RT Journal Article
SR Electronic
T1 Digital fluoroscopy and intravenous cardiac angiography for the detection of coronary artery disease in selected subjects
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 129
OP 135
VO 55
IS 2
A1 Robert Detrano
A1 Dale L. Haggman
A1 Conrad Simpfendorfer
A1 Robert E. Hobbs
A1 Kenneth J. Ramsey
A1 David J. Strobl
A1 Ernesto E. Salcedo
A1 William C. Sheldon
A1 Robert Friis
YR 1988
UL http://www.ccjm.org/content/55/2/129.abstract
AB Thirty-seven thin patients (height/weight ratio >2.2 cm/kg) without prior myocardial infarction underwent digital subtraction fluoroscopy and intravenous digital subtraction cardiac angiography one day before they were scheduled to undergo coronary angiography. Eighteen (49%) had at least a 50% obstruction of a major coronary artery as shown on selective coronary cineangiograms; eight of these (44%) had three calcified coronary arteries as visualized by digital fluoroscopy, five (28%) had diagnostic wall-motion abnormality by digital ventriculography, and 15 (83%) had intravenous angiographic evidence of at least one severe (>50%) coronary obstruction. Seventeen (94%) of the 18 with severe selective angiographic obstructions had at least one calcified artery detected by the digital study. Seventeen (89%) of the 19 without angiographic evidence of severe disease had none of these three abnormalities visualized on their digital intravenous images. Intravenous cardiac angiography was more accurate for predicting proximal coronary, right coronary, and left anterior descending branch obstructions, than for distal coronary and left circumflex artery obstructions.