ArticleScandinavian journal of primary health care2020
Yield of elective coronary angiography; gender differences, patient history, risk factors and angiographic findings in a primary care population.
Article in Scandinavian journal of primary health care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors at 3 institutions in 1 country.
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Abstract
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. SUBJECTS: Two 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%,
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. Key Points Coronary artery disease (CAD) is the leading cause of death globally. Invasive cardiology has expanded rapidly since the 1990s. Among symptomatic primary care patients who underwent elective coronary angiography in secondary care, obstructive CAD was identified in 73% Diagnostic yield of coronary angiography was low in women compared to men. GPs treat their male and female patients suspected of having stable CAD equitably regarding evidence-based medication.
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