Document Detail


Is there an indication for coronary angiography in patients under 60 years of age with no or minimal angina pectoris after a first myocardial infarction?
MedLine Citation:
PMID:  3966949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coronary angiography and exercise stress tests were performed in 91 consecutive patients under 60 years of age having either no or only mild angina pectoris with or without medication after a first myocardial infarction. Nine (10%) patients had angiographic high risk coronary artery disease defined as three vessel disease, left main stenosis, or proximal stenosis of the left anterior descending artery. Eighteen patients had a positive electrocardiographic exercise stress test including eight of the nine patients with angiographic high risk coronary artery disease. It may be concluded therefore that coronary angiography to detect high risk coronary artery disease in this group can be restricted to patients with a positive exercise stress test. This policy would obviate the need for about 80% of coronary angiograms performed in this age group.
Authors:
T W Veenbrink; T van der Werf; P W Westerhof; E O Robles de Medina; F L Meijler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  53     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1985 Jan 
Date Detail:
Created Date:  1985-03-05     Completed Date:  1985-03-05     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  30-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Angina Pectoris / radiography
Angiocardiography* / adverse effects
Electrocardiography
Exercise Test
Female
Humans
Male
Middle Aged
Myocardial Infarction / radiography*
Risk
Comments/Corrections

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


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