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Three Vessel Coronary Disease

MedGen UID:
473898
•Concept ID:
C3272265
•
Disease or Syndrome

Definition

There was greater than or equal to 50% stenosis (reduction in cross-sectional area) in three coronary arteries (or greater than or equal to 50% stenosis in the left main coronary artery and greater than or equal to 50% stenosis in the right coronary artery). (ACC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Three Vessel Coronary Disease

Professional guidelines

PubMed

Appropriateness criteria for the use of cardiac computed tomography, SIC-SIRM part 2: acute chest pain evaluation; stent and coronary artery bypass graft patency evaluation; planning of coronary revascularization and transcatheter valve procedures; cardiomyopathies, electrophysiological applications, cardiac masses, cardio-oncology and pericardial diseases evaluation.
Carrabba N, Pontone G, Andreini D, Buffa V, Cademartiri F, Carbone I, Clemente A, Guaricci AI, Guglielmo M, Indolfi C, La Grutta L, Ligabue G, Liguori C, Mercuro G, Mushtaq S, Neglia D, Palmisano A, Sciagrà R, Seitun S, Vignale D, Francone M, Esposito A
J Cardiovasc Med (Hagerstown) 2022 May 1;23(5):290-303. doi: 10.2459/JCM.0000000000001303. PMID: 35486680
Treatment strategies in patients with diabetes and three-vessel coronary disease: What should we choose?
Liang B, Gu N
Cardiovasc Diabetol 2021 Feb 11;20(1):42. doi: 10.1186/s12933-021-01241-6. PMID: 33573627Free PMC Article
Treatment of Coronary Artery Disease: Randomized Trials on Myocardial Revascularization and Complete Arterial Bypass Grafting.
Rastan AJ
Thorac Cardiovasc Surg 2017 Apr;65(S 03):S167-S173. Epub 2017 Apr 7 doi: 10.1055/s-0037-1601375. PMID: 28388767

Recent clinical studies

Etiology

Mild Renal Function Impairment and Long-Term Outcomes in Patients with Three-Vessel Coronary Artery Disease: A Cohort Study.
Zeng G, Yuan D, Wang P, Li T, Jiang L, Xu L, Tian J, Zhao X, Feng X, Wang D, Zhang Y, Sun K, Xu J, Liu R, Xu B, Zhao W, Hui R, Gao R, Song L, Yuan J
Cardiorenal Med 2023;13(1):354-362. Epub 2023 Oct 12 doi: 10.1159/000534252. PMID: 37827147Free PMC Article
Gender-Based Long-Term Outcomes After Revascularization for Three-Vessel Coronary Disease: A Propensity Score-Matched Analysis of a Large Cohort.
Liu Y, Zhu Y, Wang J, Yin D, Lv H, Qu S, Zhou X, Zhu H, Guo L, Li Y
Clin Interv Aging 2022;17:545-554. Epub 2022 Apr 19 doi: 10.2147/CIA.S362027. PMID: 35469328Free PMC Article
Real-world outcomes of different treatment strategies in patients with diabetes and three-vessel coronary disease: a mean follow-up 6.3 years study from China.
Zhao X, Xu L, Jiang L, Tian J, Zhang Y, Wang D, Sun K, Xu B, Zhao W, Hui R, Gao R, Song L, Yuan J
Cardiovasc Diabetol 2021 Jan 11;20(1):16. doi: 10.1186/s12933-020-01193-3. PMID: 33430864Free PMC Article
Vein graft failure: from pathophysiology to clinical outcomes.
de Vries MR, Simons KH, Jukema JW, Braun J, Quax PH
Nat Rev Cardiol 2016 Aug;13(8):451-70. Epub 2016 May 19 doi: 10.1038/nrcardio.2016.76. PMID: 27194091
Silent myocardial ischemia: an update.
Moskowitz RM, Chatterjee K, Parmley WW
Med Clin North Am 1988 Sep;72(5):1033-54. doi: 10.1016/s0025-7125(16)30728-3. PMID: 3045450

Diagnosis

Myocardial perfusion in cardiac amyloidosis.
Chacko L, Kotecha T, Ioannou A, Patel N, Martinez-Naharro A, Razvi Y, Patel R, Massa P, Venneri L, Brown J, Porcari A, Knott K, Manisty C, Knight D, Lockie T, Rakhit R, Lachmann H, Wechelakar A, Whelan C, Ponticos M, Moon J, González A, Gilbertson J, Riefolo M, Leone O, Xue H, Hawkins P, Kellman P, Gillmore J, Fontana M
Eur J Heart Fail 2024 Mar;26(3):598-609. Epub 2024 Jan 21 doi: 10.1002/ejhf.3137. PMID: 38247182
Gender-Based Long-Term Outcomes After Revascularization for Three-Vessel Coronary Disease: A Propensity Score-Matched Analysis of a Large Cohort.
Liu Y, Zhu Y, Wang J, Yin D, Lv H, Qu S, Zhou X, Zhu H, Guo L, Li Y
Clin Interv Aging 2022;17:545-554. Epub 2022 Apr 19 doi: 10.2147/CIA.S362027. PMID: 35469328Free PMC Article
Disminución de la fracción de expulsión del ventrículo izquierdo por estrés con adenosina como predictor de isquemia.
Ramírez GM, Posada-Martínez EL, Meave-González A, Vera-Urquiza R, Ivey-Miranda JB
Gac Med Mex 2018;154(3):315-319. doi: 10.24875/GMM.18003322. PMID: 30047929
Silent myocardial ischemia: an update.
Moskowitz RM, Chatterjee K, Parmley WW
Med Clin North Am 1988 Sep;72(5):1033-54. doi: 10.1016/s0025-7125(16)30728-3. PMID: 3045450
Mitral valve fluttering; an echocardiographic feature of left atrial myxoma.
Ciraulo DA
Chest 1979 Jul;76(1):95-6. doi: 10.1378/chest.76.1.95. PMID: 446184

Therapy

Implications of left atrial volume index in patients with three-vessel coronary disease: A 6.6-year follow-up cohort study.
Liu R, Song L, Zhang C, Jiang L, Tian J, Xu L, Feng X, Wan L, Zhao X, Xu O, Li C, Gao R, Hui R, Zhao W, Yuan J
Chin Med J (Engl) 2024 Feb 20;137(4):441-449. Epub 2023 Jun 1 doi: 10.1097/CM9.0000000000002723. PMID: 37262047Free PMC Article
Appropriateness criteria for the use of cardiac computed tomography, SIC-SIRM part 2: acute chest pain evaluation; stent and coronary artery bypass graft patency evaluation; planning of coronary revascularization and transcatheter valve procedures; cardiomyopathies, electrophysiological applications, cardiac masses, cardio-oncology and pericardial diseases evaluation.
Carrabba N, Pontone G, Andreini D, Buffa V, Cademartiri F, Carbone I, Clemente A, Guaricci AI, Guglielmo M, Indolfi C, La Grutta L, Ligabue G, Liguori C, Mercuro G, Mushtaq S, Neglia D, Palmisano A, Sciagrà R, Seitun S, Vignale D, Francone M, Esposito A
J Cardiovasc Med (Hagerstown) 2022 May 1;23(5):290-303. doi: 10.2459/JCM.0000000000001303. PMID: 35486680
Real-world outcomes of different treatment strategies in patients with diabetes and three-vessel coronary disease: a mean follow-up 6.3 years study from China.
Zhao X, Xu L, Jiang L, Tian J, Zhang Y, Wang D, Sun K, Xu B, Zhao W, Hui R, Gao R, Song L, Yuan J
Cardiovasc Diabetol 2021 Jan 11;20(1):16. doi: 10.1186/s12933-020-01193-3. PMID: 33430864Free PMC Article
Vein graft failure: from pathophysiology to clinical outcomes.
de Vries MR, Simons KH, Jukema JW, Braun J, Quax PH
Nat Rev Cardiol 2016 Aug;13(8):451-70. Epub 2016 May 19 doi: 10.1038/nrcardio.2016.76. PMID: 27194091
Prevalence and non-invasive predictors of left main or three-vessel coronary disease: evidence from a collaborative international meta-analysis including 22 740 patients.
D'Ascenzo F, Presutti DG, Picardi E, Moretti C, Omedè P, Sciuto F, Novara M, Yan AT, Goodman S, Mahajan N, Kosuge M, Palazzuoli A, Jong GP, Isma'eel H, Budoff MJ, Rubinshtein R, Gewirtz H, Reed MJ, Theroux P, Biondi-Zoccai G, Modena MG, Sheiban I, Gaita F
Heart 2012 Jun;98(12):914-9. doi: 10.1136/heartjnl-2011-301596. PMID: 22626899

Prognosis

Mild Renal Function Impairment and Long-Term Outcomes in Patients with Three-Vessel Coronary Artery Disease: A Cohort Study.
Zeng G, Yuan D, Wang P, Li T, Jiang L, Xu L, Tian J, Zhao X, Feng X, Wang D, Zhang Y, Sun K, Xu J, Liu R, Xu B, Zhao W, Hui R, Gao R, Song L, Yuan J
Cardiorenal Med 2023;13(1):354-362. Epub 2023 Oct 12 doi: 10.1159/000534252. PMID: 37827147Free PMC Article
Gender-Based Long-Term Outcomes After Revascularization for Three-Vessel Coronary Disease: A Propensity Score-Matched Analysis of a Large Cohort.
Liu Y, Zhu Y, Wang J, Yin D, Lv H, Qu S, Zhou X, Zhu H, Guo L, Li Y
Clin Interv Aging 2022;17:545-554. Epub 2022 Apr 19 doi: 10.2147/CIA.S362027. PMID: 35469328Free PMC Article
Disminución de la fracción de expulsión del ventrículo izquierdo por estrés con adenosina como predictor de isquemia.
Ramírez GM, Posada-Martínez EL, Meave-González A, Vera-Urquiza R, Ivey-Miranda JB
Gac Med Mex 2018;154(3):315-319. doi: 10.24875/GMM.18003322. PMID: 30047929
Prevalence and non-invasive predictors of left main or three-vessel coronary disease: evidence from a collaborative international meta-analysis including 22 740 patients.
D'Ascenzo F, Presutti DG, Picardi E, Moretti C, Omedè P, Sciuto F, Novara M, Yan AT, Goodman S, Mahajan N, Kosuge M, Palazzuoli A, Jong GP, Isma'eel H, Budoff MJ, Rubinshtein R, Gewirtz H, Reed MJ, Theroux P, Biondi-Zoccai G, Modena MG, Sheiban I, Gaita F
Heart 2012 Jun;98(12):914-9. doi: 10.1136/heartjnl-2011-301596. PMID: 22626899
Silent myocardial ischemia: an update.
Moskowitz RM, Chatterjee K, Parmley WW
Med Clin North Am 1988 Sep;72(5):1033-54. doi: 10.1016/s0025-7125(16)30728-3. PMID: 3045450

Clinical prediction guides

Association between R(2)CHA(2)DS(2)-VASc score and three-vessel coronary artery disease in a large population at high cardiovascular risk.
Pacilli G, Piscitelli P, D'Errico MM, Mangiacotti A, Siena A, Buglio AL, Vendemiale G, Fontana A, Copetti M, Mirijello A, De Cosmo SA
Intern Emerg Med 2024 Oct;19(7):1877-1885. Epub 2024 Jul 6 doi: 10.1007/s11739-024-03679-4. PMID: 38970758
Mild Renal Function Impairment and Long-Term Outcomes in Patients with Three-Vessel Coronary Artery Disease: A Cohort Study.
Zeng G, Yuan D, Wang P, Li T, Jiang L, Xu L, Tian J, Zhao X, Feng X, Wang D, Zhang Y, Sun K, Xu J, Liu R, Xu B, Zhao W, Hui R, Gao R, Song L, Yuan J
Cardiorenal Med 2023;13(1):354-362. Epub 2023 Oct 12 doi: 10.1159/000534252. PMID: 37827147Free PMC Article
Gender-Based Long-Term Outcomes After Revascularization for Three-Vessel Coronary Disease: A Propensity Score-Matched Analysis of a Large Cohort.
Liu Y, Zhu Y, Wang J, Yin D, Lv H, Qu S, Zhou X, Zhu H, Guo L, Li Y
Clin Interv Aging 2022;17:545-554. Epub 2022 Apr 19 doi: 10.2147/CIA.S362027. PMID: 35469328Free PMC Article
Disminución de la fracción de expulsión del ventrículo izquierdo por estrés con adenosina como predictor de isquemia.
Ramírez GM, Posada-Martínez EL, Meave-González A, Vera-Urquiza R, Ivey-Miranda JB
Gac Med Mex 2018;154(3):315-319. doi: 10.24875/GMM.18003322. PMID: 30047929
Prevalence and non-invasive predictors of left main or three-vessel coronary disease: evidence from a collaborative international meta-analysis including 22 740 patients.
D'Ascenzo F, Presutti DG, Picardi E, Moretti C, Omedè P, Sciuto F, Novara M, Yan AT, Goodman S, Mahajan N, Kosuge M, Palazzuoli A, Jong GP, Isma'eel H, Budoff MJ, Rubinshtein R, Gewirtz H, Reed MJ, Theroux P, Biondi-Zoccai G, Modena MG, Sheiban I, Gaita F
Heart 2012 Jun;98(12):914-9. doi: 10.1136/heartjnl-2011-301596. PMID: 22626899

Recent systematic reviews

Prevalence and non-invasive predictors of left main or three-vessel coronary disease: evidence from a collaborative international meta-analysis including 22 740 patients.
D'Ascenzo F, Presutti DG, Picardi E, Moretti C, Omedè P, Sciuto F, Novara M, Yan AT, Goodman S, Mahajan N, Kosuge M, Palazzuoli A, Jong GP, Isma'eel H, Budoff MJ, Rubinshtein R, Gewirtz H, Reed MJ, Theroux P, Biondi-Zoccai G, Modena MG, Sheiban I, Gaita F
Heart 2012 Jun;98(12):914-9. doi: 10.1136/heartjnl-2011-301596. PMID: 22626899

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