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Clinical features of coronary artery ectasia in the elderly

Qiao-Juan Huang1, Yan Zhang2, Xiao-Lin Li2

  • 1Division of Dyslipidemia, State Key Laboratory of Cardiovascular Disease, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, BeiLiShi Road 167, Beijing 100037, China ; Department of Cardiology, Institute of Cardiovascular Diseases, the First Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi 530021, China.

Journal of Geriatric Cardiology : JGC
|October 4, 2014
PubMed

Insights

Coronary artery ectasia (CAE) affects elderly patients differently, with higher prevalence of certain conditions and lower survival rates. This study highlights distinct risk factors and outcomes in older individuals with CAE.

Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Vascular Biology

Background:

  • Coronary artery ectasia (CAE) is a rare condition characterized by dilation of the coronary arteries.
  • Understanding the specific characteristics and outcomes of CAE in elderly populations is crucial for effective clinical management.

Purpose of the Study:

  • To investigate the incidence, imaging, and clinical characteristics of coronary artery ectasia in elderly patients.
  • To compare the clinical features, imaging findings, and survival rates of elderly and non-elderly patients with CAE.

Main Methods:

  • A retrospective analysis of patients who underwent coronary angiography between 2006 and 2012 was performed.
  • Patients were divided into elderly (≥65 years) and non-elderly (<65 years) groups.
  • Clinical features, imaging characteristics, and 5-year survival rates were compared between the groups.

Main Results:

  • The prevalence of CAE in elderly patients was 0.33%.
  • Elderly patients with CAE had a higher proportion of females, three-vessel disease, and localized ectasia.
  • Elderly patients exhibited lower BMI and a lower percentage of current smokers, but had reduced 5-year cumulative survival compared to the non-elderly group.

Conclusions:

  • CAE affects approximately one-third of all CAE patients in the elderly population, with a prevalence of 0.33%.
  • Significant differences exist in coronary artery disease risk factors and ectatic characteristics between elderly and non-elderly patients with CAE.
  • CAE in the elderly may be associated with an increased risk of mortality.
Abstract

Keywords:
Clinical featureCoronary artery ectasiaElderly patients

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