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Frequency Of Triple Vessel Coronary Artery Disease In Patients Admitted With Non-St-Elevation Myocardial Infarction Undergoing Coronary Angiography For First Time

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Publicado en:Pakistan Armed Forces Medical Journal vol. 75, no. 1 (Feb 2025), p. 182
Autor principal: Ahmed, Rizwan
Otros Autores: Muhammad Kamran Islam, Ashraf, Nabeela, Muhammad Mateen Anwer, Ali, Muhammad, Iqbal, Raafe
Publicado:
Army Medical Corps
Materias:
Pakistan
Rawalpindi Pakistan
Patients
Acute coronary syndromes
Management decisions
Vein & artery diseases
Medical treatment
Heart surgery
Angioplasty
Heart attacks
Mortality
Coronary vessels
Gender
Cardiovascular disease
Data collection
Age groups
Females
Medical imaging
Males
Cardiology
Intervention
Clinical decision making
Acceso en línea:Citation/Abstract
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Resumen:ABSTRACT Objective: To determine the frequency of triple vessel coronary artery disease in non-ST-elevation myocardial infarction patients who were admitted for the first time to coronary angiography Study Design: Cross-sectional study Place and Duration of Study: Department of Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan from Jul 2018 to Jan 2019 Methodology: In this study, 140 participants enrolled by consecutive sampling technique underwent first-time coronary angiography under local anesthesia, performed by a Consultant Cardiologist with researcher assistance. The procedure used either femoral or radial artery access, and TVCAD was diagnosed if three cardiac vessels showed >50% stenosis. Results: Out of one hundred and forty NSTEMI patients, the majority were males, 78(55.7%). A greater pool of patients, 58(41.4%), was 51-60 years old. Coronary angiography findings revealed that 43(30patients exhibited TVCAD, and 31(72.1%) were recommended for CABG. Additionally, seven patients (16.3%) were advised to undergo percutaneous coronary intervention (PCI), one patient (2.3%) for routine medical treatment, three patients (7.0%) for surgical review, and one patient (2.3%) for a viability scan. A significant association was found between the clinical decisions made and the presence of TVCAD (p<0.001). Conclusion: A significant number of NSTEMI patients undergoing coronary angiography diagnosed with TVCAD emphasized the need for comprehensive coronary evaluation. Clinicians should consider enhanced screening and tailored treatments to manage this high-risk group effectively.
ISSN:0030-9648
2411-8842
Fuente:Health & Medical Collection