Predictive value of angina to detect coronary artery disease in patients with severe aortic stenosis aged 50 years or older.

Objective: The objective of this study is to evaluate the value of angina pectoris as a predictor of CAD (coronary artery disease) in patients with AS (aortic stenosis) during and beyond the 5th decade of life.

Methods: The study population consisted of 186 consecutive patients with AS and > or = 50 years of age, referred for surgical aortic valve replacement (AVR) between June 1989 and September 2004. Routine coronary angiography was performed for all patients.