Why the study?
Does the presence of angina accurately predict significant coronary artery disease in patients with valvular heart disease?
Population
239 patients investigated for valvular heart disease
Design
Cohort
Authors
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Angina inconsistently predicts CAD by valve type; supports routine preoperative angiography but leaves optimal screening open.
Does the presence of angina accurately predict significant coronary artery disease in patients with valvular heart disease?
Asymptomatic coronary artery disease is common in patients with valvular heart disease, supporting the need for routine preoperative coronary arteriography before valve surgery.
Morrison et al. (1980) studied this question.
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