Initial Invasive or Conservative Strategy for Stable Coronary Disease
David J. MaronJudith S. HochmanHarmony R. ReynoldsSripal BangaloreSean M. O’BrienWilliam E. BodenBernard ChaitmanRoxy SeniorJ. López‐SendónKaren P. AlexanderRenato D. LópesLeslee J. ShawJeffrey S. BergerJonathan NewmanMandeep S. SidhuShaun G. GoodmanWitold RużyłłoGilbert GosselinAldo P. MaggioniHarvey D. WhiteBalram BhargavaJames K. MinG.B. John ManciniDaniel S. BermanMichael H. PicardRaymond Y. KwongZiad A. AliDaniel B. MarkJohn A. SpertusM.N. KrishnanAhmed ElghamazNagaraja MoorthyWhady HuebMarcin DemkowKreton MavromatisO.L. BockeriaJesús PeteiroTodd D. MillerHanna SzwedRolf DoerrMátyás KeltaiJoseph B. SelvanayagamPhilippe Gabríel StegClaes HeldShun KohsakaStavroula MavromichalisRuth KirbyNeal JeffriesFrank E. HarrellFrank W. RockholdSamuel BroderickT. Bruce FergusonDavid O. WilliamsRobert A. HarringtonGregg W. StoneYves Rosenberg
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Abstract:
Among patients with stable coronary disease and moderate or severe ischemia, whether clinical outcomes are better in those who receive an invasive intervention plus medical therapy than in those who receive medical therapy alone is uncertain.Keywords:
Medical Therapy
Coronary disease
Objective:To analyze the coronary arteriongraphy result of patients with coronary heart disease,and discuss the correlation between arhythmia and coronary heart disease.Methods:213 patients who were with arrhythmia and potential coronary heart disease were performed with coronary arteriongraphy,then the patients were divided into two groups according to the coronary arteriongraphy result:group A and group B,and the correlation between arrhythmia and coronary heart disease was further analyzed.Results:122(57.28%)patients in two groups showed positive coronary arteriongraphy result,with 105(95.45%)patients in group A of 100 patients and 17(16.50%)patients in group B of 103 patients respectively,and a significant difference of the amount of positive patients was shown between group A and group B(P0.05).Conclusion:Clinician must be prudent when diagnosing the cause of arrythmia in order to avoid resulting in negative influence for misdiagnosis.
Coronary disease
Positive correlation
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The Coronary-Prone Behavior Pattern in Hospitalized Patients with and without Coronary Heart Disease
Male and female hospitalized patients aged 22 to 64 years with coronary heart disease and noncardiovascular diseases were compared in terms of selected behavioral variables at Bridgeport (Connecticut) Hospital. The coronary patients were drawn from the post-coronary unit and the controls from patients hospitalized for surgery or traumatic injury. The major behavioral assessment was the Jenkins Activity Survey (JAS) designed to measure the coronary-prone behavior pattern (Type A). CHD patients were found to score more in the Type A direction and were more hard-driving than those with other health crises. These results replicate earlier findings from a large retrospective analysis of an industrial study in California. The differences observed were evaluated in terms of other demographic variables and found not to be influenced by them. This was also the first study to use the JAS with female CHD patients. Women with CHD scored higher than women controls on both the Type A and hard-driving scales, as did the men.
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Coronary atherosclerotic heart disease,coronary heart disease(CHD).Coronary heart disease is the medical common disease.Traditional medicine to be vested in Chest category,through the Golden Chamber the ninth chapter of the study,the clinical application by the parties,the effect is significant.
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To the Editor.—
I am writing to protest the conclusions of the recent article by Stamler et al1entitled "Is Relationship Between Serum Cholesterol and Risk of Premature Death From Coronary Heart Disease Continuous and Graded?" Stamler et al conclude that "these data of high precision show that the relationship between serum cholesterol and CHD [coronary heart disease] isnota threshold one, with increased risk confined to the two highest quintiles, but rather is a continuously graded one that powerfully affects risk for the great majority of middle-aged American men." The problem with the article by Stamler et al is that they do not provide convincing evidence that the CHD mortality in the lowest three quintiles is significantly different from that in the first. Ninety-five percent confidence limits are not given for any of the data in any of the quintiles, so it is very difficult to interpretCoronary disease
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Continuation
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Coronary disease in people under age 60 has reached epidemic proportions in the United Stales. The best treatment is prevention. In a hopeful article, authorities say unequivocally that medicine note has the means to correct “the cardinal coronary risk factors in most persons harboring them.”
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Objective The goal of this study was to explore the diagnosis value of treadmill test(TET) on coronary heart disease(CHD).Methods Fouty-one pseudo-diagnosis CHD patients,which received TET and the patient result was positivem,received coronary arteriongraphy(CAG).Results The positive predictabilities of TET on different coronary branch disease were 71.4%(LCX),54.3%(LCX),60.0%(RCA) and 100%(LM).The percent of accuracy of TET on different coronary disease were 72.6%(LAD),60.7%(LCX),68.1%(RCA) and 2.8%(LM).Conclusion TET had different value in diagnosing different coronary branch disease as a non-invasive test method in CHD patients,which should be synthetic analysed with other method.
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