Can patients with left main coronary artery disease wait for myocardial revascularization surgery?
OBJECTIVE: To assess the occurrence of cardiac events in patients diagnosed with left main coronary artery disease on diagnostic cardiac catheterization and waiting for myocardial revascularization surgery. METHODS: All patients diagnosed with left main coronary artery disease (stenosis > or = 50...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2003-02-01
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| Series: | Arquivos Brasileiros de Cardiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000200007 |
| _version_ | 1811232539272019968 |
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| author | Antônio Sérgio Cordeiro da Rocha Paulo Roberto Dutra da Silva |
| author_facet | Antônio Sérgio Cordeiro da Rocha Paulo Roberto Dutra da Silva |
| author_sort | Antônio Sérgio Cordeiro da Rocha |
| collection | DOAJ |
| description | OBJECTIVE: To assess the occurrence of cardiac events in patients diagnosed with left main coronary artery disease on diagnostic cardiac catheterization and waiting for myocardial revascularization surgery. METHODS: All patients diagnosed with left main coronary artery disease (stenosis > or = 50%) consecutively identified on diagnostic cardiac catheterization during an 8-month period were selected for the study. The group comprised 56 patients (40 males and 16 females) with a mean age of 61±10 years. The cardiac events included death, nonfatal acute myocardial infarction, acute left ventricular failure, unstable angina, and emergency surgery. RESULTS: While waiting for surgery, patients experienced the following cardiac events: 7 acute myocardial infarctions and 1 death. All events occurred within the first 60 days after the diagnostic cardiac catheterization. More patients, whose indication for diagnostic cardiac catheterization was unstable angina, experienced events as compared with those with other indications [p=0.03, relative risk (RR) = 5.25, 95% confidence interval = 1.47 - 18.7]. In the multivariate analysis of logistic regression, unstable angina was also the only factor that independently contributed to a greater number of events (p = 0.02, OR = 8.43, 95% CI =1.37 - 51.7). CONCLUSION: Unstable angina in patients with left main coronary artery disease acts as a high risk factor for cardiac events, emergency surgery being recommended in these cases. |
| first_indexed | 2024-04-12T11:04:34Z |
| format | Article |
| id | doaj.art-7f1b7f64234643fdb385e37a143d70ad |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-04-12T11:04:34Z |
| publishDate | 2003-02-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-7f1b7f64234643fdb385e37a143d70ad2022-12-22T03:35:49ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702003-02-0180219120310.1590/S0066-782X2003000200007Can patients with left main coronary artery disease wait for myocardial revascularization surgery?Antônio Sérgio Cordeiro da RochaPaulo Roberto Dutra da SilvaOBJECTIVE: To assess the occurrence of cardiac events in patients diagnosed with left main coronary artery disease on diagnostic cardiac catheterization and waiting for myocardial revascularization surgery. METHODS: All patients diagnosed with left main coronary artery disease (stenosis > or = 50%) consecutively identified on diagnostic cardiac catheterization during an 8-month period were selected for the study. The group comprised 56 patients (40 males and 16 females) with a mean age of 61±10 years. The cardiac events included death, nonfatal acute myocardial infarction, acute left ventricular failure, unstable angina, and emergency surgery. RESULTS: While waiting for surgery, patients experienced the following cardiac events: 7 acute myocardial infarctions and 1 death. All events occurred within the first 60 days after the diagnostic cardiac catheterization. More patients, whose indication for diagnostic cardiac catheterization was unstable angina, experienced events as compared with those with other indications [p=0.03, relative risk (RR) = 5.25, 95% confidence interval = 1.47 - 18.7]. In the multivariate analysis of logistic regression, unstable angina was also the only factor that independently contributed to a greater number of events (p = 0.02, OR = 8.43, 95% CI =1.37 - 51.7). CONCLUSION: Unstable angina in patients with left main coronary artery disease acts as a high risk factor for cardiac events, emergency surgery being recommended in these cases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000200007left main coronary artery diseasesurgical indicationcinecoronary arteriography |
| spellingShingle | Antônio Sérgio Cordeiro da Rocha Paulo Roberto Dutra da Silva Can patients with left main coronary artery disease wait for myocardial revascularization surgery? Arquivos Brasileiros de Cardiologia left main coronary artery disease surgical indication cinecoronary arteriography |
| title | Can patients with left main coronary artery disease wait for myocardial revascularization surgery? |
| title_full | Can patients with left main coronary artery disease wait for myocardial revascularization surgery? |
| title_fullStr | Can patients with left main coronary artery disease wait for myocardial revascularization surgery? |
| title_full_unstemmed | Can patients with left main coronary artery disease wait for myocardial revascularization surgery? |
| title_short | Can patients with left main coronary artery disease wait for myocardial revascularization surgery? |
| title_sort | can patients with left main coronary artery disease wait for myocardial revascularization surgery |
| topic | left main coronary artery disease surgical indication cinecoronary arteriography |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000200007 |
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