scholarly journals The Relationship Between Diastolic Pressure and Coronary Collateral Circulation in Patients With Stable Angina Pectoris and Chronic Total Occlusion

2013 ◽  
Vol 26 (5) ◽  
pp. 630-635 ◽  
Author(s):  
W. Shu ◽  
J. jing ◽  
L. C. Fu ◽  
J. T. Min ◽  
Y. X. Bo ◽  
...  
1970 ◽  
Vol 6 (2) ◽  
pp. 61-64
Author(s):  
Jahan Ara Arzu ◽  
Fazlur Rahman ◽  
KMHS Sirajul Haque ◽  
Md Abu Siddique ◽  
Md Khairul Anam ◽  
...  

Background: Coronary collateral circulation is an alternative source of blood supply to the myocardium in coronary atherosclerotic disease. They provide adequate flow to the major epicardial branches of the coronary artery. Indicator of cardiac ischemia like stable angina pectoris may determine the presence of coronary collateral circulation.Methods and results: In this prospective observational cross sectional study, 150 patients with stable angina pectoris with or without MI (myocardial infarction) and or coronary intervention were enrolled. Presence of coronary collaterals in coronary angiogram was defined as Rentrop grade > 1. Patients were divided into two groups. Group A patients having Rentrop grade 0 and Group B patients are with collateral circulation, having Rentrop grade 1-3. Patients are compared in these groups. Total (63%) patients with stable angina were in Group B with coronary collateral circulation and only (37%) patients with stable angina pectoris were in Group A without collaterals.Conclusions: The incidence of development of coronary collaterals was significantly higher in patients with stable angina pectoris. DOI: 10.3329/uhj.v6i2.7245University Heart Journal Vol. 6, No. 2, July 2010 pp.61-64


Angiology ◽  
2017 ◽  
Vol 69 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Murat Gok ◽  
Harun Kundi ◽  
Emrullah Kiziltunc ◽  
Canan Topcuoglu ◽  
Ender Ornek

We investigated the relationship between endocan (a marker of systemic inflammation) and the development of coronary collateral circulation (CCC) as evaluated by coronary angiography in patients with chronic stable angina pectoris. A total of 90 patients (32 poor CCC and 58 good CCC) were included in this study. Endocan levels were determined using a commercially available sandwich enzyme-linked immunosorbent assay kit with high sensitivity and specificity for detection of human endocan. In multivariate logistic regression analysis, low endocan levels were independently associated with good CCC ( P < .001). Moreover, low high-sensitivity C-reactive protein levels were also independently associated with good CCC ( P = .020). We found an optimal cutoff point for endocan of 1.7 ng/mL; it predicted the presence of good CCC with a sensitivity of 72.4% and specificity of 65.6% ( P < .001). The results of the present study suggest that measurement of endocan level may help clinicians to predict the development of CCC in patients with stable coronary artery disease.


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