Details

Autor(en) / Beteiligte

• Mattina, Charles J.
• Green, Stephen J.
• Tortolani, Anthony J.
• Padmanabhan, Vellore T.
• Ong, Lawrence Y.
• Hall, Michael H.
• Pizzarello, Roy A.

Titel

Frequency of angiographically significant coronary arterial narrowing in mitral stenosis

Ist Teil von

• The American journal of cardiology, 1986-04, Vol.57 (10), p.802-805

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

1986

Quelle

Elsevier Journal Backfiles on ScienceDirect (DFG Nationallizenzen)

Beschreibungen/Notizen

• Ninety-six consecutive patients older than 40 years with severe mitral stenosis were retrospectively analyzed to determine the relation of angina pectoris (AP) and coexistent coronary artery disease (CAD). Of the 96 patients, 27 (28%) had angiographically significant CAD, 10 (37%) with AP and 17 (63%) without AP. Of the 96 patients, 21 had AP, 10 (48%) with angiographically significant CAD and 11 (52%) without (CAD). Of 75 patients without AP, 17 (23%) had angiographically significant CAD AP had a specificity of 84% and a sensitivity of 37% in its ability to detect significant CAD. The pulmonary artery systolic, diastolic and mean pressures and the pulmonary vascular resistance did not differ between patients with and those without AP (p > 0.05). It is concluded that coexistent CAD is commonly found in patients older than age 40 with severe MS, and is usually clinically silent.