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

  • Identification data

    Identifier: imarina:9245949
    Authors:
    Peiró ÓMFerrero MRomeu ACarrasquer ABonet GMohandes MPernigotti ABardají A
    Abstract:
    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.
  • Others:

    Author, as appears in the article.: Peiró ÓM; Ferrero M; Romeu A; Carrasquer A; Bonet G; Mohandes M; Pernigotti A; Bardají A
    Department: Medicina i Cirurgia
    URV's Author/s: Bardají Ruiz, Alfredo / Bonet Pineda, Gil / Carrasquer Cucarella, Ana Maria / Mohandes Yusefian, Mohsen / Peiró Ibáñez, Óscar Manuel / ROMEU MORENO, ANDRÉS
    Keywords: Ventricular dysfunction Prognostication Failure Diagnosis Coronariography prognostication diagnosis coronariography
    Abstract: 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.
    Thematic Areas: Medicine, general & internal Medicine (miscellaneous) Medicine (all)
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: 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
    Author identifier: 0000-0003-1045-3639 0000-0003-1045-3639 0000-0003-1900-6974
    Record's date: 2024-08-03
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.mdpi.com/2077-0383/11/4/1097
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Journal Of Clinical Medicine. 11 (4):
    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
    Article's DOI: 10.3390/jcm11041097
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    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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