Frequency of coronary artery ectasia in patients with myocardial infarction.
Keywords:Acute Coronary Syndrome (ACS), Coronary Artery Ectasia (CAE), Coronary Artery Disease (CAD)
Objective: To determine the frequency of coronary artery ectasia in patients with MI in our population. Study Design: Descriptive, Cross Sectional study. Setting: Cardiac Catheterization Department of Ch. Pervaiz Elahi Institute of Cardiology, Multan. Period: 1st October 2019 to 31st March 2020. Material & Methods: A total of 191 patients with myocardial infarction of age 18-60 years of either gender undergoing coronary angiography were included. Patients with vulvular heart disease, cardiomyopthies, heart failure and CKD were excluded. Full demographic informations including name, age, gender and risk factors like diabetes mellitus (DM), hypertension (HTN) and smoking were noted. The coronary angiographic films were reviewed and looked for presence or absence of coronary artery ectasia. Results: Mean age was 49.28 ± 9.64 years in our study. Out of the 191 patients, 85.86% were male and 14.14% were females with ratio of 6:1. The %age of vessel involvement in descending order was right coronary artery in 56.02%, left anterior descending artery in 25.13%, left circumflex artery in 13.10% and left main stem in 5.76% patients. Coronary artery ectasia was found in 62.83% patients. Conclusion: This study concluded that there is a high frequency of coronary artery ectasia (CAE) in myocardial infarction patients with positive association with older age, male gender, hypertension, diabetes mellitus and smoking.
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