Introduction: Coronary heart disease (CHD) is a major cause of mortality and morbidity all over the world. According to a report of World Health
Organization (WHO) in 2005, cardiovascular disease (CVD) caused 17.5 million (30%) of the 58 million deaths that occurred worldwide. While
the prevalence and mortality due to CHD is declining in the developed nations the same cannot be held true for developing countries.
Aims And Objective: This study aimed to establish the role of Gray Scale USG and carotid artery Doppler study as a leading investigation in
general population presenting with Stable Ischemic Heart Disease. It intended to evaluate the frequency and degree of carotid artery stenosis in
these patients & also assess the morphology of atherosclerotic plaque and IMT which are clearly related to pathogenesis and aid in planning and
management.
Materials And Methods: Adult persons attending to Nilratan Sircar Medical College & Hospital, Kolkata both at OPD and Ward, with Stable
Ischemic Heart disease that has undergone coronary angiography were chosen as the Study population.
Result And Analysis: Our study showed that 62 % of the patients were above 60 years of age. 84 % of our patients were male.74% of our patients
had history of smoking. 70 % of our patients had type 2 diabetes mellitus. 72 % of our patients were dyslipidemic. 78% of the patients were
hypertensive. 80 % of patients had increased carotid artery tunica intima media thickening. 66 % of patients had presence of atheromatous plaque in
carotid arteries.
Summary And Conclusion: However, our study did corroborate with the other available studies except for few deviations like increased number
of modiable risk factors in our group. Our study clearly demonstrated Metabolic syndrome –X as a strong risk factor for ischemic heart disease
and also suggested early medical treatment can prevent future recurrence. Larger multicentric trials may be necessary in future, for further
validation
Role of Imaging in the Management of Stable Ischemic Heart Disease
