A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Yield of elective coronary angiography; gender differences, patient history, risk factors and angiographic findings in a primary care population




TekijätPieta Sundqvist, Essi Pikkarainen, Päivi Rautava, Susa Majaluoma, Päivi E. Korhonen

KustantajaTAYLOR & FRANCIS LTD

Julkaisuvuosi2020

JournalScandinavian Journal of Primary Health Care

Tietokannassa oleva lehden nimiSCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE

Lehden akronyymiSCAND J PRIM HEALTH

Vuosikerta38

Numero4

Aloitussivu481

Lopetussivu486

Sivujen määrä6

ISSN0281-3432

eISSN1502-7724

DOIhttps://doi.org/10.1080/02813432.2020.1844389

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/51399430


Tiivistelmä
ObjectiveTo assess yield of elective coronary angiography and gender differences in primary care patients suspected to have stable coronary artery disease (SCAD).DesignInformation was gathered from an angiography registry, referral texts of the general practitioners and medical records made by the cardiologists in secondary care.SettingAngiography registry data analyses of the Turku University Hospital, Finland, in the year 2011.SubjectsTwo hundred forty-six patients who were referred from primary care to secondary care and underwent coronary angiography for suspected SCAD symptoms.Main outcome measuresGender differences and diagnostic yield of coronary angiography for obstructive CAD.ResultsObstructive CAD was identified in 73%, more often in males than in females (51% vs. 84%, p < 0.001). Thirteen per cent of the patients were over 80 years of age, and 94% of them had obstructive CAD. The prevalence of hypertension was 60%, treatment goal was achieved by 25%.ConclusionThe diagnostic yield of elective coronary angiography was low in women compared to men although there were no substantial differences in evidence-based medication, risk factors or anticipated angina symptoms between genders.

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