Skip to main content
Erschienen in: Journal of Thrombosis and Thrombolysis 1/2018

10.10.2017

The characteristics of coronary stenosis in 11,267 patients from Southwest China: a retrospective study

verfasst von: Zhao Yin, Chunyu Zeng, Xiaoqun Zhang, Chengming Yang, Hongyong Wang, Wenxing Song, Xu Wang, Chunjiang Fu, Weibin Shi, Yuqiang Fang

Erschienen in: Journal of Thrombosis and Thrombolysis | Ausgabe 1/2018

Einloggen, um Zugang zu erhalten

Abstract

The characteristics of coronary stenosis vary among the different countries or areas. 11,267 patients who have undergone coronary angiography (CAG) from three Southwest China hospitals were investigated. Patient characteristics, coronary stenosis and stent-implant information were recorded and analyzed according to two criteria: “visible stenosis” and “≥ 50% stenosis”. The patients who have undergone CAG increased year by year, with patients from 60 to 69 years-old taking the highest ratio (34.69%). Based on the “≥ 50% stenosis” criteria, the stenotic frequency was 40.54% for Southwest China patients getting CAG. Only 8.14% patients suffered ≥ 3 stenotic vessels, while 11.58 and 20.82% patients had 2 or 1 stenotic vessel, respectively. However, when using the “visible stenosis” criteria, the stenotic frequency increased to 64.68%. The prevalence of stenosis increased with age based on the “visible stenosis” criteria. There were more male patients with stenosis than female except patients over 80 years old. The stenosis affected almost all main coronary arteries and their branches, with the most affected artery being the left anterior descending artery. There were 3246 cases (28.8%) implanted with 5423 stents with a concurrent age-dependent increasing tendency for stent-implant frequency and average implanted stent number. The numbers of patients who have undergone CAG and suffered from CVD increased rapidly. In these patients, positive rate of CAG was 64.67%, which increased to 72.2% in patients over 60-years old. The incidence of ≥ 75% stenosis and multiple stenosis increased with age, however it should be noticed there were 18.93% for ≥ 75% stenosis and 19.52% for multiple stenosis in patients under 40 years old.
Literatur
2.
Zurück zum Zitat Wang H, Steffen LM, Jacobs DR, Zhou X, Blackburn H, Berger AK, Filion KB, Luepker RV (2011) Trends in cardiovascular risk factor levels in the Minnesota Heart Survey (1980–2002) as compared with the National Health and Nutrition Examination Survey (1976–2002): a partial explanation for Minnesota’s low cardiovascular disease mortality?. Am J Epidemiol 173:526–538. doi:10.1093/aje/kwq367 CrossRefPubMedPubMedCentral Wang H, Steffen LM, Jacobs DR, Zhou X, Blackburn H, Berger AK, Filion KB, Luepker RV (2011) Trends in cardiovascular risk factor levels in the Minnesota Heart Survey (1980–2002) as compared with the National Health and Nutrition Examination Survey (1976–2002): a partial explanation for Minnesota’s low cardiovascular disease mortality?. Am J Epidemiol 173:526–538. doi:10.​1093/​aje/​kwq367 CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Chen WW, Gao RL, Liu LS et al (2015) Summary of report on cardiovascular diseases in China. 2014. Chin Circ J 30(7):617–622 (in Chinese) Chen WW, Gao RL, Liu LS et al (2015) Summary of report on cardiovascular diseases in China. 2014. Chin Circ J 30(7):617–622 (in Chinese)
5.
Zurück zum Zitat Jiang G, Wang D, Li W, Pan Y, Zheng W, Zhang H, Sun YV (2012) Coronary heart disease mortality in China: age, gender, and urban-rural gaps during epidemiological transition. Rev Panam Salud Publica 31(4):317–324CrossRefPubMed Jiang G, Wang D, Li W, Pan Y, Zheng W, Zhang H, Sun YV (2012) Coronary heart disease mortality in China: age, gender, and urban-rural gaps during epidemiological transition. Rev Panam Salud Publica 31(4):317–324CrossRefPubMed
6.
Zurück zum Zitat Sbarouni E, Voudris V, Georgiadou P, Hamilos M, Steg PG, Fox KM (2014) On behalf of the Greek CLARIFY investigators (see Appendix). Clinical presentation and management of stable coronary artery disease: insights from the international prospective CLARIFY registry-results from the Greek national cohort. Hellenic J Cardiol 55(6):442–447PubMed Sbarouni E, Voudris V, Georgiadou P, Hamilos M, Steg PG, Fox KM (2014) On behalf of the Greek CLARIFY investigators (see Appendix). Clinical presentation and management of stable coronary artery disease: insights from the international prospective CLARIFY registry-results from the Greek national cohort. Hellenic J Cardiol 55(6):442–447PubMed
7.
Zurück zum Zitat Jiang SS, Lü L, Juergens C, Gong JB, Wang LJ, Peng YP, Xu DJ, Huang ZY (2007) Coronary artery lesion comparison between Chinese and Australian patients with coronary artery disease. Zhonghua Xin Xue Guan Bing Za Zhi 35(5):447–450 (in Chinese) PubMed Jiang SS, Lü L, Juergens C, Gong JB, Wang LJ, Peng YP, Xu DJ, Huang ZY (2007) Coronary artery lesion comparison between Chinese and Australian patients with coronary artery disease. Zhonghua Xin Xue Guan Bing Za Zhi 35(5):447–450 (in Chinese) PubMed
9.
Zurück zum Zitat Scanlon PJ, Faxon DP, Audet AM et al (1999) ACC/AHA guidelines for coronary angiography: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association Task on Practice Guidelines (Committee on Coronary Angiography) developed in collaboration with the Society for Cardiac Angiography and interventions. Circulation 99(17):2345–2357CrossRefPubMed Scanlon PJ, Faxon DP, Audet AM et al (1999) ACC/AHA guidelines for coronary angiography: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association Task on Practice Guidelines (Committee on Coronary Angiography) developed in collaboration with the Society for Cardiac Angiography and interventions. Circulation 99(17):2345–2357CrossRefPubMed
11.
Zurück zum Zitat American Heart Association (2001) 2002 heart and stroke statistical update. American Heart Association, Dallas American Heart Association (2001) 2002 heart and stroke statistical update. American Heart Association, Dallas
12.
13.
Zurück zum Zitat Habib PJ, Green J, Butterfield RC, Kuntz GM, Murthy R, Kraemer DF, Percy RF, Miller AB, Strom JA (2013) Association of cardiac events with coronary artery disease detected by 64-slice or greater coronary CT angiography: a systematic review and meta-analysis. Int J Cardiol 169(2):112–120. doi:10.1016/j.ijcard.2013.08.096 CrossRefPubMed Habib PJ, Green J, Butterfield RC, Kuntz GM, Murthy R, Kraemer DF, Percy RF, Miller AB, Strom JA (2013) Association of cardiac events with coronary artery disease detected by 64-slice or greater coronary CT angiography: a systematic review and meta-analysis. Int J Cardiol 169(2):112–120. doi:10.​1016/​j.​ijcard.​2013.​08.​096 CrossRefPubMed
15.
16.
Zurück zum Zitat Wang W, Hu SS, Kong LZ, Gao RL, Zhu ML, Wang WY, Wu ZS, Chen WW, Yang JG, Ma LY, Liu MB, Editorial Board (2014) Summary of report on cardiovascular diseases in China, 2012. Biomed Environ Sci 27(7):552–558. doi:10.3967/bes2014.085 PubMed Wang W, Hu SS, Kong LZ, Gao RL, Zhu ML, Wang WY, Wu ZS, Chen WW, Yang JG, Ma LY, Liu MB, Editorial Board (2014) Summary of report on cardiovascular diseases in China, 2012. Biomed Environ Sci 27(7):552–558. doi:10.​3967/​bes2014.​085 PubMed
17.
Zurück zum Zitat Li H, Ge J (2015) Cardiovascular diseases in China: current status and future perspectives. IJC Heart Vasculature 6:25–31CrossRefPubMed Li H, Ge J (2015) Cardiovascular diseases in China: current status and future perspectives. IJC Heart Vasculature 6:25–31CrossRefPubMed
18.
Zurück zum Zitat Liu J, Zhao D, Liu J, Qi Y, Sun J, Wang Y, Wang W (2014) Changes in the diagnosis and treatment of hospitalized patients with acute coronary syndrome from 2006 to 2012 in China. Zhonghua Xin Xue Guan Bing Za Zhi 42(11):957–962 (in Chinese) PubMed Liu J, Zhao D, Liu J, Qi Y, Sun J, Wang Y, Wang W (2014) Changes in the diagnosis and treatment of hospitalized patients with acute coronary syndrome from 2006 to 2012 in China. Zhonghua Xin Xue Guan Bing Za Zhi 42(11):957–962 (in Chinese) PubMed
19.
Zurück zum Zitat Abdulla J, Asferg C, Kofoed KF (2011) Prognostic value of absence or presence of coronary artery disease determined by 64-slice computed tomography coronary angiography a systematic review and meta-analysis. Int J Cardiovasc Imaging 27(3):413–420. doi:10.1007/s10554-010-9652-x CrossRefPubMed Abdulla J, Asferg C, Kofoed KF (2011) Prognostic value of absence or presence of coronary artery disease determined by 64-slice computed tomography coronary angiography a systematic review and meta-analysis. Int J Cardiovasc Imaging 27(3):413–420. doi:10.​1007/​s10554-010-9652-x CrossRefPubMed
21.
Zurück zum Zitat Segev A, Beigel R, Goitein O, Brosh S, Oiero D, Konen E, Hod H, Matetzky S (2012) Non-obstructive coronary artery disease upon multi-detector computed tomography in patients presenting with acute chest pain—results of an intermediate term follow-up. Eur Heart J Cardiovasc Imaging 13(2):169–173. doi:10.1093/ejechocard/jer189 CrossRefPubMed Segev A, Beigel R, Goitein O, Brosh S, Oiero D, Konen E, Hod H, Matetzky S (2012) Non-obstructive coronary artery disease upon multi-detector computed tomography in patients presenting with acute chest pain—results of an intermediate term follow-up. Eur Heart J Cardiovasc Imaging 13(2):169–173. doi:10.​1093/​ejechocard/​jer189 CrossRefPubMed
Metadaten
Titel
The characteristics of coronary stenosis in 11,267 patients from Southwest China: a retrospective study
verfasst von
Zhao Yin
Chunyu Zeng
Xiaoqun Zhang
Chengming Yang
Hongyong Wang
Wenxing Song
Xu Wang
Chunjiang Fu
Weibin Shi
Yuqiang Fang
Publikationsdatum
10.10.2017
Verlag
Springer US
Erschienen in
Journal of Thrombosis and Thrombolysis / Ausgabe 1/2018
Print ISSN: 0929-5305
Elektronische ISSN: 1573-742X
DOI
https://doi.org/10.1007/s11239-017-1568-z

Weitere Artikel der Ausgabe 1/2018

Journal of Thrombosis and Thrombolysis 1/2018 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.