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Coronary arterial anatomy in patients with left ventricular systolic dysfunction without chest pain or previous

W R Pitts1, R A Lange, L D Hillis

  • 1Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas 75235-9047, USA.

The American Journal of Cardiology
|January 5, 1999
PubMed

Insights

Patients with left ventricular systolic dysfunction and no chest pain rarely have 3-vessel coronary artery disease. Consequently, bypass grafting is seldom a suitable option for these individuals.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Diagnostic Imaging

Background:

  • Left ventricular systolic dysfunction (LVSD) impacts heart function.
  • Coronary artery disease (CAD) is a major cause of cardiac events.
  • Identifying suitable candidates for coronary artery bypass grafting (CABG) is crucial.

Purpose of the Study:

  • To assess the prevalence of 3-vessel CAD in patients with LVSD.
  • To determine the suitability of coronary anatomy for bypass grafting in this patient group.

Main Methods:

  • Retrospective analysis of 108 patients with LVSD.
  • Exclusion of patients with chest pain or prior myocardial infarction.
  • Evaluation of coronary anatomy for revascularization potential.

Main Results:

  • Only 3% (3 out of 108) of patients had 3-vessel CAD.
  • Coronary anatomy was deemed unsuitable for bypass grafting in the majority of cases.

Conclusions:

  • Patients with LVSD, absent chest pain, and no prior myocardial infarction have a low likelihood of significant 3-vessel CAD.
  • Coronary artery bypass grafting is rarely indicated or suitable for this specific patient population.

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