Predictors of Left Main or Three-Vessel Disease in Patients Who Have Acute Coronary Syndromes With Non–ST-Segment Elevation

To identify an early, simple, noninvasive predictor of left main (LM) or 3-vessel disease (3-VD), we retrospectively studied clinical variables on admission in 310 patients with acute coronary syndromes with non–ST-segment elevation. Univariate analysis indicated that many factors were related to LM...

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Bibliographic Details
Published in:The American journal of cardiology 2005-06, Vol.95 (11), p.1366-1369
Main Authors: Kosuge, Masami, Kimura, Kazuo, Ishikawa, Toshiyuki, Ebina, Toshiaki, Shimizu, Tomoaki, Hibi, Kiyoshi, Toda, Noritaka, Tahara, Yoshio, Tsukahara, Kengo, Kanna, Masahiko, Okuda, Jyunn, Nozawa, Naoki, Ozaki, Hiroyuki, Yano, Hideto, Umemura, Satoshi
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular disease
Coronary Disease - diagnosis
Coronary Disease - physiopathology
Coronary heart disease
Coronary vessels
Electrocardiography
Female
Health risk assessment
Heart
Humans
Male
Medical sciences
Middle Aged
Retrospective Studies
Sensitivity and Specificity
Syndrome
Troponin T - blood
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Summary:To identify an early, simple, noninvasive predictor of left main (LM) or 3-vessel disease (3-VD), we retrospectively studied clinical variables on admission in 310 patients with acute coronary syndromes with non–ST-segment elevation. Univariate analysis indicated that many factors were related to LM/3-VD. Multivariate analysis showed that ST-segment elevation in lead aVR of ≥0.5 mm was the strongest predictor of LM/3-VD, followed by positive troponin T (odds ratio 19.7, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2005.01.085