Articles producció científica> Medicina i Cirurgia

Performance of Coronary Angiography in the Detection of Coronary Artery Disease in Patients with Systolic Left Ventricular Dysfunction and No Prior Ischemic Heart Disease

  • Dades identificatives

    Identificador: imarina:9245949
    Autors:
    Peiró ÓMFerrero MRomeu ACarrasquer ABonet GMohandes MPernigotti ABardají A
    Resum:
    The diagnosis of ischemic cardiomyopathy is not well established. Our objective is to determine predictive variables of coronary disease in unselected patients with ventricular dysfunction. This study is a retrospective cohort study of consecutive patients with left ventricular dysfunction and no known history of ischemic heart disease. We analyse the demographic variables, clinical data, electrocardiogram, and echocardiogram that are associated with the presence of coronary stenosis on coronary angiography. A total of 536 patients with left ventricular dysfunction were studied, with 135 (25.2%) of them having significant coronary lesions. In the multivariate logistic regression analysis, age ≤ 50 years, female gender, and the presence of atrial fibrillation on the electrocardiogram (ECG) were predictors of the absence of coronary lesions. Diabetes, hypercholesterolemia, the existence of Q waves in the ECG, and segmental alterations in contractility in the echocardiogram were predictors of coronary heart disease (C-Statistics 0.771, 95% CI 0.727 to 0.814). The information obtained from the clinical history, the ECG, and the echocardiogram of patients with ventricular dysfunction allows us to select subjects in whom coronary angiography has shown poor performance in diagnosing coronary disease.
  • Altres:

    Autor segons l'article: Peiró ÓM; Ferrero M; Romeu A; Carrasquer A; Bonet G; Mohandes M; Pernigotti A; Bardají A
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Bardají Ruiz, Alfredo / Bonet Pineda, Gil / Carrasquer Cucarella, Ana Maria / Mohandes Yusefian, Mohsen / Peiró Ibáñez, Óscar Manuel / ROMEU MORENO, ANDRÉS
    Paraules clau: Ventricular dysfunction Prognostication Failure Diagnosis Coronariography prognostication diagnosis coronariography
    Resum: The diagnosis of ischemic cardiomyopathy is not well established. Our objective is to determine predictive variables of coronary disease in unselected patients with ventricular dysfunction. This study is a retrospective cohort study of consecutive patients with left ventricular dysfunction and no known history of ischemic heart disease. We analyse the demographic variables, clinical data, electrocardiogram, and echocardiogram that are associated with the presence of coronary stenosis on coronary angiography. A total of 536 patients with left ventricular dysfunction were studied, with 135 (25.2%) of them having significant coronary lesions. In the multivariate logistic regression analysis, age ≤ 50 years, female gender, and the presence of atrial fibrillation on the electrocardiogram (ECG) were predictors of the absence of coronary lesions. Diabetes, hypercholesterolemia, the existence of Q waves in the ECG, and segmental alterations in contractility in the echocardiogram were predictors of coronary heart disease (C-Statistics 0.771, 95% CI 0.727 to 0.814). The information obtained from the clinical history, the ECG, and the echocardiogram of patients with ventricular dysfunction allows us to select subjects in whom coronary angiography has shown poor performance in diagnosing coronary disease.
    Àrees temàtiques: Medicine, general & internal Medicine (miscellaneous) Medicine (all)
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: gil.bonet@urv.cat oscarmanuel.peiro@urv.cat anamaria.carrasquer@urv.cat mohsen.mohandes@urv.cat oscarmanuel.peiro@urv.cat anamaria.carrasquer@urv.cat mohsen.mohandes@urv.cat alfredo.bardaji@urv.cat
    Identificador de l'autor: 0000-0003-1045-3639 0000-0003-1045-3639 0000-0003-1900-6974
    Data d'alta del registre: 2024-08-03
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.mdpi.com/2077-0383/11/4/1097
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Journal Of Clinical Medicine. 11 (4):
    Referència de l'ítem segons les normes APA: Peiró ÓM; Ferrero M; Romeu A; Carrasquer A; Bonet G; Mohandes M; Pernigotti A; Bardají A (2022). Performance of Coronary Angiography in the Detection of Coronary Artery Disease in Patients with Systolic Left Ventricular Dysfunction and No Prior Ischemic Heart Disease. Journal Of Clinical Medicine, 11(4), -. DOI: 10.3390/jcm11041097
    DOI de l'article: 10.3390/jcm11041097
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2022
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Medicine (Miscellaneous),Medicine, General & Internal
    Ventricular dysfunction
    Prognostication
    Failure
    Diagnosis
    Coronariography
    prognostication
    diagnosis
    coronariography
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
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