Document Detail

The problem of chronic refractory angina pectoris
MedLine Citation:
PMID:  15821320     Owner:  NLM     Status:  MEDLINE    
Prognosis in the case of refractory angina pectoris is poor in comparison with stable angina. Patients with refractory angina are more likely to have an acute coronary attack as a result of more diffuse coronary artery lesions and a high prevalence of cardiac risk factors. The quality of life of these patients is also poor. 36 patients 35-70 years of age with chronic stable angina were studied (34-males and 2-females). In all patients the stable angina was diagnoses based on the results of coronary angiography, medical record, ECG, echocardiography, stress-test, blood glucose, coagulation and lipid spectrum tests results. All patients were divided into 2 groups. By coronary angiography in 5 cases severe stenosis (80-95%) and occlusion of left main coronary artery was founded. In 10 cases significant stenosis of main coronary artery was not found and the patients were referred for conventional anti-ischemic therapy. 11 patients were treated by revascularization procedures (4 coronary artery bypass grafting and 7 coronary angioplasty). 15 cases ( 41,6%) were considered as refractory angina pectoris as far as they were suffering from ischemic heart disease and symptoms were present despite optimal medical therapy. They had been considered not suitable for any interventional procedure due to several reasons (distal localization of stenosis, diffuse lesions of arteries, etc.).
V B Chumburidze; N A Kharchilava; A V Aladashvili
Publication Detail:
Type:  Comparative Study; English Abstract; Journal Article    
Journal Detail:
Title:  Georgian medical news     Volume:  -     ISSN:  1512-0112     ISO Abbreviation:  Georgian Med News     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-04-11     Completed Date:  2005-04-29     Revised Date:  2008-05-21    
Medline Journal Info:
Nlm Unique ID:  101218222     Medline TA:  Georgian Med News     Country:  Georgia (Republic)    
Other Details:
Languages:  rus     Pagination:  26-8     Citation Subset:  IM    
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MeSH Terms
Angina Pectoris* / complications,  diagnosis,  drug therapy,  radiography,  surgery,  ultrasonography
Angioplasty, Transluminal, Percutaneous Coronary
Chronic Disease
Coronary Angiography
Coronary Artery Bypass
Coronary Stenosis / diagnosis
Middle Aged
Myocardial Revascularization
Quality of Life
Risk Factors

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

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