Predictive factors of coronary lesion on preoperative diagnostic coronary angiography in korean patients with valvular heart disease.
- Author:
Min Goo LEE
1
;
Jong Chun PARK
;
Young Joon HONG
;
Ji Hyun LIM
;
Hyung Wook PARK
;
Han Gyun KIM
;
Ju Han KIM
;
Weon KIM
;
Young Keun AHN
;
Myung Ho JEONG
;
Jeong Gwan CHO
;
Byoung Hee AHN
;
Sang Hyung KIM
;
Jung Chaee KANG
Author Information
1. The Heart Center of Chonnam National University Hospital, Chonnam National University Research Institute of Medical Sciences, Gwangju, Korea. jcpark@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Coronary Disease;
Heart Valve Diseases;
Risk Factors
- MeSH:
Aged;
Coronary Angiography*;
Coronary Artery Disease;
Coronary Disease;
Diabetes Mellitus;
Dyslipidemias;
Female;
Heart Valve Diseases*;
Humans;
Hypertension;
Logistic Models;
Male;
Obesity;
Prevalence;
Risk Factors;
Smoke;
Smoking
- From:Korean Journal of Medicine
2004;66(6):593-600
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The preoperative coronary angiography is required in some patients underwent valvular surgery. The purpose of this study was to evaluate predictive factors for coronary lesion and to determine the indication for preoperative coronary angiography in Korean patients with valvular heart disease (VHD). METHODS: Two hundreds eight patients (55.5 +/- 12.8 years, 99 male) with VHD underwent preoperative coronary angiography between January 1996 and January 2003 were analyzed the variables of age, gender, previous or current angina, hypertension, diabetes mellitus, smoking, dyslipidemia, obesity and familial predisposition according to the presence of coronary lesion. RESULTS: The prevalence of significant coronary artery disease in VHD patients was 26.4% (55/208). The probability of coronary lesion was higher in male above 55 years and in female above 65 years than in younger patients. The predictive factors of coronary lesion were previous or current angina (p<0.05), dyslipidemia (p<0.01), hypertension (p<0.05), previous angina (p<0.05), diabetes (p<0.01) and smoking (p<0.01) by multiple logistic regression analysis. CONCLUSION: Previous or current angina and at least one of the four risk factors (hypertension, smoking, dyslipidemia and diabetes) are predictors of coronary lesion, especially in elderly Korean patients with VHD (older than 55 years in male and 65 years in female).
