Clinical, haemodynamic, and coronary angiographic correlates of angina pectoris in patients with severe aortic valve disease.

Basta, Lofty L.; Raines, Dale A.; Najjar, Samer F.; Kioschos, J. Michael

doi:10.1136/hrt.37.2.150

Cited by 89 publications

(22 citation statements)

References 20 publications

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“…The prevalence of coronary artery disease among patients above the age of 40 years with valvular disease has varied in previous reports from 20% to 63% for patients with aortic valve disease 3,6 and 8% to 17% among patients with isolated mitral valve disease. 1,9 In this study, the prevalence of coronary artery disease among 75 patients with valvular heart disease was 6.7%.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of significant coronary disease defined by angiography in patients with aortic valve disease has varied in previous reports from 20% to 63%. [3][4][5][6][7][8] Only a few reports have been published on the prevalence of coronary artery disease among patients with mitral valve disease or with multiple valvular involvement. 1,9 The significance of coronary artery disease in patients undergoing valvular surgery has been highlighted by the reports of Linhart et al 3 and Loop et al 10 Most of the authors agree that patients with both diseases should have coronary bypass at the same time as valvular surgery because this will improve the short-and long-term prognoses.…”

Section: Introductionmentioning

confidence: 99%

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The Incidence of Coronary Artery Disease in Patients with Valvular Heart Disease in Saudi Arabia

et al. 1984

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Incidence of Coronary Artery Disease in Patients with Valvular Heart Disease in Saudi Arabia

et al. 1984

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“…The incidence of angina pectoris in patients with AS has been reported to range between 30% and 40% in the absence of associated obstructive coronary artery disease [32][33][34][35]. The pathophysiological mechanism of angina is not clear but seems to be due to unbalanced myocardial oxygen supply and demand.…”

Section: Anginamentioning

confidence: 99%

Symptomatic presentations of severe aortic stenosis

Park

2017

Precis Future Med

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Aortic stenosis (AS) is the most common type of valvular heart disease. A manifestation of ageing, the disorder is becoming more frequent as the average age of the population increases. Onset of cardinal manifestation of AS-angina, syncope, and heart failureremains the major demarcation point in the disease's course. It has been well described that patients' survival is limited once they develop symptoms from AS and survival after the onset of a symptom depends on what type of symptom a patient develops. Knowing how the pathophysiology of AS causes typical symptoms and death is paramount to understanding the disease. We discuss these issues in this review.

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“…Sin embargo, la prevalencia de enfermedad coronaria obstructiva en ellos ha mostrado gran variabilidad, desde 34% de los casos (4) , 10% (5,6) y hasta 50% (7) . La similitud en aspectos fisiopatológicos ha llevado al planteamiento del tratamien-to de la estenosis aórtica con estatinas e inhibidores de la enzima convertidora de angiotensina.…”

Section: Introductionunclassified

Enfermedad coronaria en pacientes con estenosis aórtica severa

et al. 2013

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su presencia concomitante es de prevalencia variada. Objetivos: Describir los factores asociados a enfermedad coronaria (EC) en pacientes con estenosis aórtica severa, determinar su prevalencia y describir su asociación con síntomas clásicos de EAS. Diseño: Estudio observacional, transversal. Lugar: Departamento de Cardiología, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Perú. Participantes: Pacientes con diagnóstico de EAS cateterizados. Intervenciones: Se revisó los datos de las historias clínicas y las angiografías de 92 pacientes con diagnóstico de EAS cateterizados entre enero 2006 y diciembre 2008, determinándose los factores de riesgo para EC, síntomas y gradiente aórtica máxima; usando la angiografía, se cuantificó el número de arterias con lesiones significativas y, en una muestra aleatoria de 40 pacientes, la severidad de EC basada en el puntaje de Gensini. Principales medidas de resultados: Factores de riesgo para EC y correlación entre severidad de EC y la gradiente aórtica máxima. Resultados: El promedio de edad de los 92 pacientes fue 69,8 años; 68,5% presentó al menos un factor de riesgo para EC, cuya prevalencia fue 16,3%. El único factor determinante de EC en los pacientes con EAS fue la edad (OR ajustado=1,19; p=0,04). Ningún síntoma clásico de EAS se asoció con EC (p>0,05). No existió correlación entre la severidad de EC -valorada mediante el puntaje de Gensini- y la gradiente aórtica máxima (ccp = 0,10; p=0,53), la que fue similar entre grupos con diferente número de vasos enfermos (p=0,37). Conclusiones: Un 16% de los pacientes con EAS presentó enfermedad coronaria. El único factor de riesgo asociado fue la edad y no existió asociación entre algún síntoma clásico y enfermedad coronaria.

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Clinical, haemodynamic, and coronary angiographic correlates of angina pectoris in patients with severe aortic valve disease.

Cited by 89 publications

References 20 publications

The Incidence of Coronary Artery Disease in Patients with Valvular Heart Disease in Saudi Arabia

The Incidence of Coronary Artery Disease in Patients with Valvular Heart Disease in Saudi Arabia

Symptomatic presentations of severe aortic stenosis

Enfermedad coronaria en pacientes con estenosis aórtica severa

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