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
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Army Medical Corps
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Acceso en línea:Citation/Abstract
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100 1 |a Ahmed, Rizwan 
245 1 |a Frequency Of Triple Vessel Coronary Artery Disease In Patients Admitted With Non-St-Elevation Myocardial Infarction Undergoing Coronary Angiography For First Time 
260 |b Army Medical Corps  |c Feb 2025 
513 |a Journal Article 
520 3 |a 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. 
651 4 |a Pakistan 
651 4 |a Rawalpindi Pakistan 
653 |a Patients 
653 |a Acute coronary syndromes 
653 |a Management decisions 
653 |a Vein & artery diseases 
653 |a Medical treatment 
653 |a Heart surgery 
653 |a Angioplasty 
653 |a Heart attacks 
653 |a Mortality 
653 |a Coronary vessels 
653 |a Gender 
653 |a Cardiovascular disease 
653 |a Data collection 
653 |a Age groups 
653 |a Females 
653 |a Medical imaging 
653 |a Males 
653 |a Cardiology 
653 |a Intervention 
653 |a Clinical decision making 
700 1 |a Muhammad Kamran Islam 
700 1 |a Ashraf, Nabeela 
700 1 |a Muhammad Mateen Anwer 
700 1 |a Ali, Muhammad 
700 1 |a Iqbal, Raafe 
773 0 |t Pakistan Armed Forces Medical Journal  |g vol. 75, no. 1 (Feb 2025), p. 182 
786 0 |d ProQuest  |t Health & Medical Collection 
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