open access

Vol 63, No 10 (2005)
Other
Published online: 2005-10-21
Submitted: 2012-12-28
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ORIGINAL ARTICLE
One-year clinical outcome after emergency hospitalisation for suspected acute coronary syndrome – a comparative analysis with respect to angiographic findings

Tomasz Kulawik, Tomasz Pawłowski, Adam Piasecki, Hanna Rdzanek, Jarosław Rzezak, Robert J. Gil
Kardiol Pol 2005;63(10):399-405.

open access

Vol 63, No 10 (2005)
Other
Published online: 2005-10-21
Submitted: 2012-12-28

Abstract

Introduction: Among patients with suspected acute coronary syndromes (ACS) referred for urgent coronary angiography there are some with normal angiograms. Aim: To compare, with respect to angiographic findings, one-year clinical outcomes in patients hospitalised for suspected ACS. Method: Between January 2001 and December 2003 emergency angiography was performed in 1169 patients. It revealed no significant coronary lesions in 97 (8.3%) cases, of these 40 being women and 57 men with a mean age of 55±15 yrs (Group 1). Sixty consecutive patients with ACS (20 women and 40 men with a mean age of 54±9 yrs) and significant coronary artery disease (CAD) confirmed by angiography were the study controls (Group 2). Demographic data, CAD risk factors, angiographic findings, ECG and echocardiographic data as well as laboratory test results were analysed. In a long-term follow-up, the prevalence of recurrent angina and all-cause mortality were assessed. Results: There were no significant differences in patients\' demographics between the two groups with the exception of arterial hypertension, which was more frequent in group 1. In group 1 the diagnosis of ACS was established in 14.5% cases, X syndrome in 14.4%, Prinzmetal angina in 4.1%, myocarditis in 6.1% and pulmonary thromboembolisation in 5.1%. A definite diagnosis was not related to the cardiovascular disease in 36%. No complications were observed in the late follow-up of group 1 patients. Conclusions: Apparently normal angiograms are relatively common in patients referred for emergency coronary angiography. In patients without significant CAD on their angiograms the clinical outcome is favourable, without major adverse cardiovascular events in the long-term follow-up.

Abstract

Introduction: Among patients with suspected acute coronary syndromes (ACS) referred for urgent coronary angiography there are some with normal angiograms. Aim: To compare, with respect to angiographic findings, one-year clinical outcomes in patients hospitalised for suspected ACS. Method: Between January 2001 and December 2003 emergency angiography was performed in 1169 patients. It revealed no significant coronary lesions in 97 (8.3%) cases, of these 40 being women and 57 men with a mean age of 55±15 yrs (Group 1). Sixty consecutive patients with ACS (20 women and 40 men with a mean age of 54±9 yrs) and significant coronary artery disease (CAD) confirmed by angiography were the study controls (Group 2). Demographic data, CAD risk factors, angiographic findings, ECG and echocardiographic data as well as laboratory test results were analysed. In a long-term follow-up, the prevalence of recurrent angina and all-cause mortality were assessed. Results: There were no significant differences in patients\' demographics between the two groups with the exception of arterial hypertension, which was more frequent in group 1. In group 1 the diagnosis of ACS was established in 14.5% cases, X syndrome in 14.4%, Prinzmetal angina in 4.1%, myocarditis in 6.1% and pulmonary thromboembolisation in 5.1%. A definite diagnosis was not related to the cardiovascular disease in 36%. No complications were observed in the late follow-up of group 1 patients. Conclusions: Apparently normal angiograms are relatively common in patients referred for emergency coronary angiography. In patients without significant CAD on their angiograms the clinical outcome is favourable, without major adverse cardiovascular events in the long-term follow-up.
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Keywords

acute coronary syndrome; normal coronary angiography

About this article
Title

ORIGINAL ARTICLE
One-year clinical outcome after emergency hospitalisation for suspected acute coronary syndrome – a comparative analysis with respect to angiographic findings

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 63, No 10 (2005)

Pages

399-405

Published online

2005-10-21

Bibliographic record

Kardiol Pol 2005;63(10):399-405.

Keywords

acute coronary syndrome
normal coronary angiography

Authors

Tomasz Kulawik
Tomasz Pawłowski
Adam Piasecki
Hanna Rdzanek
Jarosław Rzezak
Robert J. Gil

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