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Coronary artery ectasia carries worse prognosis: a long-term follow-up study

2019; Medycyna Praktyczna; Linguagem: Inglês

10.20452/pamw.14959

1897-9483

Usama Boles, Urban Wiklund, Santhosh David, K. Ben Ahmed, Michael Y. Henein,

Retinal and Optic Conditions

RESEARCH LETTER Long-term follow-up in patients with CAE 833 Follow -up data collection A total of 66 patients fulfilled the predefined inclusion criteria.Complete follow -up data with information on MACEs (ie, acute coronary syndrome, acute myocardial infarction [MI], and death from cardiac events) were collected.Data were obtained from hospitals or health center registries, clinical notes, or by a telephone interview conducted by a research nurse.Follow -up data on CAE were compared with those from a control group of 41 consecutive patients with minimal coronary artery disease (CAD defined as ≤20% luminal stenosis on conventional coronary angiography).Data on follow-up periods were collected for patients with CAE and controls who underwent coronary angiography between January 2008 and December 2011 (Supplementary material, Figure S1).The follow-up period was similar in both groups.We excluded patients or controls who had prior coronary intervention, more than mild valve disease, or congenital heart disease at the time of the diagnostic coronary angiogram.The study was approved by the Regional Ethics Committee of Umeå (Sweden) and Letterkenny University Hospital (North West Health Service Executive, Ireland).Cardiovascular risk factors Data on cardiovascular (CV) risk factors for CAD, MACEs, and CV mortality were obtained from patients' medical records at the time of presentation, including hypertension, diabetes mellitus, current or former smoking, family history of CAD, and dyslipidemia.We used standard definitions for risk factors according to conventional guidelines. 6,7None of the patients with CAE or controls had documented inflammatory disorder or advanced kidney disease at the time of the study.