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- W2043556082 abstract "Coronary angiography is the accepted standard for the diagnosis of coronary artery disease. The large number of coronary angiograms performed yearly (estimated at 100 per 100,000 population in the United States in 1980[1]) suggests that many physicians maintain liberal indications for coronary arteriography in coronary artery disease. Recently, with the addition of intracoronary thrombolysis and angioplasty, these numbers have increased and coronary arteriography has advanced from a diagnostic procedure into the realm of interventional cardiology. Few would argue with the need for coronary arteriography in patients with intractable symptoms receiving maximal medical therapy in whom coronary artery bypass grafting is contemplated or in the symptomatic patient in whom the diagnosis is unclear. However, these account for only a small percent of patients with significant coronary artery disease. In the remaining patients, the indications for coronary arteriography are unresolved. Should all patients with suspected coronary artery disease undergo angiography or should it be restricted to patients who, by noninvasive testing, have suspected multivessel or left main coronary involvement? This editorial briefly reviews the data on prognosis for patients in the different clinical subsets of coronary artery disease and comments on the impact of noninvasive studies and newer modalities of treatment (percutaneous angioplasty and intracoronary thrombolysis) on the indications for coronary arteriography." @default.
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- W2043556082 date "1984-06-01" @default.
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- W2043556082 title "Unsettled indications for coronary angiography" @default.
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- W2043556082 doi "https://doi.org/10.1016/s0735-1097(84)80300-9" @default.
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