Remote clinical prognosis in patients with coronary X syndrome.
The article analyzes data of 3234 coronary angiographies with established coronary X syndrome (CXS) in 217 cases, herewith expressed tortuosity of coronary arteries (ETCA) was found out in 148 (more than 2/3) of cases. A 5-years’ analysis of cardio-vascular events (CVE) in patients with CXS in comparison with the group of IHD patients and initial atherosclerosis of coronary arteries was made. Absence of reliable difference of developing severe cardio-vascular events (SCVE) between patients with initial atherosclerosis and CXS was proved. Risk of CVE development was significantey higher in patients withETCA,OR=4,93; 95% (0,62; 3929). Patients with CXS had higher risk of severe arrhythmias development as compared with IHD patients with initial atherosclerosis: OR=2,36 (1,01; 5,56). There was no reliable difference between lethality of any causes and number of coronary interventions in all groups.
Dzyak GV. [Indexes of lipid profile and risk of complications in patients with different formes of coronary artery disease]. Suchasni medychni tehnologiyi. 2010;3:17-21. Russian. 2. Knyshov GV, Lebedeva EO, Nastenko EA. [Tor¬tuosity of the coronary arteries and its role in the deve¬lopment of myocardial ischemia]. Ukraїns'kiy kardіo¬logіchniy zhurnal. 2012;5:28-35. Russian. 3. Lupanov VP, Dotsenko YuV. [Diagnosis and treat¬ment of patients with cardiac syndrome X]. Rus. med. zhurnal. 2009;14:903-9. Russian. 4. Makolkin VI, Abbakumov SA, Alliluev IG. [Clinical features and diagnosis of angina pectoris in patients with normal coronary vessels]. Kardiologiya. 1989;2:34-37. Russian. 5. Berland J, Gribier A, Cazor JL. Angina pectoris with angiographically normal coronary arteries: a clinical, hemodynamic, and metabolic study. Clin. Cardiol. 1984;7:485-92. 6. Asbury EA, Collins P. Cardiac syndrome X. Int.J. Clin. Pract. 2005;59(9):1063-9. 7. Dobrin PB, Schwarcz TH, Baker WH. Mecha¬nisms of arterial and aneurysmal tortuosity. Surgery. 1988;104(3):568-71. 8. Kubler W, Opherk D, Tillmanns H. Syndrom X: diagnostic criteria and long term prognosis. Can. J. Cardial, 1986;219-20. 9. Bao WH, Srinivasan SR, Wattingney WA. Per¬sis¬tence of multiple cardiovascular risk clustering related to syndrome X from childhood to young adulthood. The Bo¬galusa Heart Study. Arch. Intern. Med. 1994;54:1842-47. 10. Groves SS, Jain AC, Warden BE. Severe coronary tortuosity and the relationship to significant coronary artery disease. W.V.Med.J. 2009;105(4):14-17.
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