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Incidence of severe coronary stenosis in asymptomatic patients with peripheral arterial disease scheduled for major vascular surgery

Publikace na Lékařská fakulta v Plzni |
2016

Tento text není v aktuálním jazyce dostupný. Zobrazuje se verze "en".Abstrakt

Peripheral arterial disease (PAD) has the risk equivalent of coronary heart disease. A total of 50 PAD patients asymptomatic for coronary heart disease were examined using coronary computed tomography angiography (CTA).

A stress myocardial CT perfusion (CTP) test was performed in patients who exhibited coronary stenosis >40 %. According to the combined CT examination (CTA and stress CT perfusion), 36 % of patients exhibited significant coronary stenosis.

Stress-induced hypoperfusion was observed in 95,7 % of severe stenotic lesions. A high prevalence of asymptomatic coronary heart disease was observed in this particular patient group.

High-sensitivity measurements of troponin I correlated with the extent of the coronary stenosis.