[Correlation of clinical and angiographic morphology in unstable angina].
The goal of this study was to compare the clinical presentation and angiographic morphology of patients having an unstable angina pectoris. A total of 321 patients were consecutively studied and underwent cardiac catheterization, mean age 59 + 6 years. According to Braunwald classification, class III was predominant (58%) On coronary angiography, 148 patients had single vessel disease, double-vessel in 92 and triple-vessel in 64. Morphology of coronary artery lesions was classified according to Ambrose's classification, 100 patients had simple lesions (type I or IIA), 204 patients had complex lesions (type IIB, III, intracoronary thrombus or total occlusion). Thoracic rest pain (class III) or postinfarction angina (class C), were associated with the presence of complex lesions. This subgroup of high risk patients would benefit from either Glycoprotein IIb/IIIa blockers with an early revascularisation strategy.
Ben-Hamda
Khaldoun
K
Service de Cardiologie, Centre Hospitalo-Universitaire Fattouma Bourguiba, Monastir, Tunisie.
Gharbi
Mostari
M
Hendiri
Taoufik
T
Addad
Faouzi
F
Denguir
Hichem
H
Mlika
Azmi
A
Abbes
Fehmi
F
Zeghidi
Boutheina
B
Derdabi
Mohamed
M
Betbout
Fethi
F
Gamra
Habib
H
Maatouk
Faouzi
F
Dridi
Zohra
Z
Ben-Farhat
Mohamed
M
D000368:Aged; D000789:Angina, Unstable / Q000000981:diagnostic imaging* / Q000473:pathology*; D006328:Cardiac Catheterization; D002637:Chest Pain; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000145:classification / Q000150:complications* / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012307:Risk Factors; D012720:Severity of Illness Index; D013927:Thrombosis