The study was conducted in 47 patients (34 males, 13 females) with coronary artery disease or suspected coronary artery disease who were underwent SBSE from May 2002 to October 2004 at 115 People Hospital. Results: CAD was presented in 22 patients: among which, 7 cases with lesion of one major branch, 7 cases with two branches and 8 case with three branches of coronary artery. SBSE test was positive in 20/22 patients, overall sensitivity of 91%, specificity of 80% and accuracy of 85%. The sensitivity was greatest for the font interventricle artery (81%), compared to sensitivity for right coronary artery and the left coronary artery was 56% and 31%, respectively (p<0.005). For identifying patients with multivessels CAD, sensitivity 55%, specificity 97% and accuracy 83%. SBSE is a useful tool for evaluating CAD, and identifying both the location and extent of disease.
Coronary Artery Disease ; Diagnosis

Various invasive and non-invasive imaging techniques have been used for the diagnosis of coronary artery disease. Despite several limitations, coronary CTA may soon emerge as the initial diagnostic modality of choice for patients with suspected coronary artery disease. However, in routine clinical practice, the role of coronary CTA is not clearly defined even though promising diagnostic accuracy has been demonstrated compared with that of the other non-invasive tests. Herein, we suggest a new paradigm for coronary CTA as an emerging diagnostic tool in routine clinical practice on the basis of our experience and published data.
Angiography* ; Coronary Artery Disease ; Diagnosis ; Humans

No abstract available.
Coronary Artery Disease* ; Coronary Vessels* ; Diagnosis* ; Echocardiography, Stress*

OBJECTIVE: In this paper, an intelligent system using BP neural networks (BPNN) is presented for early detection coronary artery disease (CAD). METHODS: Based on the four features of ECG signals and six basic parameters of patients, BPNN was built and trained. Especially the method which combined feature extraction and classification was discussed. RESULTS: The performance of the intelligent system has been evaluated in 20 samples. The test results showed that this system was effective in detecting CAD. The correct classification rate was about 90% for normal subjects and 100% for abnormal subjects. CONCLUSION: BPNN could quite accurately detect abnormal subjects. Because it is not expensive and noninvasive, it is fit to examine health of the elderly and has good application foreground.
Aged ; Classification ; Coronary Artery Disease* ; Coronary Vessels* ; Diagnosis* ; Electrocardiography ; Humans

No abstract available.
Coronary Artery Disease* ; Coronary Vessels* ; Diagnosis* ; Dobutamine* ; Echocardiography, Stress*

Bilateral coronary arteriovenous fistula (CAVF), arising from both the right and left coronary arteries, are rare. We experienced a 44 years old male patient with bilateral CAVF, and coronary atherosclerosis, whose diagnosis was confirmed by coronary angiography. The hemodynamic result revealed minimal left-to-right shunt. Therefore, only percutaneous coronary artery intervention of the coronary artery stenosis was performed. Here, this rare case is reported, with a review of the literature.
Adult ; Arteriovenous Fistula* ; Coronary Angiography ; Coronary Artery Disease* ; Coronary Stenosis ; Coronary Vessels ; Diagnosis ; Hemodynamics ; Humans ; Male

Aged ; Coronary Artery Disease ; diagnosis ; Coronary Vessel Anomalies ; diagnosis ; Coronary Vessels ; pathology ; Humans ; Male

Diabetes mellitus is one of the major causes of cardiovascular morbidity and mortality, and its prevalence is increasing. Although there have been great efforts regarding the early diagnosis and treatment of coronary artery disease in diabetic patients with the development of non-invasive imaging modalities, many diabetic patients are still managed with invasive coronary therapies such as percutaneous coronary intervention or coronary artery bypass graft in clinical practice. Coronary angiography is a gold standard method for detecting and treating coronary artery disease; however, this method is invasive and thus can elicit a relatively higher prevalence of procedure-related complications than non-invasive diagnostic methods. Accordingly, the appropriate use of coronary angiography could play an important role in the reduction of unnecessary complications as well as physician decision making. Recently, appropriate use criteria for coronary angiography in many types of patients with suspected or known coronary artery disease have been documented. This article demonstrates several aspects to be considered when performing coronary angiography and the appropriate use criteria of coronary angiography in diabetic patients.
Acute Coronary Syndrome ; Angioplasty, Balloon, Coronary ; Coronary Angiography ; Coronary Artery Bypass ; Coronary Artery Disease ; Coronary Vessels ; Decision Making ; Diabetes Mellitus ; Early Diagnosis ; Humans ; Percutaneous Coronary Intervention ; Prevalence ; Transplants

Coronary artery disease (CAD) is the leading cause of morbidity and mortality worldwide. Over the last decade coronary computed tomography angiography (CCTA) has gained wide acceptance as a reliable, cost-effective and non-invasive modality for diagnosis and prognostication of CAD. Use of CCTA is now expanding to characterization of plaque morphology and identification of vulnerable plaque. Additionally, CCTA is developing as a non-invasive modality to monitor plaque progression, which holds future potential in individualizing treatment. In this review, we discuss the role of CCTA in diagnosis and management of CAD. Additionally, we discuss the recent advancements and the potential clinical applications of CCTA in management of CAD.
Angiography ; Atherosclerosis ; Coronary Artery Disease ; Diagnosis ; Mortality ; Plaque, Atherosclerotic

The therapeutic strategy of the left main disease is quite different frorn usual coronary artery disease. Therefore, the diagnostic evaluation should be done carefully. Eventhough coronary angiography has been considered as a gold standard for the diagnosis of left main disease, its diagnosis is not possible in all cases. In questionable situation, direct visualization of the left main coronary artery and Doppler measurements of coronary blood flow by transesophageal echocardiography may give some diagnostic aids. We report a case of suspected isolated ostial left main stenosis, which was helped diagnotically by perfoming transesophageal Doppler echocardiography.
Constriction, Pathologic* ; Coronary Angiography ; Coronary Artery Disease ; Coronary Vessels ; Diagnosis ; Echocardiography, Doppler* ; Echocardiography, Transesophageal