scholarly journals CORONARY ARTERY ECTASIA;

2017 ◽  
Vol 24 (04) ◽  
pp. 545-553
Author(s):  
Liaqat Ali ◽  
Naeem Asghar ◽  
Muhammad Yasir
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Descriptive Study ◽  
Type I ◽  
Age Group ◽  
Coronary Artery Ectasia ◽  
Study Materials ◽  
Coronary Ectasia ◽  
Artery Disease ◽  
Diagnostic Coronary Angiography

Background: Coronary artery ectasia (CAE) is well-recognized but relativelyuncommon finding during diagnostic coronary angiography. Coronary artery ectasia is definedas a segment of coronary artery that is 1.5 times more dilated in diameter than the nearbysegments. Its clinical presentations are unstable angina, coronary vasospasm, and acutemyocardial infarction. Objectives: To determine the clinical characteristics, presentation andtreatment in patients with documented coronary artery ectasia in a single Cardiac Centreat Faisalabad City Pakistan. Study Design: Retrospective descriptive study. Materials andMethods: This was a single center retrospective, descriptive study. Patients of either genderwith age 21-70 years who had coronary angiography at Faisalabad Institute of CardiologyFaisalabad were included in the study. Coronary angiograms performed from April 2013 toDecember 2016 were reviewed. Patients fulfilling inclusion and exclusion criteria were enrolled.Clinical and angiographic profiles of the patients having coronary ectasia were retrievedfrom hospital record. Clinical profile included: age, gender and cardiovascular risk factors.Angiographic profile; prevalence of coronary ectasia, type of ectasia, associated obstructivedisease and coronary vessel involved were noted. Results: Total 22235 patients under wentcoronary angiography from April 2013 to December 2016 at Faisalabad Institute of CardiologyFaisalabad. Out of 22235, 16913(76%) were male and 5322(24%) were female. Coronary arteryectasia (CAE) was observed in 1044(4.7%). Out of 1044, 931(89%) were male and 113(10.9%)were female patients. Mean age of study population was 49.5 ± 11.8 years. 368(31.97%) patientswith CAE were in age group of 51-60 years followed by age group 41-50 years. 672 (64.36%)were hypertensive, 433 (41.7%) were diabetics, smoker were 574(54.98%). 442(42.33%)patients presented with ST elevation MI. 750 (71.84%) patient had mild Ectasia, 155 (34.87%)were suffering from severe coronary Ectasia. 364 (34.87%) patients had associated obstructivecoronary artery disease. LAD was most commonly involved vessel in 392 (37.50%) followed byright coronary artery in 323 (30.94%). Type I ectasia was documented in 34.92%. Conclusions:In our study prevalence of CAE was 4.7%. CAE was more common in male, hypertensive,smokers and patients with Hyperlipedemia. Most common pattern of CAE was Type I andisolated ectasia without coronary artery obstruction. Left anterior descending artery was themost commonly involved vessel in ectasia followed by RCA.

scholarly journals Prevalence and Angiographic Characteristics of Coronary Ectasia in Adults: A Retrospective Study in a Tertiary Cardiac Centre of Nepal

2021 ◽  
Vol 18 (2) ◽  
pp. 11-14
Author(s):  
Satish Kumar Singh ◽  
Kiran Prasad Acharya ◽  
Chandra Mani Adhikari ◽  
Rikesh Tamrakar ◽  
Sanjay Singh KC ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Retrospective Study ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Coronary Aneurysm ◽  
Coronary Artery Ectasia ◽  
Arterial Segment ◽  
Coronary Ectasia ◽  
Cardiac Centre ◽  
Artery Disease

Background and Aims:  Coronary artery Ectasia is a relatively uncommon problem encountered during coronary angiography with the prevalence ranging from 1.2% to 4.9%.  Coronary artery Ectasia and aneurysm both denote an arterial segment the dimension of which is larger than normal arterial segment, both have diameter greater than 1.5 times of normal.  The length of dilate segment is greater than its width in Ectasia while less in aneurysm. There is an overlap between risk factors of coronary artery Ectasia and atherosclerosis. The clinical relevance in general, and the appropriate medical management of coronary artery Ectasia specifically, is ill defined, as no randomised prospective studies exists. The study was conducted with an aim to estimate the prevalence of coronary artery Ectasia and aneurysm as well as to study the angiographic characteristics of coronary artery Ectasia and aneurysm undergoing in adult patients’ coronary angiography in tertiary cardiac centre of Nepal. Methods: A retrospective study was conducted in Shahid Gangalal national heart centre, Nepal analysing the angiographic records from cardiac catheterization lab.  A total of 447 patients who underwent coronary angiography and meet the inclusion criteria from July, 2019 to December, 2019 were included in the study. Any angiographic evidence of coronary Ectasia and aneurysm, coronary artery involved and it’s extent were analysed and recorded in the proforma. In addition, any associated evidence of coronary artery disease was analysed and recorded in the proforma. Results: The findings of our study revealed the overall prevalence of coronary artery Ectasia (CAE) and Coronary artery Aneurysm as 2.6%. Coronary ectasia was most prevalent in left anterior descending (LAD) artery (83.3%), followed by RCA and left main in 66.7% and 16.7% respectively.   In contrast, Coronary aneurysm was mostly seen in RCA (66.7%) followed by LCX (33.3%). In addition, the study also showed the frequency of localised Ectasia as 50 % and the association of significant coronary artery disease with coronary artery Ectasia in 66.67%. Conclusion: CAE and aneurysm are rare phenomenon encountered in routine coronary angiography, with LAD and RCA being most commonly involved in CAE and coronary aneurysm respectively.   CAE and aneurysm have significant association with the coronary artery disease.

scholarly journals Demographic and clinic-angiographic profile of coronary artery disease in young adults: a retrospective observational study

2018 ◽  
Vol 6 (7) ◽  
pp. 2264 ◽  
Author(s):  
Lalatendu Swain ◽  
Prabhat Nalini Routray
Keyword(s):  
Young Adults ◽  
Heart Disease ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Observational Study ◽  
Young Patients ◽  
Retrospective Observational Study ◽  
Age Group ◽  
Artery Disease ◽  
One Year

Background: Cardiovascular diseases (CVD) and its complications are on an increased trend in the younger age group. In this study we aimed to identify the different risk factor profile and coronary angiographic characteristics of young adults presenting with coronary artery disease.Methods: We conducted this retrospective observational study at SCB MC and H and Ashwini Hospital, Cuttack, Odisha, India over a period of one year from June 2016 to June 2017 on 170 patients who undergone coronary angiogram. Inclusion criteria being patients admitted for STEMI, NSTEMI, or UA, age <40 years and those who underwent coronary angiography. All patients who underwent coronary angiography for surgical fitness e.g., patients of rheumatic heart disease and congenital heart disease were excluded from the study.Results: Among the 150 cases included in the study, 85.3%were males and 14.7% were females. Maximum number of cases i.e. 71.3% were in the age group 36-40 yr, while 23.3% were between 31-35 and 5.4% were between 25-30 age group. Among 150 cases with critical CAD, SVD was most prevalent seen in 68.7% cases, followed by DVD in 22.6% and TVD in 8.7% cases.Conclusions: Incidence of critical CAD in young adults is quite high. Young patients with CAD are mainly males, and SVD is more common. Comparative analysis of young patients with STEMI and NTEMI/ UA revealed that SVD was predominantly involved in STEMI group, whereas TVD was predominant in NSTEMI/UA group.

scholarly journals Article Commentary: Predictive Value of Absent Septal q Wave in Patients with Significant Stenosis of Proximal Left Anterior Descending Coronary Artery

2010 ◽  
Vol 4 ◽  
pp. CMC.S5135 ◽  
Author(s):  
Saeed Alipour Parsa ◽  
Anahita Shahnazi ◽  
Azadeh Malek ◽  
Eznollah Azargashb ◽  
Manijeh Mohammadi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Predictive Value ◽  
Kappa Statistic ◽  
Descriptive Study ◽  
Exact Role ◽  
Significant Stenosis ◽  
Artery Disease ◽  
Q Wave

Aims There is conflicting data about the predictive value of absent septal q wave in patients with significant stenosis of proximal Left Anterior Descending coronary artery. To clarify the exact role of this simple electrocardiographic sign we conducted this prospective descriptive study. Methods Patients who were referred for coronary angiography in Milad Hospital between December 2008 and September 2009 were chosen randomly. Standard ECG was performed and reviewed for presence or absence of septal q wave, and then the coronary angiography was done and reported by another cardiologist. Results Of 148 patients with absent septal q wave in ECG, 85 patients (57%) had significant stenosis of proximal LAD in coronary angiography. Statistical analysis showed that significant stenosis of proximal LAD could be predicted by absence of septal q wave in ECG with sensitivity of 59% and specificity of 47%. However, Kappa statistic (Kappa = 0.36) showed low agreement between them. Conclusion Absence of normal septal q wave in ECG could be a low value predictor of coronary artery disease mainly significant proximal LAD stenosis.

Homocysteine, vitamins B 6 , B 12 , folate, and risk of coronary artery disease in patients undergoing diagnostic coronary angiography

Amino Acids ◽  
2000 ◽  
Vol 18 (2) ◽  
pp. 139-146 ◽  
Author(s):  
I. Abdelmouttaleb ◽  
N. Danchin ◽  
I. Aimone-Gastin ◽  
F. Namour ◽  
M. Angioi ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Artery Disease ◽  
Diagnostic Coronary Angiography

scholarly journals Among Ectasia Patients with Coexisting Coronary Artery Disease, TIMI Frame Count Correlates with Ectasia Size and Markis Type IV Is the Commonest

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Hasahya Tony ◽  
Kai Meng ◽  
Bangwei Wu ◽  
Qiutang Zeng
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Flow Velocity ◽  
Coronary Arteries ◽  
Coronary Flow ◽  
Coronary Artery Ectasia ◽  
Timi Frame Count ◽  
Type Iv ◽  
Artery Disease

Background. Coronary artery ectasia (CAE) occurs in 0.3 to 5.3% of patients undergoing coronary angiography. TIMI frame count (TFC) is an index of coronary flow that correlates with flow velocity. In ectasia patients, there is delayed coronary flow with increased TFC.Methods.We evaluated angiograms of 789 patients for presence of CAE, coronary artery disease (CAD), and Markis type of CAE. We measured ectasia size and length and their correlation with TFC in ectatic right coronary arteries (RCA) of patients with CAE and CAD.Results.30 patients had CAE (3.8%). Of these 16.7% had isolated CAE, while 83.87% had CAE and CAD. Among CAE and CAD patients, the RCA was most involved (70.4%), and Markis type IV CAE was the commonest (64%). In isolated CAE, the RCA, LAD, and LCx were equally involved (33.3%). Patients with CAE and CAD had significantly higher TFC compared to controls,P=0.035. There was a positive correlation of moderate strength, between ectasia size and TFC,r(17) = 0.598,P=0.007. Ectasia length was not significantly correlated with TFC, rho (17) = 0.334,P=0.163.Conclusion.Among patients undergoing angiography, CAE has a prevalence of 3.8% and Markis type IV is the commonest. Larger ectasias are associated with slower coronary flow.

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