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Published on: April 13, 2015
Accelerated progression of coronary artery disease
R J Vecht1, E P Nicolaides, A Duffett
1Department of Cardiology, Manor House Hospital, London.
Atheromatous arterial disease can progress rapidly, leading to serious health risks. Current methods cannot identify patients at high risk for this rapid progression.
Area of Science:
- Cardiovascular Medicine
- Pathology
Background:
- Atheromatous disease of the arteries is a progressive condition associated with significant morbidity and mortality.
- The complex pathogenesis and variable progression rate of arterial lesions are not fully understood.
Purpose of the Study:
- To investigate the rate of progression of atheromatous disease in patients undergoing coronary arteriography.
- To observe changes in angiographic appearance over a short period.
Main Methods:
- Coronary arteriography was performed on six patients.
- Patients were restudied before percutaneous transluminal coronary angioplasty.
- Angiographic appearance was assessed for changes over time.
Main Results:
- Significant deterioration in angiographic appearance was observed in all six patients.
- The mean period for this deterioration was 3.6 months.
- Rapid progression of atheromatous disease poses a serious hazard.
Conclusions:
- Rapid progression of atheromatous arterial disease can occur over short timeframes.
- Identifying patients susceptible to rapid disease progression remains a challenge.
- Further research is needed to understand and predict rapid atheromatous disease progression.
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