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ISSN 2683-2313 (Electronic)
Sociedad Nacional de Ecocardiografía de México AC (SONECOM)

2019, Number 2

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CIU Cardiac Image Updated 2019; 1 (2)

Prevalence of coronary artery disease evaluated by computed tomography coronary angiography in preoperative assessment of cardiac valvular surgery

Berríos BEA, Domínguez IS, Urrutia MLL, Kimura HE, Castillo F

Language: English
References: 8
Page: 48-50
PDF size: 121.01 Kb.


ABSTRACT

Introduction: Rheumatic valvular disease is predominant in developing countries. The prevalence of coexisting coronary artery disease (CAD) is based on other populations, and could be lower than reported, so that the indication of pre-operative invasive coronary angiography (ICA) could be over evaluated. The aim of the study is to demonstrate the prevalence of CAD diagnosed by Computed Tomography Coronary Angiography (CTCA) in a population of severe valvular heart disease (VHD) that requires surgery. Material and methods: Observational study that included subjects with severe VHD with surgical indication who underwent pre-operative CTCA. Results: We included 487 patients, 37% men and average age of 53 years. The prevalence of CAD was 4.1%. The independent predictors of CAD are age older than 60 years and male sex. Conclusion: In patients of our institution with severe VHD, the prevalence of CAD was low and CTCA could be the pre-operative tool of choice.


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