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Cervical angina. A correlative study with emphasis on the use of coronary arteriography
Insights
Established noninvasive diagnostic criteria for coronary artery disease are inadequate. Coronary arteriography is crucial for surgical decision-making and improving patient outcomes in cervical angina cases.
Area of Science:
- Cardiology
- Neurology
- Vascular Surgery
Background:
- Coronary artery disease diagnosis relies on noninvasive criteria.
- Cervical angina presents diagnostic challenges.
- Surgical intervention is considered for specific patient groups.
Purpose of the Study:
- To evaluate the effectiveness of established diagnostic criteria for coronary artery disease.
- To highlight the importance of coronary arteriography in surgical decision-making.
- To present surgical outcomes for patients with cervical angina.
Main Methods:
- Retrospective analysis of 438 patients with cervical angina evaluated between 1966 and 1979.
- Focus on 88 surgically treated patients.
- Review of diagnostic criteria, surgical procedures, and patient outcomes.
Main Results:
- Established noninvasive criteria were found to be inadequate for diagnosing coronary disease.
- Coronary arteriography proved essential for surgical decision-making.
- Excellent outcomes were reported in 78.2% of patients undergoing cervical spine surgery, with fair outcomes in 16.1%.
Conclusions:
- Coronary arteriography is vital for accurate diagnosis and surgical planning in cervical angina.
- Noninvasive diagnostic methods alone are insufficient.
- Surgical treatment for selected patients with cervical angina yields favorable results.
Abstract:
A total of 438 patients with cervical angina were evaluated from 1966 to 1979. Of these 88 were treated surgically. This article emphasizes the inadequacy of established noninvasive diagnostic criteria for coronary disease and the importance of coronary arteriography. Statistics are presented for coronary diagnostic criteria for decision-making for surgery, for levels of surgery, choice of surgical procedures, and results of surgery. A total of 78.2 percent who underwent cervical spine surgery were rated as excellent; 16.1 percent fair; 2.3 percent poor; and 3.4 percent had inadequate length of follow-up.