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[Analysis of data from a database of patients submitted to cardiac catheterization]
J Abadal1, M Gutiérrez, F Lagos
1Servicio Cardiovascular, Hospital Clínico San Borja Arriarán.
Insights
This study analyzed cardiac catheterization data from 591 adult patients. Coronary arteriography revealed significant coronary artery disease in a minority, with valvular heart disease patients rarely showing concurrent coronary issues.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Imaging
Context:
- Analysis of 77 variables from clinical, non-invasive, and invasive findings.
- Study cohort: 591 adult patients undergoing cardiac catheterization and/or coronary arteriography (1988-1991).
- Primary indications included suspected coronary artery disease (51%) and valvular heart disease (12%).
Purpose:
- To evaluate the prevalence and characteristics of coronary artery disease in patients undergoing invasive cardiac procedures.
- To assess the diagnostic yield of coronary angiography in patients with valvular heart disease.
- To identify etiological factors and common entities in valvular and congenital heart disease.
Summary:
- Coronary arteriography was performed in 591 adults; 51% were evaluated for suspected coronary artery disease (CAD).
- Of those with suspected CAD, 15% had insignificant disease and 8% had left main CAD.
- In 92 patients with valvular heart disease, 80% had no significant CAD; significant CAD was rare and age-dependent (>62 years).
- Rheumatic etiology was most common (72%) in valvular heart disease.
- Congenital heart disease prompted invasive study in 8%, with atrial septal defect being most frequent.
Impact:
- Provides insights into the diagnostic utility of coronary angiography in specific patient subgroups.
- Highlights the low prevalence of significant coronary artery disease in patients with valvular heart disease.
- Contributes to understanding the spectrum of cardiac conditions requiring invasive evaluation.
Abstract:
77 variables with data from clinical, non invasive and invasive findings in 591 adult patients submitted to cardiac catheterization and/or coronary arteriography from 1988 to 1991 were analyzed. 51% had coronary arteriography for suspected coronary artery disease: 15% had no or insignificant disease and 8% had main left disease. Among 92 patients with valvular heart disease, coronary angiography ruled out coronary disease in 80%. In this group, 3 vessel disease was found only in patients older than 62 years of age and main left disease was rare. The etiology of valve disease was rheumatic in 72%. Congenital heart disease was the indication for invasive study in 8% of patients, atrial septal defect being the most common entity.