Ruiz-Morales JM, García-López SM, González-Chon O

Language: Spanish
References: 17
Page: 140-143
PDF size: 64.53 Kb.

ABSTRACT

Objective. To understand the relationship between acute ischemic coronary syndromes (ACS) and documentation of coronary artery ectasia (CAE). Background. The CAE is defined as a segment of the coronary arteries which diameter is much bigger than adjacent segments or 1.5 times bigger than principal coronary artery (an aneurism). Its prevalence varies between 0.3 and 5.3 percent. The clinical presentation of CAE includes angina, vasospasm and myocardial infarction. Methods: A retrospective study was performed based on clinical records of hospitalized patients of Medica Sur Clinic during the period from January 2009 to December 2010. Results: During a period of two years, it were admitted 283 patients with clinical symptoms of AICS with ST segment elevation myocardial infarction (ACS-STEMI) or unstable angina/AICS-STSE, which 118 underwent coronary angiography, 13 patients were positive for CAE (4.59%). 210 patients underwent angiography, 11 of them (5.23%) had CAE. Most patients were asymptomatic at the time of presentation (92.3%). The most common diagnostics were acute myocardial infarction (84.61%), angina (7.69%) and a patient with severe aortic stenosis (7.69%). In Medica Sur Clinic, there is an incidence of CAE similar to that reported in the literature. Its main clinical presentation is ACS-STEMI.

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