Contribution to the clinical recognition of severe coronary disease in women (abstract)

SERRA, C

JOURNAL OF THE AMERICAN HEART ASSOCIATION - CIRCULATION 2008

THE AMERICAN HEART ASSOCIATION

Lugar: Dallas; Año: 2008 p. 452 - 452

1524-4539

ntroduction It is still a challenge to recognize the Severe Coronary Disease (SCD) in women. Angor Pectoris (AP) which is a key player in the diagnosis in men, is only useful in women in a little more than 50% of the cases as it includes false positives, for instance X syndrome, and false negatives for example silent ischemia, atypical angor and/or equivalents such as dyspnea, arrhythmias, among others. Aims: Enhance the ability to predict SCD in women by analyzing in addition to the patients symptoms, the amount and type of traditional coronary heart disease risk factors (CHDRF). Methods and Materials: In three Argentinean cities, 319 coronary angiographies (CA) from women with presumably coronary artery disease (excluding acute coronary infarction and valvular disease) were individually analyzed by interventional and clinical cardiologists and divided into two groups: with severe lesions (SL) and with non-severe lesions [NSL (