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Aortic stenosis, angina, and coronary artery disease. Interrelations.
  1. C N Harris,
  2. M A Kaplan,
  3. D P Parker,
  4. E F Dunne,
  5. H S Cowell,
  6. M H Ellestad

    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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