7 research outputs found
Clinical Appropriateness of Coronary Angiography
Background: The study evaluates the appropriateness of coronary angiography and the agreement between
the used method and the presence of coronary artery disease by the indications proposed from American College of
Cardiology/American Heart Association (1999).
Method: The guidelines allow us to associate to Class I and IIa the judgment of appropriateness, to the Class
IIb of uncertainty; to Class III of inappropriateness.
Result: On 761 coronary angiography 76.74% were appropriate, 23.13% unsuitable, 0.13% uncertain. The
group with the greater value of appropriateness is that one with unstable angina (97.9% appropriate); that one with
the lower value is the group with non-specific symptomatology (26.7% appropriate).
Conclusion: Considering the false positives, it is important the rate of the greater sensibility and the lower
specificity of the not invasive tests carried before coronary angiography, as well as, the probable presence of
microcircle disease. Among the false negatives, we must considered the number of patients with effective coronary
artery disease which has “jumped” the intermediate stage of the not invasive diagnostic process, before the coronary
angiography, but have obtained the same final benefit
ATEROSCLEROSI CAROTIDEA E PERIFERICA E RESTENOSI CORONARICA DOPO ANGIOPLASTICA PERCUTANEA.
MULTIFOCAL ATHEROSCLEROSIS INFLUENCING THE OUTCOME OF PATIENTS WITH ACUTE AND CHRONIC CORONARY HEART DISEASE
MULTIFOCAL ATHEROSCLEROSIS INFLUENCING THE OUTCOME OF PATIENTS WITH ACUTE AND CHRONIC CORONARY HEART DISEAS