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[A clinical screening can predict coronary artery disease in women]
J A Volmaro1, R A Martellotto, H Simondi
1Instituto de Cardiología, Hospital Italiano (ICHI), Córdoba, Argentina. jvolmaro@satlink.com
Insights
The Douglas and Ginsburg clinic screening effectively predicts coronary artery disease in women with chest pain, guiding decisions for coronary angiography. This method shows strong correlation between assessed risk and confirmed disease presence.
Area of Science:
- Cardiology
- Women's Health
- Diagnostic Accuracy
Background:
- Cardiovascular disease is the primary cause of death in women, with myocardial infarction being a significant event.
- Accurate diagnosis of coronary artery disease is crucial for women presenting with chest pain.
- Predictive clinical screening tools can aid in the diagnostic process.
Purpose of the Study:
- To evaluate the effectiveness of the Douglas and Ginsburg clinic screening tool in predicting coronary artery disease (CAD) in women.
- To determine the correlation between clinical risk assessment and angiographic findings of CAD.
- To assess the utility of the screening tool in guiding decisions for coronary angiography.
Main Methods:
- A study included 189 women diagnosed with angina pectoris.
- Patients were categorized into low-risk (Group A), moderate-risk (Group B), and high-risk (Group C) based on the Douglas and Ginsburg screening.
- Clinical determinants and angiographic findings were analyzed and correlated.
Main Results:
- Group A (low-risk) showed no significant coronary artery disease.
- Significant coronary artery disease was found in 13 patients (23.6%) in Group B (moderate-risk) and 72 patients (68.5%) in Group C (high-risk).
- The screening tool demonstrated varying sensitivity, specificity, and predictive values across risk groups, with high values in Group C.
Conclusions:
- The Douglas and Ginsburg clinic screening is effective in determining the need for coronary angiography in women with chest pain.
- The screening method shows a strong correlation between the assessed probability of disease and the presence of coronary artery disease confirmed by angiography.
- This clinical tool aids in risk stratification and decision-making for further cardiac investigations.
Introduction And Objective:
Cardiovascular disease is the leading cause of death in women. Approximately one of every two women will die of some cardiovascular event, such as myocardial infarction. Thereby, the significance of discarding or confirming coronary artery disease in women presenting with chest pain. The objective of this trial was to demonstrate that on the bases of the Douglas and Ginsburg's clinic screening, it is possible to predict the existence of coronary artery disease in the angiography.
Material And Methods:
For this research only women with angina pectoris were included. These were 189 patients (cineangiographies) whose clinical determinants and angiographic findings were related.
Results:
Taking in to account the estimated likelihood, there was a low-risk group A with 29 patients, a moderate-risk group B with 55 patients and a high-risk group C with 105 patients. There was no significant coronary artery disease in the first group, there was a significant coronary artery disease in 13 patients in the second group and 72 patients in the third group. Group A had 0%, 72%, 0% and 47%, group B 15.2%, 59.6%, 23.6% and 46.3%, and group C had 84.7%, 68.3%, 68.5% and 84.5%, of sensibility, specificity, positive and negative predictive value, respectively.
Conclusion:
The usage of the Douglas and Ginsburg's clinic Screening is very effective at the time of deciding whether to perform a coronary angiograpy or not, and it has very good correlation between the probability degree and the presence of coronary artery disease in the coronary angiography.