Valor preditivo da angina em detectar doença coronariana em pacientes com estenose aórtica grave a partir da quinta década de vida

Gonçalves, Aline; Cardão, Fabíola Lúcio; Soares, Maria Gabriela Gomes; Weksler, A; Weksler, Clara; Tura, Bernardo Rangel; Silva, Paulo Roberto Dutra da; Rocha, Antônio Sérgio Cordeiro da

doi:10.1590/s0066-782x2006001900004

Arq. Bras. Cardiol.

2006

DOI: 10.1590/s0066-782x2006001900004

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Valor preditivo da angina em detectar doença coronariana em pacientes com estenose aórtica grave a partir da quinta década de vida

Aline Gonçalves¹,

Fabíola Lúcio Cardão²,

Maria Gabriela Gomes Soares³

et al.

Abstract: Angina pectoris is not a good predictor of CAD in patients with AS who are more than 50 years of age.

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Prevalence and Predictors of Coronary Artery Disease in Severe Aortic Stenosis Patients Undergoing Surgery

Jayaprasad¹,

Shanmugavel²,

M.K³

et al. 2017

jebmh

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BACKGROUNDThe present study is to find out the prevalence of CAD in severe Aortic Stenosis (AS) patients undergoing aortic valve replacement and the relation between the conventional risk factors and CAD in them. Calcific aortic stenosis is associated with the same risk factors as coronary artery disease. Studies on calcific aortic stenosis and CAD are rarely reported from India.The aim of the study is to find out the predictive value of angina for presence of CAD in severe aortic stenosis. MATERIALS AND METHODSAll cases of isolated severe aortic stenosis undergoing CAG before aortic valve replacement were included in the study. Data regarding various risk factors, symptoms, echocardiographic parameters and angiographic profile were collected. RESULTSAmong a total of 94 patients who have undergone aortic valve replacement for severe AS 40 (42.6%) had CAD. Risk factors like advanced age, hypertension, diabetes and smoking were more in patients with CAD compared to isolate AS. Mean gradient was more in the AS + CAD group compared with AS group. Presence of angina had a sensitivity of 82.5% and specificity of 51.85% for predicting coexisting CAD. CONCLUSIONAmong severe aortic stenosis, patients undergoing AVR 42.6% of patients had significant obstructive CAD. The conventional risk factors predict presence of coronary artery disease. Angina has got a fairly good sensitivity, but moderate specificity for CAD.

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Prevalence and Predictors of Coronary Artery Disease in Severe Aortic Stenosis Patients Undergoing Surgery

Jayaprasad¹,

Shanmugavel²,

M.K³

et al. 2017

jebmh

View full text Add to dashboard Cite

show abstract

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Valor preditivo da angina em detectar doença coronariana em pacientes com estenose aórtica grave a partir da quinta década de vida

Abstract: Angina pectoris is not a good predictor of CAD in patients with AS who are more than 50 years of age.

Cited by 1 publication

References 14 publications

Prevalence and Predictors of Coronary Artery Disease in Severe Aortic Stenosis Patients Undergoing Surgery

Prevalence and Predictors of Coronary Artery Disease in Severe Aortic Stenosis Patients Undergoing Surgery

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