Document Detail


Late symptom recurrence after successful coronary angioplasty: angiographic outcome.
MedLine Citation:
PMID:  8138335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the angiographic appearance of the dilated coronary artery and the cause of symptoms in patients who presented with a return of chest pain more than 1 year after successful percutaneous transluminal coronary angioplasty (PTCA). DESIGN: Retrospective analysis of coronary angiograms and review of case histories. PATIENTS AND METHODS: 112 patients who underwent repeat coronary arteriography for investigation of chest pain 13-105 (median, 30) months after successful coronary angioplasty were studied. All patients were free of symptoms for at least 12 months after the initial angioplasty. RESULTS: A return of chest pain was attributed to restenosis in 12 patients (11%), to a new lesion or worsening of pre-existing coronary lesion in 56 patients (50%), and to both restenosis and stenosis in non-dilated coronary segments in 10 patients (9%). There was no restenosis in 112 of the 134 dilated lesions (84%). In 34 patients (30%), there was no significant stenosis in either dilated or non-dilated coronary segments. CONCLUSIONS: In patients undergoing coronary angiography for the investigation of recurrent chest pain more than 1 year after successful coronary angioplasty, the majority of dilated coronary segments had a good angiographic appearance. Late onset angina following PTCA is usually due to new coronary lesions or worsening of pre-existing mild stenosis.
Authors:
C G Suresh; S C Grant; R A Henderson; D H Bennett
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of cardiology     Volume:  42     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-04-26     Completed Date:  1994-04-26     Revised Date:  2006-07-12    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  257-62     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Wythenshawe Hospital, Manchester, UK.
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris* / etiology
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Angiography*
Coronary Disease / physiopathology
Female
Humans
Male
Middle Aged
Recurrence
Retrospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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