had two vessel coronary artery disease. Among 105patients who had two vessel coronary artery disease, 25(23.8%) had low TIMI score, 69(65.7%)had moderate and 11(10.5%) of the patients had high TIMI score. Conclusion: In patientswith non-ST-elevation acute coronary syndrome undergoing cardiac catheterization, the TIMIrisk score is significantly associated with two vessel coronary artery disease. So it should berecommended that a routine invasive strategy be carried in patients with moderate or higherTIMI risk score.


2001 ◽  
Vol 19 (5) ◽  
pp. 879-884 ◽  
Author(s):  
Oliviero Olivieri ◽  
Chiara Stranieri ◽  
Domenico Girelli ◽  
Francesca Pizzolo ◽  
Silvia Grazioli ◽  
...  

Author(s):  
Xiuxiu Cui ◽  
Huaying Bo ◽  
Yu Dong ◽  
Ying Wang ◽  
ying li ◽  
...  

Purpose Using three-dimensional speckle tracking echocardiography (3D-STE) to evaluate left ventricular (LV) function in patients with triple vessel coronary artery disease(TVD) without myocardial infarction. Methods Sixty patients with TVD without myocardial infarction were divided into two groups according to the results of coronary angiography. Group B (n=31):50%≤the stenosis rates of all triple vessel coronary artery<75%; Group C (n=29):the stenosis rates of all triple vessel coronary artery≥75%. Thirty healthy subjects were recruited as the group A. We measured LV end-diastolic and end-systolic volume (LVEDV, LVESV) and LV ejection fraction (LVEF) using real-time three-dimensional echocardiography. The 3D-STE parameters of LV included global longitudinal strain (GLS), global area strain (GAS), global radial strain (GRS) and global circumferential strain (GCS). Results In group C, LVEDV and LVESV were significantly increased (all P<0.05), while LVEF, GLS, GRS, GCS and GAS were significantly decreased compared with groups A and B (all P<0.05). In groups A and B, there were no statistical differences in LVEDV, LVESV and LVEF. However, GLS, GCS and GAS were lower in group B than in group A (all P<0.05). Conclusion Our study shows that 3D-STE can evaluate the LV function in patients with triple vessel coronary artery disease without myocardial infarction through multiple strain parameters.


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