Linked Life Data

7947888

Source:http://linkedlifedata.com/resource/pubmed/id/7947888

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1994-12-7
pubmed:abstractText
Many patients referred for lung transplantation have a history of smoking. For the exclusion of the possibility of asymptomatic coronary artery disease, these patients undergo coronary angiography as part of their preoperative evaluation. The usefulness of this approach remains unknown. We reviewed the records of all smokers referred for lung transplantation who underwent coronary angiography (n = 77). Nine patients (12%) had significant coronary artery disease; six (8%) of these patients had their clinical management altered because of findings on angiography. Eight of nine patients with coronary artery disease (89%) and all of the six patients (100%) whose management was altered had coronary artery disease risk factors other than a history of smoking; therefore, no patient with clinically significant coronary artery disease had history of smoking as the only risk factor. The presence of other coronary artery disease risk factors was significantly associated (p < 0.0001) with the positive findings on angiography. A nonsignificant trend toward older age was found, and a higher proportion of male patients existed in the group with coronary artery disease. Routine angiography for all patients with a history of smoking referred for angiography is unjustified. A subset of patients with high risk identified primarily by the presence of additional coronary artery disease risk factors may benefit from routine angiography.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1053-2498
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
701-3
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:articleTitle
Coronary angiography in smokers undergoing evaluation for lung transplantation: is routine use justified?
pubmed:affiliation
Division of Cardiology, Columbia-Presbyterian Medical Center, New York, NY 10032.
pubmed:publicationType
Journal Article, Comparative Study