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Published on: May 14, 2020
Risk factors and outcomes in patients with coronary artery aneurysms
Timir S Baman1, Jason H Cole, Chandan M Devireddy
1Department of Internal Medicine, University of Chicago Hospitals, Chicago, Illinois 60637, USA. tbaman@uchospitals.edu
Insights
Coronary artery aneurysms independently predict mortality, with a 5-year survival rate of only 71%. Aggressive monitoring and modification of cardiac risk factors are crucial for these patients.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Conflicting data exists on coronary artery aneurysms (CAAs) and cardiac risk factors.
- Limited information available on patient outcomes associated with CAAs.
Purpose of the Study:
- To determine if CAAs adversely affect patient outcomes.
- To investigate the prognostic significance of CAAs.
Main Methods:
- Retrospective analysis of patient data.
- Assessment of mortality and survival rates in patients with and without CAAs.
Main Results:
- Coronary aneurysms were identified as an independent predictor of mortality.
- Overall 5-year survival for patients with CAAs was significantly reduced at 71%.
Conclusions:
- CAAs are associated with adverse patient outcomes and increased mortality.
- Clinicians should prioritize aggressive monitoring and risk factor modification in patients with CAAs.
Abstract:
Previous small series have provided conflicting data on the association between coronary artery aneurysms and traditional cardiac risk factors, as well as limited information on patient outcomes. This investigation sought to determine whether the presence of coronary artery aneurysms has an adverse affect on patient outcomes. The results show that coronary aneurysms were an independent predictor of mortality, and overall 5-year survival in patients with aneurysms was only 71%. We believe that clinicians should aggressively monitor and modify coronary risk factors in patients with coronary aneurysms.
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