Coronary artery status in patients with coronary heart disease and chronic obstructive pulmonary disease: results of selective coronary angiography
https://doi.org/10.15829/1728-8800-2012-5-29-32
Abstract
Aim. To study the specifics of coronary artery pathology in patients with coronary heart disease (CHD) and chronic obstructive pulmonary disease (COPD), using the data of selective coronary angiography (CAG).
Material and methods. In total, 907 CHD patients were examined. Group I included 251 participants with CHD and COPD; Group II included 656 individuals with CHD only. CAG was performed in 582 patients (64,2%): 184 from Group I (73,3%) and 398 from Group II (60,7%).
Results. In patients with the combination of cardiac and pulmonary disease, the prevalence of two- and three-vessel pathology was higher, compared to CHD-only patients: 70,6% in Group I vs. 53,8% in Group II (p=0,002). In Group I, the Syntax Scale score was significantly higher than in Group II (24,7±4,1 vs. 18,7±3,1, respectively).
Conclusion. Patients with combined cardiac and pulmonary pathology demonstrated a more severe coronary artery atherosclerosis, based on such CAG parameters as stenosis degree, number of involved vessels, size and location of lesions, and proximal stenosis.
About the Authors
N. Yu. Grigorieva
Nizhny Novgorod State Medical Academy
Russian Federation
Russian Federation
E. G. Sharavrin
Nizhny Novgorod State Medical Academy
Russian Federation
Russian Federation
A. N. Kuznetsov
Nizhny Novgorod State Medical Academy
Russian Federation
Russian Federation
T. V. Koroleva
City Clinical Hospital No. 5, Nizhny Novgorod
Russian Federation
Russian Federation
P. A. Blinov
City Clinical Hospital No. 5, Nizhny Novgorod
Russian Federation
Russian Federation
E. B. Shakhov
Nizhny Novgorod State Medical Academy
Russian Federation
Russian Federation
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Review
For citations:
Grigorieva N.Yu., Sharavrin E.G., Kuznetsov A.N., Koroleva T.V., Blinov P.A., Shakhov E.B. Coronary artery status in patients with coronary heart disease and chronic obstructive pulmonary disease: results of selective coronary angiography. Cardiovascular Therapy and Prevention. 2012;11(5):29-32. (In Russ.) https://doi.org/10.15829/1728-8800-2012-5-29-32
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