[20 years of selective coronary angiography (1968-1987). The indications, results and therapeutic consequences].
10,975 diagnostic left-heart catheterizations, performed between 1968 and 1987 in 8,436 men and 2,539 women, were analysed regarding indication, results and therapeutic implications. 6,974 patients (64%) had coronary heart disease, 2,573 (23%) a valvar defect and 849 a cardiomyopathy. The proportion of patients with coronary heart disease increased from 21% to 74% during the 20-year period, while that of patient with valvar defects fell from 52% to under 19%. Severe cardiac complications in relation to the procedure occurred in 0.88%, ending fatally in 8 patients (0.07%). 61% of patients with coronary heart disease and 31% of those with valvar defects were treated conservatively. Percutaneous transluminal coronary angioplasty (PTCA) gradually became more common after its introduction in 1977. In 1987, PTCA was indicated as often as a bypass operation.
Abteilung für Kardiologie, Universität Frankfurt/Main.
A
A
Hartmann
D
D
Sommerfeldt
M
M
Kaltenbach
G
G
Kober
D000367:Age Factors; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D017023:Coronary Angiography / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D005860:Germany, West / Q000453:epidemiology; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D012737:Sex Factors
20 Jahre selektive Koronarangiographie (1968-1987). Indikationen, Ergebnisse und therapeutische Konsequenzen.