Coronary angiogriphy in left ventricular dysfunction patients with no clinical evidence of ischemic heart disease
Background : Coronary artery disease is theunderlying cause in approximately two thirds of patients with systolic heart failure ; Coronary artery angiogriphy may be useful to define the presence , Anatomical characteristics ,and functional significance of Coronary artery disease in selected heart f...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
University of Baghdad/ Al-Kindy College of Medicine
2013-01-01
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| Series: | مجله كليه طب الكندي |
| Online Access: | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/564 |
| _version_ | 1818481066862706688 |
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| author | Wisam , s. taj al deen Hassan Ali farhan mahhdu s. al zaidi |
| author_facet | Wisam , s. taj al deen Hassan Ali farhan mahhdu s. al zaidi |
| author_sort | Wisam , s. taj al deen |
| collection | DOAJ |
| description |
Background : Coronary artery disease is theunderlying cause in approximately two thirds of
patients with systolic heart failure ;
Coronary artery angiogriphy may be useful to
define the presence ,
Anatomical characteristics ,and functional
significance of Coronary artery disease in
selected heart failure patients with or without signs
and aymptoms of Coronary artery disease.
Objectives: to verify the clinical usefulness of
coronary angiography (CA) in congestive heart
failure (CHF) patients with no history of ischemic
heart disease and to identify predictive factors for
performing coronary angiography to patients with
congestive heart failure with no obvious ischemia.
Methods :this is a cross-sestional study conducted
Ibn al –Bitar center for cardiac surgery during a
period between November 2009 and November
2010 ;all included patients have symptomatic LV
dyfunctional with NYHA functional class II or
more with no clinical evidence of IHD .History,
physical examination had been performed for each
patient , in addition ti blood tests ,ECG ,CXR,
echocardiography and Coronary angiogriphy
Results :Among 112 patients with symptomatic
LV dysfunction of unknown cause enrolled in this
study male :female ratio 3:1 their age (17 -77 years
)there were 14 patients (12.5%)with significant
Coronary artery disease , statistical analysis
between CADand non CAD group show :the CAD
were more common in male 11 patients (78% )
smokers(1)Were female , 25 patients (22.3%) were
diabetic , 25 diabetic (22.3%) were hypertensive
,50 diabetic (44.6%) were smokers . 4 diabetic3.5) with family history of dilatedhyperlipidemia and 3 diabetic (2.6%) ) with
family history ischemic heart disease (IHD in
close relative at age <50 years in men and <55
years in women ) as demographic distribution of
patients in table 1 .coronary angiography show
that are 14 patients (12.5%) with significant
coronary artery disease (CAD) and 98 patients
(87.5%) with significant coronary artery disease
. as shown in figure 1 . eleven patients (78%) of
patients (22%) were female statistical analysis
shows that the male is more predominant in
CAD groups as shown in table 2 . twelve
patients (85.7%) of patients with CAD were
smokers while only 38 patients (38.7%) were
smokers in non CAD group . statistical analysis
shows there is significant difference between
the two groups ( p value < 0.01 ) as shown in
table 3 .nine patients (64.2%) of patients with
CAD were diabetics while 16 patients
(16.3%)were diabetics in non CAD group ,
statistical analysis shows there is significant
difference between the two groups (p value <
0.005) as shown in table (3) .there is no
statistical between the mean of left ventricular
ejection fraction of CAD group ( 37 ±10 %) and
that of non CAD (36±9 % ) , p value > 0.5 as
shown in table 6 . figure 2 revealed that LAD
lesion was most common coronary artery lesion
which represent 12 (85%) followed by in order
of frequency LCX 42 % ,RCA 28% and LMS
7% ; in addition to that 57% with single vessel
disease ,14.2% with 2 vessel disease and
28.4%with r vessel disease (2)Leads , ST
depression ≥1 mm or deep T wave inversion
had been excluded
(
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| first_indexed | 2024-12-10T11:30:28Z |
| format | Article |
| id | doaj.art-0b73a997bc844fababc72931285a6298 |
| institution | Directory Open Access Journal |
| issn | 1810-9543 2521-4365 |
| language | English |
| last_indexed | 2024-12-10T11:30:28Z |
| publishDate | 2013-01-01 |
| publisher | University of Baghdad/ Al-Kindy College of Medicine |
| record_format | Article |
| series | مجله كليه طب الكندي |
| spelling | doaj.art-0b73a997bc844fababc72931285a62982022-12-22T01:50:35ZengUniversity of Baghdad/ Al-Kindy College of Medicineمجله كليه طب الكندي1810-95432521-43652013-01-0191Coronary angiogriphy in left ventricular dysfunction patients with no clinical evidence of ischemic heart diseaseWisam , s. taj al deen0Hassan Ali farhan1mahhdu s. al zaidi2Cardiologist in ibn bitar center for cardiac surgery** assists prof, of cardiology al – kindy college of medicine cardiologist in ibn al-bitar center for cardiac surgeryCardiologist in ibn bitar center for cardiac surgery Background : Coronary artery disease is theunderlying cause in approximately two thirds of patients with systolic heart failure ; Coronary artery angiogriphy may be useful to define the presence , Anatomical characteristics ,and functional significance of Coronary artery disease in selected heart failure patients with or without signs and aymptoms of Coronary artery disease. Objectives: to verify the clinical usefulness of coronary angiography (CA) in congestive heart failure (CHF) patients with no history of ischemic heart disease and to identify predictive factors for performing coronary angiography to patients with congestive heart failure with no obvious ischemia. Methods :this is a cross-sestional study conducted Ibn al –Bitar center for cardiac surgery during a period between November 2009 and November 2010 ;all included patients have symptomatic LV dyfunctional with NYHA functional class II or more with no clinical evidence of IHD .History, physical examination had been performed for each patient , in addition ti blood tests ,ECG ,CXR, echocardiography and Coronary angiogriphy Results :Among 112 patients with symptomatic LV dysfunction of unknown cause enrolled in this study male :female ratio 3:1 their age (17 -77 years )there were 14 patients (12.5%)with significant Coronary artery disease , statistical analysis between CADand non CAD group show :the CAD were more common in male 11 patients (78% ) smokers(1)Were female , 25 patients (22.3%) were diabetic , 25 diabetic (22.3%) were hypertensive ,50 diabetic (44.6%) were smokers . 4 diabetic3.5) with family history of dilatedhyperlipidemia and 3 diabetic (2.6%) ) with family history ischemic heart disease (IHD in close relative at age <50 years in men and <55 years in women ) as demographic distribution of patients in table 1 .coronary angiography show that are 14 patients (12.5%) with significant coronary artery disease (CAD) and 98 patients (87.5%) with significant coronary artery disease . as shown in figure 1 . eleven patients (78%) of patients (22%) were female statistical analysis shows that the male is more predominant in CAD groups as shown in table 2 . twelve patients (85.7%) of patients with CAD were smokers while only 38 patients (38.7%) were smokers in non CAD group . statistical analysis shows there is significant difference between the two groups ( p value < 0.01 ) as shown in table 3 .nine patients (64.2%) of patients with CAD were diabetics while 16 patients (16.3%)were diabetics in non CAD group , statistical analysis shows there is significant difference between the two groups (p value < 0.005) as shown in table (3) .there is no statistical between the mean of left ventricular ejection fraction of CAD group ( 37 ±10 %) and that of non CAD (36±9 % ) , p value > 0.5 as shown in table 6 . figure 2 revealed that LAD lesion was most common coronary artery lesion which represent 12 (85%) followed by in order of frequency LCX 42 % ,RCA 28% and LMS 7% ; in addition to that 57% with single vessel disease ,14.2% with 2 vessel disease and 28.4%with r vessel disease (2)Leads , ST depression ≥1 mm or deep T wave inversion had been excluded ( https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/564 |
| spellingShingle | Wisam , s. taj al deen Hassan Ali farhan mahhdu s. al zaidi Coronary angiogriphy in left ventricular dysfunction patients with no clinical evidence of ischemic heart disease مجله كليه طب الكندي |
| title | Coronary angiogriphy in left ventricular dysfunction patients with no clinical evidence of ischemic heart disease |
| title_full | Coronary angiogriphy in left ventricular dysfunction patients with no clinical evidence of ischemic heart disease |
| title_fullStr | Coronary angiogriphy in left ventricular dysfunction patients with no clinical evidence of ischemic heart disease |
| title_full_unstemmed | Coronary angiogriphy in left ventricular dysfunction patients with no clinical evidence of ischemic heart disease |
| title_short | Coronary angiogriphy in left ventricular dysfunction patients with no clinical evidence of ischemic heart disease |
| title_sort | coronary angiogriphy in left ventricular dysfunction patients with no clinical evidence of ischemic heart disease |
| url | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/564 |
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