TITLE

Prediction of "Critical" Coronary Disease: Are the "Consensus Conference" Guidelines Adequate?

AUTHOR(S)
Hutchison, S. J.; Millar-Craig, M. W.
PUB. DATE
October 1987
SOURCE
Angiology;Oct1987, Vol. 38 Issue 10, p737
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Presenting features of 100 patients with significant left main coronary steno- sis (LMCS) were reviewed. All presented with angina - on minimal exertion in 45, moderate exertion in 38, and severe exertion in 6 - and 11 had unstable angina. Although the resting ECG was normal in 44, exercise testing was positive in 92% of patients tested. The authors conclude that symptoms and the resting ECG alone are unhelpful in predicting "critical" coronary disease. However, application of a management plan similar to that suggested by the Consensus Conference on coronary artery surgery would have selected the vast majority of such patients for angiography.
ACCESSION #
16366520

 

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