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Journals / Anadolu Kardiyoloji Dergisi / 2007 / Cilt: 7 - Sayı: 3

Amerikan Kalp Cemiyetinin olasılık sınıflamasına göre yüksek ve orta olasılıklı kararsız anjinalı hastalarda koroner arter tıkanıklığının anjiyografik yaygınlığı

Angiographic extent of coronary artery stenosis in patients with high and intermediate likelihood of unstable angina according to likelihood classification of American Heart Association

Özgür KARCIOĞLU
Ersin AKSAY
Sedat YANTURALI
Önder KIRIMLI
Pages
287–291
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

This study was conducted to estimate extent of significant CAD in patients with high and intermediate likelihood of unstable angina (UA) according to “AHA likelihood classification” Methods: Overall, 133 consecutive patients presented with symptoms or signs suggestive of UA, which was classified as of high or intermediate likelihood in Emergency Department (ED), and undergoing coronary angiography (CAG) within one week were enrolled into the study.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: In accordance with the AHA/ACC clinical practice guideline, the likelihood of acute ischemia caused by coronary artery disease (CAD) is to be determined as high, intermediate, or low for all patients presenting with chest discomfort.
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Key Findings & Data:This study was conducted to estimate extent of significant CAD in patients with high and intermediate likelihood of unstable angina (UA) according to “AHA likelihood classification” Methods: Overall, 133 consecutive patients presented with symptoms or signs suggestive of UA, which was classified as of high or intermediate likelihood in Emergency Department (ED), and undergoing coronary angiography (CAG) within one week were enrolled into the study.
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Conclusion & Impact:The rate of significant CAD was significantly higher in patients with high likelihood (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: In accordance with the AHA/ACC clinical practice guideline, the likelihood of acute ischemia caused by coronary artery disease (CAD) is to be determined as high, intermediate, or low for all patients presenting with chest discomfort. This study was conducted to estimate extent of significant CAD in patients with high and intermediate likelihood of unstable angina (UA) according to “AHA likelihood classification” Methods: Overall, 133 consecutive patients presented with symptoms or signs suggestive of UA, which was classified as of high or intermediate likelihood in Emergency Department (ED), and undergoing coronary angiography (CAG) within one week were enrolled into the study. The characteristics of the patients in either subgroup were compared in terms of the findings of the CAG.Results: In patients with high likelihood of UA (n=89), CAG revealed that 62 had significant CAD, 7 - moderate CAD, 20 - mild CAD or normal coronary angiogram. In patients with intermediate likelihood of UA (n=19), CAG revealed that 2 patients had significant CAD, and 17 - mild CAD or normal coronary angiogram. The rate of significant CAD was significantly higher in patients with high likelihood (p

Özet

Amaç: AHA/ACC klinik uygulama kılavuzuna göre, göğüs ağrısı ile başvuran tüm hastaların koroner arter hastalığına bağlı akut iskemi olasılığı yüksek, orta ya da düşük olarak belirlenmelidir. Bu çalışma, AHA olasılık sınıflamasına göre, yüksek ya da orta olasılıklı kararsız anjinalı hastalardaki belirgin koroner arter hastalığının yaygınlığını tespit etmeyi hedeflemektedir.Yöntemler: Kararsız anjinayı düşündüren semptom ve bulgularla başvuran, acil serviste yüksek ve orta olasılıklı sınıflandırılan ve 1 hafta içerisinde koroner anjiyografi yapılan ardışık 133 hasta çalışmaya alındı. Hastaların özellikleri alt gruplarına göre koroner anjiyografi bulguları ile karşılaştırıldı. Bulgular: Yüksek olasılıklı hastalarda (n=89) koroner anjiyografi, 62 belirgin koroner arter hastalığı (KAH), 7 orta KAH, 20 hafif KAH ya da normal koroner arteri ortaya koydu. Orta olasılıklı hastalarda (n=19) koroner anjiyografi, 2 belirgin KAH, 17 hafif KAH ya da normal koroner arteri ortaya koydu. Belirgin koroner arter hastalığı, yüksek olasılıklı hastalarda daha belirgin sıklıkta bulundu (p

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Cite This Article

KARCIOĞLU, Ö., AKSAY, E., YANTURALI, S., KIRIMLI, Ö. (2022). Amerikan Kalp Cemiyetinin olasılık sınıflamasına göre yüksek ve orta olasılıklı kararsız anjinalı hastalarda koroner arter tıkanıklığının anjiyografik yaygınlığı. Anadolu Kardiyoloji Dergisi, Cilt: 7 - Sayı: 3, 287–291. https://ajindex.com/articles/437137

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