Clinical Utility of a Characteristic Echocardiographic Sign in Pulmonary Embolism

Abstract

No CABG, N= 729 CABG, N= 57 p-Value Diabetics (n) 91 (12.6%) 15 (26.3% <0.01 Hypertension (n) 332 (45.9%) 42 (73.7%) <0.01 Hyperlipidaemia (n) 422 (58.3%) 53 (93%) <0.01 Ca score 166 1197 <0.01 LVEF 60% 56% <0.01 Subsequent coronary angiogram 7.2% 10% No. of grafts occluded 1 graft occluded – 15 (26.3%) 2 grafts occluded 7 (12.3%) Subsequent PCI 3.89% 8.3% Conclusions:A significant number of patientswho have had CABG are diabetics, hypertensive and have hyperlipidaemia, and a high proportion also had occluded bypass grafts; a higher number also required further invasive procedures including PCI. Patients with prior CABG form a higher risk group of patients who may have silent occlusions of their bypass grafts, and serial CTCA may play an important role in determining the patency of bypass grafts and allow early intervention. doi:10.1016/j.hlc.2009.05.052