A Risk Score for Predicting Coronary Artery Disease in Women With Angina Pectoris and Abnormal Stress Test Finding

2013 ◽  
Vol 111 (6) ◽  
pp. 781-785 ◽  
Author(s):  
Monica Y. Lo ◽  
Nirupama Bonthala ◽  
Elizabeth M. Holper ◽  
Kamakki Banks ◽  
Sabina A. Murphy ◽  
...  
1996 ◽  
Vol 77 (11) ◽  
pp. 1000-1001 ◽  
Author(s):  
Babak Bahadori ◽  
Elke Neuer ◽  
Martin Schumacher ◽  
Fritz Fruhwald ◽  
Bernd Eber ◽  
...  

Angiology ◽  
2021 ◽  
pp. 000331972199885
Author(s):  
Omer Faruk Cirakoglu ◽  
Ayşe Gül Karadeniz ◽  
Ali Riza Akyüz ◽  
Cihan Aydın ◽  
Sinan Şahin ◽  
...  

Accurately identifying coronary artery disease (CAD) is the key element in guiding the work-up of patients with suspected angina. Thickening of the arterial wall is a hallmark of atherosclerosis. Therefore, the main purpose of this study was to determine whether abdominal aortic intima-media thickness (AAIMT), which is the earliest zone of atherosclerotic manifestations, has a predictive value in CAD severity. A total of 255 consecutive patients who were referred for invasive coronary angiography due to suspected stable angina pectoris were prospectively included in the study. B-mode ultrasonography was used to determine AAIMT before coronary angiography. Coronary artery disease severity was assessed with the SYNTAX score (SS). A history of hypertension, age, dyslipidemia, and higher AAIMT (odds ratio: 2.570; 95%CI 1.831-3.608; P < .001) were independent predictors of intermediate or high SS. An AAIMT <1.3 mm had a negative predictive value of 98% for the presence of intermediate or high SS and 83% for obstructive CAD. In conclusion, AAIMT showed a significant and independent predictive value for intermediate or high SS. Therefore, AAIMT may be a noninvasive and useful tool for decision-making by cardiologists (eg, to use a more invasive approach).


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