The Chest Radiograph in Cardiovascular Disease

Bettmann, Michael A.

doi:10.1016/b978-1-4377-0398-6.00016-0

Cited by 2 publications

(3 citation statements)

References 50 publications

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“…Therefore, a noninvasive method of examination that could identify individuals most likely to be diagnosed with CAD would be useful prior to submitting them to coronary angiography. With this consideration, chest radiography is limited to the exclusion of other causes of chest pain ( 11 ). In the present study, chest radiography was only abnormal in 22.0% of subjects and did not differ between groups A and B. Additionally, electrocardiogram was also ineffective ( 10 ) and was abnormal in 75.0% of our patients, with no difference between patients with normal arteries or CAD.…”

Section: Discussionmentioning

confidence: 99%

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Clinical correlation between N-terminal pro-b-type natriuretic peptide and angiographic coronary atherosclerosis

Ribeiro¹,

Silva²,

Barboza³

et al. 2014

Clinics

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OBJECTIVES:This study aimed to investigate the clinical correlation between angiographic coronary atherosclerosis and N-terminal pro-B-type natriuretic peptide along with other known correlated factors.METHODS:In total, 153 patients with a diagnostic hypothesis of stable angina, unstable angina or acute myocardial infarction were classified as group A (patients with angiographically normal coronary arteries) or group B (patients with angiographic coronary atherosclerosis). The two groups were analyzed with respect to the following factors: gender, age, body mass index, abdominal circumference, smoking, diabetes mellitus, arterial hypertension, early family history of atherosclerosis, statin use, the presence of metabolic syndrome, clinical presentation and biochemical factors, including cholesterol, creatinine and fibrinogen plasma concentrations, monocyte counts and N-terminal pro-B-type natriuretic peptide.RESULTS:Univariate analyses comparing the two groups revealed that group B patients more frequently had diabetes, used statins and had systolic dysfunction, N-terminal pro-B-type natriuretic peptide levels ≥250 pg/mL, fibrinogen levels >500 mg/dL and ≥501 monocytes/mm3 compared with group A patients (p<0.05). Nevertheless, multivariate logistic regression analysis demonstrated that the independent predictors of angiographic coronary atherosclerosis were an N-terminal pro-B-type natriuretic peptide level ≥250 pg/mL, diabetes mellitus and increased monocyte numbers and fibrinogen plasma concentration, regardless of the creatinine level or the presence of systolic dysfunction.CONCLUSIONS:An N-terminal pro-B-type natriuretic peptide plasma concentration of ≥250 pg/mL is an independent predictor of angiographic coronary atherosclerosis.

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Section: Discussionmentioning

confidence: 99%

“…The resting electrocardiogram was considered abnormal when cardiac arrhythmia, conduction disorders, cardiac chamber overload, electrically inactive areas and dispersion of ventricular repolarization were observable ( 10 ). Cardiomegaly and/or pulmonary venous congestion were diagnosed by chest radiography ( 11 ).…”

Section: Methodsmentioning

confidence: 99%

Clinical correlation between N-terminal pro-b-type natriuretic peptide and angiographic coronary atherosclerosis

Ribeiro¹,

Silva²,

Barboza³

et al. 2014

Clinics

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show abstract

“…1), en la que se observa aumento en el diámetro de las ramas de la arteria pulmonar, la redistribución del flujo, «cefalización», con rectificación de la arteria pulmonar seguida de una convexidad muy marcada (flecha roja) que culmina en un borde redondeado del perfil izquierdo. El diámetro longitudinal y transversal es similar lo que evidencia una cardiomegalia verdadera 5 . Un doble contorno auricular (flechas blancas) desplazado de la línea medioesternal sobresale del perfil derecho.…”

Section: Figuraunclassified

Dilatación aneurismática de la aurícula izquierda

Trejo-Nava

2015

Archivos de Cardiología de México

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Woman 48 years old with progressive dyspnea, fatigue, dysphagia, lower limb edema, palpitations and decreased physical ability that made her to seek medical attention. The chest film showed severe cardiomegaly or "cor bovis" with cardiothoracic index of 0.78. The findings suggest a dilatation of both atria but mostly in the one. The echocardiogram shows severe mitral regurgitation consistent with rheumatic valve disease and "giant" left atrium. This was first described in 1938 by Semans and Taussig, is considered a rare finding and the principal cause is rheumatic mitral disease. This type of valve lesions are becoming less frequent as aneurysmal dilation. The diameters, the area and the calculated volume are shown as one of the greatest reported atrium.

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The Chest Radiograph in Cardiovascular Disease

Cited by 2 publications

References 50 publications

Clinical correlation between N-terminal pro-b-type natriuretic peptide and angiographic coronary atherosclerosis

Clinical correlation between N-terminal pro-b-type natriuretic peptide and angiographic coronary atherosclerosis

Dilatación aneurismática de la aurícula izquierda

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