Document Detail

Angiographically documented coronary artery disease in asymptomatic middle aged men suspected of silent ischaemic heart disease.
MedLine Citation:
PMID:  8961707     Owner:  NLM     Status:  MEDLINE    
One hundred and fourteen asymptomatic middle aged men, with a positive stress test, underwent coronary angiography at Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD), Rawalpindi. Of these, 66 (58%) were found to have significant disease (> 50% luminal narrowing in at least one of the major epicardial arteries) while 48 (42%) had normal coronary arteries. Of the former, 27 (41%) had 1-vessel CAD, 18 (27%) had 2-vessel CAD and 21 (32%) had 3-vessel CAD. There were significantly more hypertensives, hyperlipidaemics and diabetics in CAD group, while other risk factors were the same. The overall risk factor prevalence was low. The major reasons for performing coronary angiography were a positive stress test done as part of routine annual medical checkup and resting ECG changes of enough significance to warrant further investigations. It is concluded that the presence of significant coronary artery disease can be silent in a large number of asymptomatic middle aged men, especially those who have conventional risk factors.
R Bashir; A Khan; M Yousaf
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  46     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1997-01-17     Completed Date:  1997-01-17     Revised Date:  2008-02-12    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  PAKISTAN    
Other Details:
Languages:  eng     Pagination:  225-8     Citation Subset:  IM    
Armed Forces Institute of Cardiology, National Institute of Heart Diseases, Rawalpindi.
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MeSH Terms
Age Distribution
Confidence Intervals
Coronary Angiography* / methods
Coronary Disease / diagnosis*,  epidemiology,  physiopathology
Exercise Test
Middle Aged
Myocardial Ischemia / diagnosis,  epidemiology,  physiopathology
Reference Values
Risk Factors

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