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Prognostic significance, angiographic characteristics and impact of antithrombotic and anticoagulant therapy on outcomes in high vs low grade coronary artery ectasia: A long-term follow-up study

Catheterization and Cardiovascular Interventions Nov 08, 2018

Gunasekaran P, et al. - In this retrospective study, researchers evaluated prognostic value of high vs low grade coronary artery ectasia (CAE) and the influence of antithrombotic or anticoagulant therapy on adverse cardiac outcomes. For all cases of confirmed CAE (2001–2011), angiograms and medical records were reviewed. They used the Markis classification to categorize extent of CAE. High-grade categories included types 1 and 2 and low-grade CAE included types 3 and 4. According to findings, despite good medical management, the factors that were identified to be independent predictors of future ACS were the angiographic extent of CAE and sluggish coronary flow. The risk of future ACS was attenuated by dual-antiplatelet therapy (DAPT) or oral anticoagulation.

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