Angiographic Study of the Anatomy and Permeability of the Circumflex Coronary Artery in Patients with Chest Pain

Aim: To determine by angiography the anatomical characteristics and permeability of the circumflex coronary artery in patients with chest pain.Methods: It realized a transversal descriptive, retrospective study was carried out in 126 coronary angiographies. Measures of key trends and measures of dis...

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Autor Principal: Rivera Cardona, Guillermo; Pontificia Universidad Javeriana
Formato: info:eu-repo/semantics/article
Idioma: spa
Publicado: Pontificia Universidad Javeriana 2014
Materias:
Acceso en línea: http://revistas.javeriana.edu.co/index.php/vnimedica/article/view/16352
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Sumario: Aim: To determine by angiography the anatomical characteristics and permeability of the circumflex coronary artery in patients with chest pain.Methods: It realized a transversal descriptive, retrospective study was carried out in 126 coronary angiographies. Measures of key trends and measures of dispersion were calculated to age; as well as the frequencies the vascular permeability and risk factors for cardiovascular disease to gender. Chi cuadrado and Fisher statistical test were applied with a standard error of 5% and the data was analyzed in Epidat 3.1.Results: 71.4% of study subjects were men; the age average of the whole sample was 64.2 years. It was find a circumflex artery with anomalous origin. Circumflex coronary artery presented obstruction in 26.2% cases primarily in 18 and 20 segments. Chi-squared test were applied to establish the relationship between permeability and gender (p=0.27) and permeability and risk factor for cardiovascular disease with statistical significance for dyslipidemia (p=0.0115) and smoking (p=0.0023). Left coronary dominance was 7.9% cases.Conclusions: The circumflex artery has risk of occlusion in its proximal segment due to its origin point it is curved almost in right angle with the anterior descending artery. The gender isn’t associated with permeability of the circumflex coronary artery. The dyslipidemia and smoking is associated with alteration of the vascular permeability.