[Study of survival in angiographically determined ischemic cardiopathies: Apropos of 345 medically treated patients].
A study of 345 patients with ischaemic heart disease due to coronary arteriosclerosis which had been demonstrated by coronary arteriography, and seen between November 1967 and December 1974, was directed towards finding out what had happened to the patients so that, by an actuarial study of their survival, the prognostic significance of the arteriographic and ventriculographic studies could be determined. The prognostic value of the clinical findings has shown the importance:--of the presence of clinical left ventricular failure;--of the presence of coronary insufficiency with frequent attacks; of the presence of sequelae of infarction as seen on the ECG at rest;--on the length of the symptomatic history before arteriography. The assessment of the prognostic potential of the arteriographic findings has emphasised:--the fundamental importance of diffusion of stenoses and occlusions of several main coronary trunks;--the high risk if the lesion affects the left coronary trunk; the high risk of prognostic significance of lesions on the IVA. The prognostic significance of ventricular lesions as demonstrated on ventriculography in the right anterior oblique incidence has shown the sinister significance of extensive lesions of more than two or three of the seven ventriculographic segments and of lesions with dilatation, whereas very localised static plaques hardly influence the prognosis at all.
D000328:Adult; D000368:Aged; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000401:mortality*; D005260:Female; D006333:Heart Failure; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction; D011379:Prognosis; D012189:Retrospective Studies
Etude de la survie des cardiopathies ischémiques angiographiquement définies. A propos de 345 patients traités médicalement.