Document Detail


One-year clinical outcome after emergency hospitalisation for suspected acute coronary syndrome -- a comparative analysis with respect to angiographic findings.
MedLine Citation:
PMID:  16273481     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Among patients with suspected acute coronary syndromes (ACS) referred for urgent coronary angiography there are some with normal angiograms. AIM: To compare, with respect to angiographic findings, one-year clinical outcomes in patients hospitalised for suspected ACS. METHOD: Between January 2001 and December 2003 emergency angiography was performed in 1169 patients. It revealed no significant coronary lesions in 97 (8.3%) cases, of these 40 being women and 57 men with a mean age of 55+/-15 yrs (Group 1). Sixty consecutive patients with ACS (20 women and 40 men with a mean age of 54+/-9 yrs) and significant coronary artery disease (CAD) confirmed by angiography were the study controls (Group 2). Demographic data, CAD risk factors, angiographic findings, ECG and echocardiographic data as well as laboratory test results were analysed. In a long-term follow-up, the prevalence of recurrent angina and all-cause mortality were assessed. RESULTS: There were no significant differences in patients' demographics between the two groups with the exception of arterial hypertension, which was more frequent in group 1. In group 1 the diagnosis of ACS was established in 14.5% cases, X syndrome in 14.4%, Prinzmetal angina in 4.1%, myocarditis in 6.1% and pulmonary thromboembolization in 5.1%. A definite diagnosis was not related to the cardiovascular disease in 36%. No complications were observed in the late follow-up of group 1 patients. CONCLUSIONS: Apparently normal angiograms are relatively common in patients referred for emergency coronary angiography. In patients without significant CAD on their angiograms the clinical outcome is favourable, without major adverse cardiovascular events in the long-term follow-up.
Authors:
Tomasz Kulawik; Tomasz Pawłowski; Adam Piasecki; Hanna Rdzanek; Jarosław Rzezak; Robert J Gil
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Kardiologia polska     Volume:  63     ISSN:  0022-9032     ISO Abbreviation:  Kardiol Pol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-11-07     Completed Date:  2006-04-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376352     Medline TA:  Kardiol Pol     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  399-405     Citation Subset:  IM    
Affiliation:
Department of Invasive Cardiology, Central Hospital of the Ministery of Internal Affaires and Administration, Warsaw, Poland.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Angina Pectoris / epidemiology,  radiography*
Chest Pain / epidemiology
Comorbidity
Coronary Angiography*
Coronary Artery Disease / epidemiology,  radiography*
Emergency Service, Hospital / statistics & numerical data*
Female
Humans
Male
Middle Aged
Retrospective Studies
Risk Factors
Syndrome
Treatment Outcome

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


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