Aortic stenosis, angina, and coronary artery disease. Interrelations.

Authors:
  • CHC N Harris
    C N Harris
  • MKM A Kaplan
    M A Kaplan
  • DPD P Parker
    D P Parker
  • EDE F Dunne
    E F Dunne
  • HCH S Cowell
    H S Cowell
  • MEM H Ellestad
    M H Ellestad
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Abstract
Sixty-nine patients over age 35 with severe valvular aortic stenosis were investigated for concomitant coronary artery disease. Forty (57.9%) had clinical angina pectoris. Sixteen (23.2%) had significant coronary occlusive disease by arteriography. Of those with angina, 13 patients (32.5) had significant coronary arterial obstruction, while in the pain-free group only (10.3%) had occlusive coronary disease. It is concluded that patients with severe aortic stenosis who are free of angina have only a small, but definite, chance of having significant coronary disease.

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