Objective: To compare the clinical prognosis between patients with diffuse coronary ectasia and those with localized coronary ectasia. Design: Patients with coronary ectasia were divided into two groups based on the Markis classification (group D: types I–III and group L: type IV), and the clinical manifestations and prognosis were compared between the two groups. Results: Group D patients (52.1 ± 4 years) were significantly younger than group L patients (62.5 ± 7 years). During the study, 4 patients in group D died suddenly. Three of the patients had type I coronary ectasia, and 1 had left main coronary ectasia. Conclusion: The results of the present study indicate that patients with diffuse coronary ectasia and left main coronary ectasia should be followed carefully.

1.
Daoud A, Parkin D, Tulgan H: Aneurysms of the coronary artery. Am J Cardiol 1963;11:228–237.
2.
Matsumura K, Nakase M, Kawai I: Evaluation of coronary hemodynamics and clinical findings in patients with coronary artery ectasia. Cardioangiology 1993;34:61–67.
3.
Hartnell G, Parnell M, Pridie B: Coronary ectasia – its prevalence and clinical significance in 4993 patients. Br Heart J 1985;54:392–395.
4.
Swaya P, Fisher D, Litwin P, Vignola P, Judkins MP, Kemp HG: Aneurysmal coronary artery disease. Circulation 1983;67:134–138.
5.
Noma M, Kikuchi Y, Yoshimura H, Yamamoto H, Tajimi T: Coronary ectasia in Takayasu’s arteritis. Am Heart J 1993;125:459–461.
6.
Badimon L, Cotran S: The pathogenesis of atherosclerosis: Atherogenesis and inflammation. Lab Invest 1988;58:249–261.
7.
Rub S, Smith D, Alimurung B, Rab R, Spencer B: Thrombolytic therapy in coronary ectasia and acute myocardial infarction. Am Heart J 1990;119:955–957.
8.
Bove A, Vlietstra D: Spasm in ectasia coronary arteries. Mayo Clin Proc 1985;60:822–826.
9.
Tunick PA, Slater J, Kronzon I, Glassman E: Discrete atherosclerotic coronary artery aneurysms: A study of 20 patients. J Am Coll Cardiol 1990;15:279–282.
10.
Kumar S, Tommaso C, Dianzumba S, Gardin J: Myocardial infarction and coronary ectasia in idiopathic mitral valve prolapse syndrome. Arch Intern Med 1980;140:1384–1386.
11.
Suzuki H, Takeyama Y, Hamazaki Y, Namiki A, Koba S, Matsubara H: Coronary spasm in patients with coronary ectasia. Cathet Cardiovasc Diagn 1994;32:1–7.
12.
Takahashi K, Ikeoka K, Nishian K, Iwasaki T: Acute myocardial infarction in pre-menopausal women and young men. Jpn Circ J 1994;58(suppl I):241.
13.
Markis J, Joffe C, Cohen P, Feen D, Herman M, Gorlin R: Clinical significance of coronary arterial ectasia. Am J Cardiol 1975;37:217–222.
14.
Aintablin A, Hamby R, Hoffmann I, Karmer R: Coronary ectasia: Incidence and results of coronary bypass surgery. Am Heart J 1977;10:309–315.
15.
Newburger JW, Burns JC, Beiser AS, Loscalzo J: Altered lipid profile after Kawasaki syndrome. Circulation 1991;84:625–631.
16.
Canon R, Epstein S: Microvascular angina as a cause of chest pain with angiographically normal coronary arteries. Am J Cardiol 1988;61:1338–1343.
17.
Kaul S, Newell J, Chesler D, Phost G, Okada R, Boucher C: Quantitative thallium imaging findings in patients with normal coronary angiographic findings and in clinically normal subjects. Am J Cardiol 1986;57:506–512.
18.
Kruger D, Wiegand V, Potratz J, Stierle U: Detection of stress-induced myocardial ischemia in isolated coronary ectasia and aneurysm. Z Kardiol 1996;85:407–417.
19.
Kannel W, Higgins M: Smoking and hypertension as predictor of cardiovascular risk in population studies. J Hypertens 1990;8(suppl 5):S3–S8.
20.
Sudhir K, Ports T, Amidon T, Goldberger J, Bhushan V, Kane J: Increased prevalence of coronary ectasia in heterozygous familial hypercholesterolemia. Circulation 1995;91:1375–1380.
21.
Fujiwara T, Fujiwara H, Hamashima Y: Frequency and size of coronary arterial aneurysm at necropsy in Kawasaki disease. Am J Cardiol 1987;59:808–811.
22.
Dajani A, Taubert K, Takahashi M, Bierman F, Freed M, Ferrieri P: Guideline for long-term management of patients with Kawasaki disease. Circulation 1993;26:916–922.
23.
Ilia R, Kafri C, Carmel S, Goldfarb B, Gueron M, Battler A: Angiographic follow-up of coronary artery ectasia. Cardiology 1995;86:388–390.
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