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Prediction of "Critical" Coronary Disease: Are the "Consensus Conference" Guidelines Adequate?

University Department of Medical Cardiology, Royal Infirmary, Glasgow, Scotland

M.W. Millar-Craig

University Department of Medical Cardiology, Royal Infirmary, Glasgow, Scotland

Presenting features of 100 patients with significant left main coronary stenosis (LMCS) were reviewed. All presented with angina — on minimal exertion in 45, moderate exertion in 38, and severe exertion in 6 — and 11 had unstable angina. Although the resting ECG was normal in 44, exercise testing was positive in 92 % of patients tested. The authors conclude that symptoms and the resting ECG alone are unhelpful in predicting "critical" coronary disease. However, application of a management plan similar to that suggested by the Consensus Conference on coronary artery surgery would have selected the vast majority of such patients for angiography.

Angiology, Vol. 38, No. 10, 737-740 (1987)
DOI: 10.1177/000331978703801002


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