Key result
Type 2 diabetes and hypertension significantly increased the odds of atherosclerotic coronary artery lesions in women undergoing coronary angiography for suspected stable angina, with odds ratios of 7.91 and 4.79, respectively.
Why the study?
The study evaluated the effectiveness of selecting women presenting with thoracalgia and dorsalgia suspected of stable angina for coronary angiography.
Does clinical evaluation and exercise testing effectively select women with chest pain for coronary angiography?
Population
108 women (median age 59.5) presenting with chest pain
Comparison
Clinically significant atherosclerotic coronary lesions vs intact coronary arteries
Design
Cross-sectional study
Authors
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May support incorporating diabetes and hypertension into pre-test probability for women with suspected angina; leaves open prospective confirmation to guide angiography selection.
Cross-Sectional (n=108)
No
Does clinical evaluation and exercise testing effectively select women with chest pain for coronary angiography?
Effect estimate: OR 7.91 (95% CI 1.74-36.00)
p-value: p=0.005
In women presenting with chest pain, clinical factors like diabetes, hypertension, and positive exercise tests strongly predict obstructive coronary artery disease on angiography, highlighting the need for careful pre-test probability assessment to avoid unnecessary invasive procedures.
Изможерова et al. (2019) conducted a cross-sectional in Suspected stable angina (n=108). Type 2 diabetes vs. No type 2 diabetes was evaluated on Atherosclerotic coronary artery lesions (OR 7.91, 95% CI 1.74-36.00, p=0.005). Type 2 diabetes and hypertension significantly increased the odds of atherosclerotic coronary artery lesions in women undergoing coronary angiography for suspected stable angina, with odds ratios of 7.91 and 4.79, respectively.
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