PREVALENCE OF CORONARY ARTERY DISEASE (CAD) IN PATIENTS WITH VALVULAR AND CONGENITAL HEART DISEASE AND THE NECESSITY OF ANGIOGRAPHY BEFORE CARDIAC SURGERY

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SAEIDI S.J.; KAZEMI SALEH D.; HOSSEINI SEYED MORTEZA; MIRDAMADIAN Z.S.

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Journal: Journal of Medical Council of Iran Year:2007 | Volume:25 | Issue:1 Page(s): 39-43

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Title

PREVALENCE OF CORONARY ARTERY DISEASE (CAD) IN PATIENTS WITH VALVULAR AND CONGENITAL HEART DISEASE AND THE NECESSITY OF ANGIOGRAPHY BEFORE CARDIAC SURGERY

Author(s)

SAEIDI S.J. | KAZEMI SALEH D. | HOSSEINI SEYED MORTEZA | MIRDAMADIAN Z.S. | Issue Writer Certificate

Keywords

CADQ3

CHDQ4

VHDQ3

ANGIOGRAPHYQ3

Abstract

Background: Congenital and valvular heart diseases are still major health problems in developing nations and have high prevalence rates in our country. Thus, detecting these diseases which mostly need heart surgery is very important. In this survey, we aimed to show the importance and necessity of ANGIOGRAPHY in valvular and congenital heart diseases.Methods: This was a cross sectional study and l96 patients with congenital and valvular heart diseases enrolled in this survey. Study population was patients who had been admitted to Baqiyatallah Hospital for catheterization and coronary artery ANGIOGRAPHY. Data was collected using a questionnaire, physical examination and paraclinical studies.Findings: The study subjects comprised 89 (45.4%) males and 107 (54.6%) females, with a mean age of 49.8±16 years. The most common diagnoses were 25.5% with combined mitral and aortic stenosis, 24% with mitral stenosis alone, and 10.7% with aortic insufficiency. Coronary artery ANGIOGRAPHY was abnormal in 13.3%. 3.8% of those £40 years, 14.3% of those between 41 and 60 years, and 20.3% of patients ³61 years, suffered from CAD.Conclusion: These findings suggest that we should reconsider the necessity of ANGIOGRAPHY for patients with congenital and valvular diseases without CAD symptoms and reassess indications more carefully. Considering the low prevalence of combined CAD and valvular and congenital heart disorders in patients younger than 40 years of age, as well as patients between 41 and 60 years, it appears that performing ANGIOGRAPHY for all patients is not necessary. We suggest coronary ANGIOGRAPHY be performed in patients with clinical suspicion of CAD or multiple risk factors, and in patients older than 60 years old.

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APA: Copy

SAEIDI, S.J., KAZEMI SALEH, D., HOSSEINI, SEYED MORTEZA, & MIRDAMADIAN, Z.S.. (2007). PREVALENCE OF CORONARY ARTERY DISEASE (CAD) IN PATIENTS WITH VALVULAR AND CONGENITAL HEART DISEASE AND THE NECESSITY OF ANGIOGRAPHY BEFORE CARDIAC SURGERY . JOURNAL OF MEDICAL COUNCIL OF I.R.I., 25(1), 39-43. SID. https://sid.ir/paper/41130/en

Vancouver: Copy

SAEIDI S.J., KAZEMI SALEH D., HOSSEINI SEYED MORTEZA, MIRDAMADIAN Z.S.. PREVALENCE OF CORONARY ARTERY DISEASE (CAD) IN PATIENTS WITH VALVULAR AND CONGENITAL HEART DISEASE AND THE NECESSITY OF ANGIOGRAPHY BEFORE CARDIAC SURGERY . JOURNAL OF MEDICAL COUNCIL OF I.R.I.[Internet]. 2007;25(1):39-43. Available from: https://sid.ir/paper/41130/en

IEEE: Copy

S.J. SAEIDI, D. KAZEMI SALEH, SEYED MORTEZA HOSSEINI, and Z.S. MIRDAMADIAN, “PREVALENCE OF CORONARY ARTERY DISEASE (CAD) IN PATIENTS WITH VALVULAR AND CONGENITAL HEART DISEASE AND THE NECESSITY OF ANGIOGRAPHY BEFORE CARDIAC SURGERY ,” JOURNAL OF MEDICAL COUNCIL OF I.R.I., vol. 25, no. 1, pp. 39–43, 2007, [Online]. Available: https://sid.ir/paper/41130/en

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