Factors associated with multitroncular coronary injury: Case-control study - 06/01/20
Résumé |
Introduction |
The multivessel nature of a coronary lesion is a marker of high risk of death in myocardial infarction. The objective of that study was to determine the factors associated with this type of lesion during coronary artery disease.
Methods |
We performed a retrospective case-control study for 39 months; from March 2014 to May 2017. Patients with at least one significant coronary lesion were included.
Results |
Sixty-four patients were included. Signs suggestive of multivessel lesion were history of exercise angina (P=0.037), dyspnea (P=0.045), and right coronary involvement (P=6.10–7). Four risk factors were incriminated: arterial hypertension (OR=2.565[0,904–7,275]), diabetes (OR=5.25[1,833–15,03]), dyslipidemia (OR=5.25[1,7311–15,9224]) and resting heart rate>80 per minute (OR=2,9615[1,1043–7,9424]). Adjusted OR concluded that the first risk factor was diabetes.
Conclusion |
The knowledge of the risk factors and the signs suggestive of a multivessel coronary lesion makes it possible to anticipate the severity of this type of lesion both preventive and curative.
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Vol 12 - N° 1
P. 24 - janvier 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.