Progress Study of 590 Consecutive Nonsurgical Cases of Coronary Disease Followed 5–9 Years: II. Ventriculographic and Other Correlations
Progress Study of 590 Consecutive Nonsurgical Cases of Coronary Disease Followed 5–9 Years: II. Ventriculographic and Other Correlations
复制标题
590 例连续非手术冠心病病例随访 5-9 年的进展研究：心室造影和其他相关性
作者：
A. V. Bruschke;W. Proudfit;F.;Mason SON'ES
临床进展进行了研究，在一系列的590例患者记录有显着的阻塞性疾病的冠状动脉造影。年龄、病史、吸烟、高血压、血清胆固醇和糖尿病与预后相关。在根据左心室血管造影片进行分类的基础上，5年心脏死亡率从左心室正常患者的25%到左心室扩张和收缩不良患者的69%不等。结合冠状动脉和左心室造影的结果产生了更好的预测比单独的方法。研究的大多数其他参数在一定程度上与死亡率有关，但其预测能力有限，可以部分或全部由冠状动脉阻塞或左心室状况解释。最重要的临床决定因素是病史、心电图和糖尿病。特别是在充血性心力衰竭或心电图传导障碍的患者中发现了高死亡率。
The clinical progress was studied in a series of 590 patients documented to have significant obstructive disease by coronary arteriography. Ventriculographic findings, age, history, cigarette smoking, hypertension, serum cholesterol, and diabetes were correlated with prognosis. In categories separated on the basis of left ventricular angiogram the 5-year cardiac mortality rates ranged from 25% among patients with normal left ventricles to 69% among patients with dilated and generally poorly contracting left ventricles. Combining the results of coronary and left ventricular angiography yielded a better prediction than either method separately. Most of the other parameters studied were related to a certain extent to mortality, but their predictive power was limited and could partly or entirely be explained by the associated obstructions of the coronary arteries or the condition of the left ventricle. The most significant clinical determinants were the history, the electrocardiogram, and the presence of diabetes mellitus. Particularly high mortality was found in patients with congestive heart failure or electrocardiographic conduction disturbances.