scholarly journals Patients with Diabetes and Significant Epicardial Coronary Artery Disease Have Increased Systolic Left Ventricular Apical Rotation and Rotation Rate at Rest

2015 ◽  
Vol 33 (4) ◽  
pp. 537-545 ◽  
Author(s):  
Ravi Rasalingam ◽  
Mark R. Holland ◽  
Daniel H. Cooper ◽  
Eric Novak ◽  
Michael W. Rich ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Rotation Rate ◽  
Left Ventricular ◽  
Epicardial Coronary Artery ◽  
Apical Rotation ◽  
Patients With Diabetes ◽  
Artery Disease ◽  
Epicardial Coronary Artery Disease

PP-046 Plasma Thiol-disulfide Homeostasis in Patients with and without Critical Epicardial Coronary Artery Disease

2015 ◽  
Vol 115 ◽  
pp. S118
Author(s):  
Ibrahim Halil Altiparmak ◽  
Musluhittin Emre Erkuş ◽  
Hatice Sezen ◽  
Recep Demirbag ◽  
Zekeriya Kaya ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Epicardial Coronary Artery ◽  
Artery Disease ◽  
Epicardial Coronary Artery Disease

Abstract 18075: Prevalence and Predictors of the Absence of Obstructive Epicardial Coronary Artery Disease in Patients Referred for Index Coronary Angiography

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Adrián I Löffler ◽  
Michelle L Ouellette ◽  
Virginia K Workman ◽  
George A Beller ◽  
Jamieson M Bourque
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Risk Score ◽  
Multivariable Analysis ◽  
Stress Imaging ◽  
Epicardial Coronary Artery ◽  
Ascvd Risk ◽  
Artery Disease ◽  
Epicardial Coronary Artery Disease

Background: As many as 62.4% of patients undergoing elective coronary angiography have no obstructive epicardial coronary artery disease (CAD). These patients have substantial morbidity and are inadequately characterized. Our aim was to identify the prevalence and predictors of the absence of epicardial obstructive CAD and to assess the clinical characteristics of this population. Methods: We conducted a retrospective analysis of consecutive patients undergoing index coronary angiography. Patients with known CAD, a history of myocardial infarction, or an emergent indication were excluded, as were those evaluated for transplantation or valvular/cardiac surgery. Obstructive CAD was defined as a stenosis ≥70% (≥50% left main). We performed multivariable logistic regression of clinical variables, peak troponin levels, and stress findings to identify predictors of the absence of obstructive epicardial CAD. Results: The study population included 935 patients with median age of 62 years and 10-year ASCVD risk score of 17.7%; 55.6% of the patients were male, 35.1% had diabetes, 77.3% had hypertension, and 67.8% had hyperlipidemia. No obstructive CAD was found in 442 patients (47.3%). Ten variables were independent predictors of the absence of obstructive CAD in a multivariable analysis (Table 1). In the 258 patients who underwent stress imaging, a negative stress ECG (OR 3.1 (1.6-6.0), p<0.001) and absence of ischemia on stress imaging (OR 3.6 (1.9-6.8), p<0.001) were additional independent predictors. Conclusion: Despite a cohort with substantial cardiac risk factors and an intermediate median ASCVD risk score, the prevalence of index angiograms without obstructive epicardial CAD was high. Traditional markers of disease were predictors, including positive troponin and stress imaging; however the model was only 78% predictive. Additional research is needed to better characterize patients referred for catheterization without obstructive CAD.

scholarly journals Adverse Prognosis of Patients With Hypertrophic Cardiomyopathy Who Have Epicardial Coronary Artery Disease

Circulation ◽  
2003 ◽  
Vol 108 (19) ◽  
pp. 2342-2348 ◽  
Author(s):  
Paul Sorajja ◽  
Steve R. Ommen ◽  
Rick A. Nishimura ◽  
Bernard J. Gersh ◽  
Peter B. Berger ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Hypertrophic Cardiomyopathy ◽  
Epicardial Coronary Artery ◽  
Artery Disease ◽  
Epicardial Coronary Artery Disease
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