Korean J Med.  2004 Jun;66(6):593-600.

Predictive factors of coronary lesion on preoperative diagnostic coronary angiography in korean patients with valvular heart disease

• Lee MG
• Park JC
• Hong YJ
• Lim JH
• Park HW
• Kim HG
• Kim JH
• Kim W
• Ahn YK
• Jeong MH
• Cho JG
• Ahn BH
• Kim SH
• Kang JC

Abstract

BACKGROUND: The preoperative coronary angiography is required in some patients underwent valvular surgery. The purpose of this study was to evaluate predictive factors for coronary lesion and to determine the indication for preoperative coronary angiography in Korean patients with valvular heart disease (VHD).
METHODS
Two hundreds eight patients (55.5 +/- 12.8 years, 99 male) with VHD underwent preoperative coronary angiography between January 1996 and January 2003 were analyzed the variables of age, gender, previous or current angina, hypertension, diabetes mellitus, smoking, dyslipidemia, obesity and familial predisposition according to the presence of coronary lesion.
RESULTS
The prevalence of significant coronary artery disease in VHD patients was 26.4% (55/208). The probability of coronary lesion was higher in male above 55 years and in female above 65 years than in younger patients. The predictive factors of coronary lesion were previous or current angina (p<0.05), dyslipidemia (p<0.01), hypertension (p<0.05), previous angina (p<0.05), diabetes (p<0.01) and smoking (p<0.01) by multiple logistic regression analysis.
CONCLUSION
Previous or current angina and at least one of the four risk factors (hypertension, smoking, dyslipidemia and diabetes) are predictors of coronary lesion, especially in elderly Korean patients with VHD (older than 55 years in male and 65 years in female).

Keyword

Coronary Disease; Heart Valve Diseases; Risk Factors

MeSH Terms

Aged
Coronary Angiography*
Coronary Artery Disease
Coronary Disease
Diabetes Mellitus
Dyslipidemias
Female
Heart Valve Diseases*
Humans
Hypertension
Logistic Models
Male
Obesity
Prevalence
Risk Factors
Smoke
Smoking
Smoke