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Impact of right coronary dominance on triple-vessel coronary artery disease: A cross-sectional study

This study was conducted to investigate the relationship between right coronary dominance and coronary angiographic characteristics in patients with or without significant coronary artery disease (CAD). A total of 2225 patients undergoing coronary angiography (CAG) between January 2011 and November...

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Autores principales: Peng, Liyuan, Guo, Xincheng, Gao, Ya, Guo, Qi, Zhang, Jingjing, Fang, Bangjiang, Yan, Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133631/
https://www.ncbi.nlm.nih.gov/pubmed/30095625
http://dx.doi.org/10.1097/MD.0000000000011685
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author Peng, Liyuan
Guo, Xincheng
Gao, Ya
Guo, Qi
Zhang, Jingjing
Fang, Bangjiang
Yan, Bin
author_facet Peng, Liyuan
Guo, Xincheng
Gao, Ya
Guo, Qi
Zhang, Jingjing
Fang, Bangjiang
Yan, Bin
author_sort Peng, Liyuan
collection PubMed
description This study was conducted to investigate the relationship between right coronary dominance and coronary angiographic characteristics in patients with or without significant coronary artery disease (CAD). A total of 2225 patients undergoing coronary angiography (CAG) between January 2011 and November 2014 were recruited in our study. Based on the CAG results, patients were divided into the left dominance (LD) group, right dominance (RD) group, and co-dominance (CD) group. Multinomial logistic regression was applied to analyze the relationships between coronary dominance and triple-vessel CAD. We found that patients with RD had a higher prevalence of triple-vessel CAD (36.6% vs 27.3%, P = .008) and significant stenosis in the right coronary artery (40.5% vs 29.2%, P = .001). In addition, results of multinomial logistic regression analysis showed that RD was significantly associated with the triple-vessel disease (odds ratio 1.768, 95% confidence interval 1.057–2.956, P = .030). In conclusion, RD positively correlated with triple-vessel CAD rather than LD or CD in patients. This result suggested that RD may serve as a risk factor for triple-vessel CAD and more effective measures should be taken in RD patients to prevent fatal cardiovascular events.
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spelling pubmed-61336312018-09-19 Impact of right coronary dominance on triple-vessel coronary artery disease: A cross-sectional study Peng, Liyuan Guo, Xincheng Gao, Ya Guo, Qi Zhang, Jingjing Fang, Bangjiang Yan, Bin Medicine (Baltimore) Research Article This study was conducted to investigate the relationship between right coronary dominance and coronary angiographic characteristics in patients with or without significant coronary artery disease (CAD). A total of 2225 patients undergoing coronary angiography (CAG) between January 2011 and November 2014 were recruited in our study. Based on the CAG results, patients were divided into the left dominance (LD) group, right dominance (RD) group, and co-dominance (CD) group. Multinomial logistic regression was applied to analyze the relationships between coronary dominance and triple-vessel CAD. We found that patients with RD had a higher prevalence of triple-vessel CAD (36.6% vs 27.3%, P = .008) and significant stenosis in the right coronary artery (40.5% vs 29.2%, P = .001). In addition, results of multinomial logistic regression analysis showed that RD was significantly associated with the triple-vessel disease (odds ratio 1.768, 95% confidence interval 1.057–2.956, P = .030). In conclusion, RD positively correlated with triple-vessel CAD rather than LD or CD in patients. This result suggested that RD may serve as a risk factor for triple-vessel CAD and more effective measures should be taken in RD patients to prevent fatal cardiovascular events. Wolters Kluwer Health 2018-08-10 /pmc/articles/PMC6133631/ /pubmed/30095625 http://dx.doi.org/10.1097/MD.0000000000011685 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Peng, Liyuan
Guo, Xincheng
Gao, Ya
Guo, Qi
Zhang, Jingjing
Fang, Bangjiang
Yan, Bin
Impact of right coronary dominance on triple-vessel coronary artery disease: A cross-sectional study
title Impact of right coronary dominance on triple-vessel coronary artery disease: A cross-sectional study
title_full Impact of right coronary dominance on triple-vessel coronary artery disease: A cross-sectional study
title_fullStr Impact of right coronary dominance on triple-vessel coronary artery disease: A cross-sectional study
title_full_unstemmed Impact of right coronary dominance on triple-vessel coronary artery disease: A cross-sectional study
title_short Impact of right coronary dominance on triple-vessel coronary artery disease: A cross-sectional study
title_sort impact of right coronary dominance on triple-vessel coronary artery disease: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133631/
https://www.ncbi.nlm.nih.gov/pubmed/30095625
http://dx.doi.org/10.1097/MD.0000000000011685
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