Transesophageal echocardiographically detected atherosclerotic aortic plaque is a marker for coronary artery disease

摘要: Abstract Objectivts. The aim of this study was to test the hypothesis that atherosclerotic plaque in thoracic aorta detected by transesophageal echocardiography is a marker for coronary artery disease. Background. Previous pathologic and roentgenographic studies have suggested relation between aortic disease but lacked clinical utility. Methods. We performed on 61 patients (30 women 31 men aged 22 83 years [mean 60 ± 14]) who had previously undergone cardiac catheterization with angiography. indications angiography were angina (n = 26), valvular heart 17), positive noninvasive evaluation ischemia without 6), postmyocardial infarction 5), familial hypercholesterolemia 4), cameral fistula 1), atrial myxoma 1) suspected dissection 1). All underwent Imaging aorta. criteria used diagnose presence linear or focal increased echodensity lumen irregularity thickening calcification intima. Results. In 41 patients, obstructive at least one vessel (>50% left main stenosis >70% anterior descending, right circumflex distribution). 37 41, echocardiography. Twenty normal angiographic findings nonobstructive irregularities. 2 these 20 sensitivity 90% specificity angiographically proved predictive value 95% negative 82%. Conclusions. detection ecbocardiography appears be identification deserves further investigation.