Progression of Coronary Arteriosclerosis in Nonoperated Patients

  • P. Stürzenhofecker
  • K. Peters
  • E. Steinmann
  • P. Betz
  • H. Roskamm
Conference paper

Abstract

Coronary arteriosclerosis is a progressive disease. Degree and speed of progression in man can only be assessed by repeated angiography. There are only a few systematic studies with repeated angiography performed independent of the development of symtoms and signs in the patients (Palac et al. 1981; Rafflenbeul et al. 1979; Sturzenhofecker et al. 1981). Most studies were done on operated patients and on nonoperated patients with clinical deterioration (Bemis et al. 1973; Ben-Zwi et al. 1974; Bruschke et al. 1981; Gensini and Kelly 1972; Gensini et al. 1974; Kramer et al. 1981; Marchandise et al. 1978; Moccetti et al. 1976; Nash et al. 1974, 1977). Our study also belongs to the latter category.

Keywords

Depression Luminal Cardiol Nash Kelly 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. AHA Committee Report (1975) A reporting system on patients evaluated for coronary artery disease. Circulation 51: 7–402Google Scholar
  2. Bemis CE, Gorlin R, Kemp HG, Herman MV (1973) Progression of coronary artery disease. A clinical arteriographic study. Circulation 47: 455–464PubMedGoogle Scholar
  3. Ben-Zvi J, Hildner FJ, Javier RR, Fester A, Samet D (1974) Progression of coronary artery disease. Cinearteriographic and clinical observations in medically and surgically treated patients. Am J Cardiol 34: 295–301PubMedCrossRefGoogle Scholar
  4. Bruschke AVG, Wijers TS, Kolsters W, Landmann J (1981) The anatomic evolution of coronary artery disease demonstrated by coronary arteriography in 256 nonoperated patients. Circulation 63: 527–536PubMedCrossRefGoogle Scholar
  5. Cox DR (1970) The analysis of binary data. Methuen, LondonGoogle Scholar
  6. Gensini GG, Kelly AE (1972) Incidence and progression of coronary artery disease. An angiographic correlation in 1263 patients. Arch Intern Med 129: 814–827PubMedCrossRefGoogle Scholar
  7. Gensini GG, Esente P, Kelly A (1974) Natural history of coronary disease in patients with and without coronary bypass graft surgery. Circulation [Suppl II] 49 /50: 98–101Google Scholar
  8. Kaltenbach M (1975) Quantitative Bewertung koronarangiographischer Befunde mit Hilfe eines Punktesystems (score). Z Kardiol 64: 597–606PubMedGoogle Scholar
  9. Kramer JR, Matsuda Y, Mulligan JC, Aronow M, Proudfit WL (1981) Progression of coronary atherosclerosis. Circulation 63: 519–526PubMedCrossRefGoogle Scholar
  10. Marchandise B, Bourassa MG, Chaitman BR, Lesperance J (1978) Angiographic evaluation of the natural history of normal coronary arteries and mild coronary atherosclerosis. Am J Cardiol 41: 216–220PubMedCrossRefGoogle Scholar
  11. Moccetti T, Lichtlen P, Schonbeck M, Steinbrunn W (1976) Progression of coronary artery disease based on cineangiographic data. In: Lichtlen PR (ed) Coronary angiography and angina pectoris, Thieme, Stuttgart, p 88Google Scholar
  12. Nash DT, Caldwell N, Ancona D (1974) Accelerated coronary artery disease arteriographically proved. Analysis of risk factors. NY State J Med 74: 947–950Google Scholar
  13. Nash DT, Gensini GG, Simon H, Arno T, Nash SD (1977) The erysichthon syndrome. Progression of coronary atherosclerosis and dietary hyperlipidemia. Circulation 56: 363–365PubMedGoogle Scholar
  14. Palac RT, Hwang MH, Meadows WR, Croke RP, Pifarre R, Loeb HS, Gunnar RM (1981) Progression of coronary artery disease in medically treated patients 5 years after randomization. Circulation [Suppl II] 64: 17–21Google Scholar
  15. Rafflenbeul W, Smith LR, Mantle JA, Rackley CE, Russel RO Jr (1979) Quantitative coronary arteriography. Coronary anatomy of patients with unstable angina pectoris reexamined 1 year after optimal medical therapy. Am J Cardiol 43: 699–707PubMedCrossRefGoogle Scholar
  16. Stürzenhofecker P, Samek L, Droste C, Gohlke H, Petersen J, Roskamm H (1981) Prognosis of coronary heart disease and progression of coronary arteriosclerosis in postinfarction patients under the age of 40. In: Roskamm H (ed) Myocardial infarction at young age. Springer, Berlin Heidelberg New York, p 82Google Scholar

Copyright information

© Spriger-Verlag Berlin Heidelberg 1983

Authors and Affiliations

  • P. Stürzenhofecker
    • 1
  • K. Peters
    • 1
  • E. Steinmann
    • 1
  • P. Betz
    • 1
  • H. Roskamm
    • 1
  1. 1.Rehabilitationszentrum für Herz- und KreislaufkrankeBad KrozingenGermany

Personalised recommendations