Angiographic prevalence of high-risk coronary artery disease in patient subsets (CASS).

Abstract

SUMMARY The prevalence of coronary artery stenoses 2 70% or left main stenosis > 50% was evaluated in 20,391 patients who underwent angiography in the Coronary Artery Surgery Study from 1975-1979. After the patients with unstable angina or myocardial infarction were excluded, the disease prevalence in the 8157 patients with definite angina, probable angina, and nonspecific chest pain was 93%, 66% and 14% in men and 72%, 36% and 6% in women (p < 0.001).The age and sex of the patients and character of chest pain were important determinants of disease prevalence and severity. Left main or three-vessel coronary disease occurred in more than 50% of middle-aged men and older women with definite angina and in more than 50% of men who had probable angina and were older than 60 years of age. In contrast, left main coronary disease occurred in less than 2% of 1282 men and less than 1% of 1397 women with nonspecific chest pain regardless of age. In this latter patient subset, less than 5% of men and less than 1% of women in each decade under 60 years had left main or three-vessel coronary artery disease.Thus, high-risk coronary disease is common in middle-aged patients with definite angina and older patients with probable angina, but is rare in patients with nonspecific chest pain. Indications and guidelines for diagnostic noninvasive tests and coronary angiography could be based on these results.

Relationship between HDL-Cholesterol and Angiographic Severity of Coronary Artery Disease

“…19 Score ranges from 0 to 3, depending on the number of vessel involve. Left main coronary artery was scored as single vessel disease.…”

Association of Glycosylated Haemoglobin Level with the Severity of Coronary Artery Disease in NSTEMI Diabetic Patients

“…Vessel score 18 : This is the number of vessels with a significant stenosis (for left main coronary artery 50% or greater and for others 70% or greater reduction in luminal diameter). Score ranges from 0 to 3, depending on the number of vessel involve.…”

The most important characteristics of coronarographed patients treated in the Coronary Intensive Care of the University Hospital Center Osijek

“…To pokazuje i podatak da se aeene oboljele od KBS prosjeËno hospitaliziraju sa 68, dok se muπkarci hospitaliziraju sa 61 godinu aeivota. 8 Patoloπki koronarogram je pet puta ËeπÊi u muπkara-ca, ali u sluËaju njegove dijagnoze, muπkarci imaju bolje rezultate nakon postupka perkutane koronarne intervencije (PCI) [9][10][11][12] . VeÊ spomenuti veliki epidemioloπki znaËaj KBS, razlike u prevalenciji bolesti ovisno o spolu te potreba za definiranjem utjecaja razliËitih drugih Ëimbenika ovu bolest, naveli su nas na ovo istraaeivanje.…”