Coronary atherosclerosis in valvular heart disease: The need for coronary arteriography

Lacy, Jerome P.; Goodin, Robert R.; Flowers, Nancy C.

doi:10.1016/0002-9149(75)90707-9

Cited by 4 publications

(2 citation statements)

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“…Previous studies have shown that the resting electrocardiogram is also of little value.' 10 In a multiple regression analysis of these factors only angina and age in patients with isolated mitral valve disease, and age in patients with mitral and aortic valve disease, were predictive of the severity of coronary artery disease. It there-fore seems clear that, if it is desirable to identify patients with coronary artery obstructions before valve surgery, there is no simple alternative to routine coronary arteriography.…”

Section: Discussionmentioning

confidence: 96%

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Incidence of coronary artery disease in patients with valvular heart disease.

Morrison¹,

Thomas²,

Grimmer³

et al. 1980

Heart

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Section: Discussionmentioning

confidence: 96%

“…In addition, there are some patients without angina who still have significant coronary obstruction.3 [8][9][10] In patients being considered for valve surgery it is generally accepted that the presence of angina is an indication for coronary arteriography as part of the preoperative investigations.' 8 …”

mentioning

confidence: 99%

Incidence of coronary artery disease in patients with valvular heart disease.

Morrison¹,

Thomas²,

Grimmer³

et al. 1980

Heart

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Chest pain as a predictor of coronary artery disease in patients with obstructive aortic valve disease

Paquay

Anderson

Diefenthal

et al. 1976

The American Journal of Cardiology

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Coronary Arteriography in Isolated Aortic and Mitral Valve Disease

Saltups

1982

Australian and New Zealand Journal of Medicine

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Coronary arteriographic findings in 200 patients with isolated aortic and mitral valve disease were reviewed to examine the relationship between obstructive (greater than 50% diameter stenosis) coronary artery disease (CAD) and angina pectoris (AP). Of 100 patients with aortic valve disease, 30 had CAD of whom 20 gave a history of AP. Thirty-two of 52 patients (61%) with AP did not have CAD and 10 of 48 (21%) had CAD without AP. CAD was evenly distributed among patients with aortic stenosis, incompetence and mixed aortic valve disease. CAD was found in 23 of 100 patients with mitral valve disease. Sixteen of 32 patients with mitral incompetence had CAD of whom four had AP. Seven of 68 patients with mitral stenosis or mixed mitral valve disease had CAD. AP was noted by four of these seven patients but by none of the 61 with normal coronary arteriograms (p less than 0.0001). Asymptomatic CAD was more common among patients with mitral incompetence (12/28 vs 3/64 p less than 0.005). AP was an unreliable marker for CAD in aortic valve disease or mitral incompetence. Conversely, CAD was uncommon without AP in mitral stenosis or mixed mitral valve disease. Coronary arteriography seems indicated in the pre-operative assessment of patients aged greater than or equal to 40 years with aortic valve disease or mitral incompetence. Its value is limited in patients with mitral stenosis or mixed mitral valve disease without AP.

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Coronary atherosclerosis in valvular heart disease: The need for coronary arteriography

Cited by 4 publications

References 0 publications

Incidence of coronary artery disease in patients with valvular heart disease.

Incidence of coronary artery disease in patients with valvular heart disease.

Chest pain as a predictor of coronary artery disease in patients with obstructive aortic valve disease

Coronary Arteriography in Isolated Aortic and Mitral Valve Disease

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