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Sheng Q, Zhao H, Wu S, Liu R. Underlying factors relating to acute myocardial infarction for coronary artery ectasia patients. Medicine (Baltimore) 2020; 99:e21983. [PMID: 32899042 PMCID: PMC7478456 DOI: 10.1097/md.0000000000021983] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Coronary artery ectasia (CAE) patients were more prone to present with acute myocardial infarction (AMI), this case-control research aimed to explore the underlying factors relating AMI for them.This study investigated a serial of 119 patients who underwent coronary angiography and were diagnosed as CAE between the years 2016 and 2017 at the Beijing Friendship Hospital; 32 of the patients developed AMI and 87 did not develop AMI. The possible factors relating to AMI, including disease history, cardiovascular risk factors, thrombotic condition, inflammation status, and coronary imaging characteristics, were comprehensively compared between CAE patients with and without AMI.CAE patients with AMI had a lower antiplatelet rate, a higher blood low-density lipoprotein cholesterol level, increased neutrophil to lymphocyte (NL) ratio, higher Gensini score, and larger proportions of Markis type II. Logistic regression analysis also indicated that AMI history, lower antiplatelet rate, higher NL ratio, higher low-density lipoprotein cholesterol level and Gensini score, as well as Markis type II were associated with AMI in CAE patients.AMI history, lower antiplatelet treatment rates, poor blood lipid control and higher coronary stenosis extent, higher inflammatory response, and Markis type II were closely related to the incidence of AMI in CAE patients.
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Wang B, Gui W, Dong N, Li Y, Zhang L, Xie M. Hidden in the Heart. Circ Cardiovasc Imaging 2019; 12:e008794. [PMID: 30998391 DOI: 10.1161/circimaging.118.008794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Bin Wang
- Department of Ultrasound (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China.,Union Hospital, Tongji Medical College, Huazhong University of Science and Technology and Hubei Province Key Laboratory of Molecular Imaging (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China
| | - Wenfang Gui
- Department of Ultrasound (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China.,Union Hospital, Tongji Medical College, Huazhong University of Science and Technology and Hubei Province Key Laboratory of Molecular Imaging (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China
| | - Nianguo Dong
- Department of Cardiovascular Surgery (N.D), Wuhan, China
| | - Yuman Li
- Department of Ultrasound (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China.,Union Hospital, Tongji Medical College, Huazhong University of Science and Technology and Hubei Province Key Laboratory of Molecular Imaging (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China
| | - Li Zhang
- Department of Ultrasound (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China.,Union Hospital, Tongji Medical College, Huazhong University of Science and Technology and Hubei Province Key Laboratory of Molecular Imaging (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China
| | - Mingxing Xie
- Department of Ultrasound (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China.,Union Hospital, Tongji Medical College, Huazhong University of Science and Technology and Hubei Province Key Laboratory of Molecular Imaging (B.W., W.G., Y.L., L.Z., M.X.), Wuhan, China
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Tahir H, Kennedy T, Awan MU, Omar B, Malozzi C, Awan GM. Left Main Coronary Artery Diverticulum: Case Report and Review of the Literature. Cardiol Res 2018; 9:186-190. [PMID: 29904458 PMCID: PMC5997441 DOI: 10.14740/cr714w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Accepted: 03/29/2018] [Indexed: 12/28/2022] Open
Abstract
Coronary artery disease is a major cause of morbidity and mortality, and while most commonly is atherosclerotic, it can present with variable manifestations, both congenital and acquired. One such manifestation is coronary aneurysm, which is a localized dilatation of a coronary artery wall segment to greater than 1.5 times the adjacent normal segments. While a dilated outpouching of a coronary artery has been commonly classified as a coronary aneurysm, a non-dilated outpouching is rare and is referred to as a diverticulum, with only one previous case report in the literature. It is conceivable that other cases of coronary artery diverticulum may have been previously reported as an aneurysm, given the overlapping angiographic appearance. We present a case of a 72-year-old female patient with an incidental finding of left main coronary artery diverticulum on diagnostic coronary angiogram done for preoperative liver transplantation evaluation.
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Affiliation(s)
- Hassan Tahir
- Division of Cardiology, University of South Alabama, Mobile, AL, USA
| | - Timothy Kennedy
- Division of Cardiology, University of South Alabama, Mobile, AL, USA
| | - M Umer Awan
- Division of Cardiology, University of South Alabama, Mobile, AL, USA
| | - Bassam Omar
- Division of Cardiology, University of South Alabama, Mobile, AL, USA
| | | | - G Mustafa Awan
- Division of Cardiology, University of South Alabama, Mobile, AL, USA
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Hu B, Zhou Q, Jiang N, Hu L, Zhou Z, Guo RQ. The role of echocardiography in the management of coronary anomaly. Int J Cardiol 2016; 202:763-5. [PMID: 26476029 DOI: 10.1016/j.ijcard.2015.10.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2015] [Accepted: 10/04/2015] [Indexed: 11/18/2022]
Affiliation(s)
- Bo Hu
- Echo Lab, Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, China
| | - Qing Zhou
- Echo Lab, Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, China.
| | - Nan Jiang
- Echo Lab, Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, China
| | - Lei Hu
- Department of Radiology, Renmin Hospital of Wuhan University, China
| | - Zhen Zhou
- Department of Cardiovascular Surgery, Renmin Hospital of Wuhan University, China
| | - Rui-qiang Guo
- Echo Lab, Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, China
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