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Published on: February 4, 2021
Aortic valve sclerosis is an indicator of coronary artery diseases
1Department of Medicine, Mymensingh Medical College, Mymensingh, Bangladesh.
Insights
Aortic valve sclerosis (AVS) detected by echocardiography is linked to coronary artery disease (CAD). Patients with AVS showed a higher prevalence of significant CAD, indicating AVS is an independent predictor of CAD.
Area of Science:
- Cardiology
- Diagnostic Imaging
Background:
- Aortic valve sclerosis (AVS) is a common finding in the elderly.
- Coronary artery disease (CAD) remains a leading cause of mortality worldwide.
- The relationship between AVS and CAD requires further elucidation.
Purpose of the Study:
- To investigate the association between echocardiographically detected Aortic Valve Sclerosis (AVS) and angiographically confirmed Coronary Artery Disease (CAD).
Main Methods:
- Observational, cross-sectional study involving 140 patients undergoing coronary angiography.
- Echocardiography was performed to detect AVS.
- Coronary angiography assessed the presence and severity of CAD.
Main Results:
- AVS was identified in 63% of patients.
- Patients with AVS had a significantly higher rate of significant CAD (92.05%) compared to those without AVS (80%).
- AVS was an independent predictor of CAD (p=0.018), with higher rates of multi-vessel disease.
Conclusions:
- Echocardiographically detected Aortic Valve Sclerosis is a significant predictor of Coronary Artery Disease.
- AVS may serve as a valuable marker for identifying patients at higher risk for CAD.
Abstract:
Aim of this study is to establish the relationship between echocardiographically detected Aortic Valve Sclerosis (AVS) and angiographically detected Coronary Artery Diseases (CAD). This observational and cross-sectional study was carried out in the department of cardiology BSMMU, Dhaka from January 2010 to November 2010. A total 140 patients of established or suspected coronary artery disease admitted for coronary angiogram was included in this study. Echocardiography and coronary angiography was done. AVS was found in 88(63%) patients. With AVS 81(92.05%) had significant coronary artery disease. Fifty two patients without AVS, 42(80%) had significant coronary artery disease. No significant difference of SVD in both groups but patients with AVS had a higher rate of DVD, TVD and LM disease. Patients without AVS had a higher rate of normal coronary angiogram. Multivariate analysis identified AVS (p=0.018) is an independent predictor of CAD.
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