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