NORMAL CORONARY ANGIOGRAM;

CLINICAL CHARACTERISTICS OF PATIENTS.

Abstract

Objectives: To observe the clinical characteristics of patients having normal
coronary angiogram following an abnormal stress test or presented with chest pain indicating
coronary angiogram. Study Design: A single center retrospective, descriptive study. Period:
Coronary angiograms done from September 2015 to September 2016 were retrieved
and reviewed for normal coronary arteries. Setting: Khatum-un-Nabyeen Heart Center.
Methodology: Clinical profile of the patients having normal coronary angiogram was retrieved
from hospital record. Results: Out of 900 angiograms reviewed, 81(9%) were having normal
coronary arteries. Mean age was 43±10 years. Females were 64.1%. Clinical characteristic
of study group was as follows: smokers 32.09%, family history of premature coronary artery
disease 51.8%, hyperlipidemia 60.4% and hypertension 19.7%. Diabetes was present only
in 20.9%. Among females: 19.2% were current users of oral contraceptives pills and 13.4%
were post menopausal. Mean BMI was 25.4±4. Conclusion: Normal coronary angiogram is
infrequent observation in cardiac catheterization laboratories and mostly found in younger
to middle aged females. Family history of coronary artery disease and hyperlideimaare very
common in such patients.