[Prevention of coronary atherosclerosis. (V). Prevalence of non-stenotic atheromatous rigidity in men accidentally killed in Mexico City].
The presence of rigid coronary arterial segments was detected during a survey for coronary atherosclerosis in men who died of violent causes. These lesions which traditionally are considered of non-clinical significance, in the absence of stenosis are probably responsible of the clinical and electrocardiographical abnormalities as seen in patients with "normal" coronary arteries using coronary angiography, the best current procedure for the detection of isolated coronary atherosclerosis. We propose these lesions are to be considered as functional lesions and consequently that these lesions should be considered by both, the pathologist and the clinician. Our hypothesis is to be tested in the near future when new diagnostic advances with the possibility of detection of coronary pathology in vivo, appear. The prevalence of these abnormalities in different age-groups as well as the topography are presented. The concordance of these lesions with coronary stenosis is also presented.
Luna-Castaños
G
G
Instituto Nacional de Cardiología Ignacio Chávez, México, D.F.
Cueto-García
L
L
Barrios del Valle
R
R
Viniegra-Osorio
A
A
D000059:Accidents; D000293:Adolescent; D000328:Adult; D001344:Autopsy; D003251:Constriction, Pathologic / Q000473:pathology; D003324:Coronary Artery Disease / Q000453:epidemiology / Q000473:pathology* / Q000517:prevention & control; D003430:Cross-Sectional Studies; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged
Prevención de la aterosclerosis coronaria. (V). Prevalencia de rigidez ateromatosa no estenótica en hombres muertos accidentalmente en la ciudad de México.