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June 1, 1966CirculationOpen Access

Selective Cine Coronary Arteriography

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Why the study?

How well do clinical diagnoses of coronary disease correlate with findings from selective cine coronary arteriography?

Population

1,000 patients who had adequate selective cine coronary arteriography

Comparison

Selective cine coronary arteriography vs Clinical diagnosis made by a physician blinded…

Design

Cross-sectional, Clinical diagnoses were made by a physician who had no…

Authors

WPWilliam L. ProudfitCleveland ClinicESEarl K. ShireyCleveland ClinicFSF. Mason SonesCleveland Clinic

Discussion

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Implication

May support angiography referral for classic angina or QRS-MI; leaves open prospective validation versus contemporary imaging.

Key Points

  • To analyze the correlation between clinical diagnoses and arteriographic findings in patients undergoing coronary arteriography.
  • Review of clinical records for 1,000 patients who underwent selective cine coronary arteriography.
  • Clinical diagnoses were made without knowledge of arteriographic results.
  • Assessment of the correlation between clinical symptoms and arteriographic evidence of arterial obstruction.
  • 95% correlation between angina pectoris without rest pain and significant arterial obstruction.
  • 99% correlation between QRS evidence of myocardial infarction and severe arterial obstruction.
  • 37% of patients showed no significant arteriographic obstruction despite being suspected of coronary disease.

Structured PICO

How well do clinical diagnoses of coronary disease correlate with findings from selective cine coronary arteriography?

P
Population
1,000 patients who had adequate selective cine coronary arteriography
I
Intervention
Selective cine coronary arteriography
C
Comparator
Clinical diagnosis made by a physician blinded to arteriographic findings
O
Outcome
Correlation between clinical diagnoses and arteriographic findings of significant coronary artery obstructionsurrogate

Clinical diagnoses of classic angina and myocardial infarction correlate highly with severe coronary artery obstruction on selective cine coronary arteriography, whereas atypical symptoms show weaker correlation.

Cite This Study

Proudfit et al. (1966) studied this question.

synapsesocial.com/papers/69fe7945d8476229fea357d1https://doi.org/10.1161/01.cir.33.6.901
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Paradox of Normal Selective Coronary Arteriograms in Patients Considered to Have Unmistakable Coronary Heart Disease1967 · 414 citations
  2. 2CORONARY ANGIOGRAPHY AND ANGINA PECTORIS1970 · 79 citations
  3. 3Certain Clinical Characteristics Correlated with Extent of Obstructive Lesions Demonstrated by Selective Cine-Coronary Arteriography1968 · 55 citations
  4. 4A Quantitative Clinical Index for the Diagnosis of Symptomatic Coronary-Artery Disease1972 · 47 citations
  5. 5Coronary Arteriography in 486 Patients—Arteriographic Pathology and Prognosis1979 · 13 citations