| Cinecoronary arteriography in young men. | |
| | |
MedLine Citation:
|
PMID: 11993306 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Of a group of 723 men less than 40 years old who underwent cinecoronary arteriography primarily for evaluation of chest pain, 357 (49%) were found to have at least 50% narrowing of one or more coronary arteries. The youngest person was 17 years old. The distribution of lesions in the young men was similar to that found earlier in a study of persons not selected by age. The anterior descending coronary artery was most frequently affected; the right coronary artery was most often totally occluded. No total occlusions of the left main coronary artery were seen. Electrocardiographic evidence of myocardial infarction, found in 109 patients, was less common with disease of the circumflex or right coronary arteries than with disease of the anterior descending coronary artery. This observation was confirmed by examination of left ventriculograms for areas of decreased contractility. Six patients had no significant arterial narrowing. The extent of arterial involvement seemed to be related to the duration of symptoms in patients who had angina pectoris or myocardial infarctions. Clinical diagnoses correlated well with the angiographic findings, particularly in those men considered to be normal and those with typical angina pectoris. Addition of atypical features or prolonged pain decreased the degree of correlation. Only 20% of those with cholesterol levels less than 200 mg/100 ml had significant lesions, whereas 81% with levels more than 275 mg/100 ml had such findings. |
| | |
Authors:
|
C C Welch; W L Proudfit; F M Sones; E K Shirey; W C Sheldon; M Razavi |
Related Documents
:
|
18670026 - Mammary artery patch reconstruction of left anterior descending coronary artery. 17485016 - The diagnostic value of adenosine stress-contrast echocardiography for diagnosis of cor... 17059936 - Temporary coronary artery occlusion during off-pump coronary artery bypass grafting wit... 1080226 - Multiple coronary artery aneurysms resulting in myocardial infarction in a young man: t... 98986 - Recognition of splenic vein occlusion. 17420636 - Transarterial embolization of an inferior genicular artery pseudoaneurysm with arteriov... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Circulation Volume: 42 ISSN: 1524-4539 ISO Abbreviation: Circulation Publication Date: 1970 Oct |
Date Detail:
|
Created Date: 2002-05-07 Completed Date: 2002-05-21 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0147763 Medline TA: Circulation Country: United States |
Other Details:
|
Languages: eng Pagination: 647-52 Citation Subset: AIM; IM |
Affiliation:
|
Department of Clinical Cardiology, Department of Cardiovascular Disease and Cardiac Laboratory, Cleveland Clinic Foundation, Cleveland, Ohio, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Angina Pectoris / diagnosis Cholesterol / blood Coronary Angiography Coronary Artery Disease / blood, diagnosis, radiography* Electrocardiography Humans Male Myocardial Infarction / diagnosis |
| Chemical | |
Reg. No./Substance:
|
57-88-5/Cholesterol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prediction of coronary heart disease based on clinical suspicion, age, total cholesterol, and trigly...
Next Document: The P wave and P-R interval. Effects of the site of origin of atrial depolarization.