Τίτλος:
Varicose veins are common in patients with coronary artery ectasia. Just
a coincidence or a systemic deficit of the vascular wall?
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objectives. Coronary artery ectasia (CAE), an uncommon finding during
coronary arteriography, has been associated with the presence of
aneurysm(s) in other parts of the arterial tree including the abdominal
aorta. Varicose veins (VV) or phlebectasias are a common disorder of the
superficial leg veins. Correlations between arterial and venous ectasias
have not been established. We sought to examine whether there is an
association between CAE and VV.
Methods and results. CAE was diagnosed in 181 patients out of 7510
eligible patients undergoing coronary arteriography within 33 months.
The prevalence of VV was significantly higher among patients with CAE
(40%) compared to 200 aged-matched patients with coronary artery
disease but without CAE (17%) and to 201 randomly selected subjects
from the general population (23%). In multivariate analysis, CAE was
found to be significantly and independently associated with VV (RR =
3.42, 95% confidence interval (CI) 2.24-5.59, p < 0.001).
Conclusion. In this study population, VV were more common in patients
with CAE than in those without. This association was valid in both
univariate and multivariate analysis, suggesting the possible existence
of a generalised defect of the entire vascular wall.
Συγγραφείς:
Androulakis, AE
Katsaros, AA
Kartalis, AN
Stougiannos, PN
and Andrikopoulos, GK
Triantafyllidi, EI
Pantazis, AA and
Stefanadis, CI
Kallikazaros, IE
Περιοδικό:
European Journal of Vascular and Endovascular Surgery
Εκδότης:
W B SAUNDERS CO LTD
Λέξεις-κλειδιά:
coronary artery ectasia; varicose veins
DOI:
10.1016/j.ejvs.2004.02.023
