Features of coronary angiograms of stable patients with recent acute myocardial infarction

Objective To investigate whether or not stable patients with recent acute myocardial infarction should receive a routine coronary angiogrophy by retrospective analysis of their coronary angiograms. Methods All of the patients underwent coronary angiogrophy from one week to 2 months after the onset of acute myocardial infarction. The features of coronary angiograms of 50 stable patients with first acute myocardial infarction were compared with that of 61 unstable patients’. Results The lesion of ≥70% coronary stenosis was found in 90% of stable patients and in 93.4% of unstable patients. The difference was not statistically significant(P=0.755). Conclusion Most of stable patients with first recent acute coronary infarction have severe coronary stenosis. Routine coronary angiography in these patients should be considered.