scholarly journals Coronary Angiographic Findings Among the Left Bundle Branch Block Patients

2018 ◽  
Vol 12 (2) ◽  
pp. 88-90
Author(s):  
Abu Tarek Iqbal ◽  
Md Ayub ◽  
Md Salehuddin ◽  
Khurshed Ahmed
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Left Bundle Branch Block ◽  
Care Hospital ◽  
Age Group ◽  
Bundle Branch Block ◽  
Female Ratio ◽  
Vessel Disease ◽  
History Of ◽  
Artery Disease

Introduction: Complete Left bundle branch block(LBBB) increases the risk of cardiac mortality, and prognosis is primarily determined by the underlying coronary artery diseases. The goal of this study was to determine the association of complete left bundle branch block (LBBB), with site, severity & risk factors of coronary artery disease (CAD) diagnosed by coronary angiogram(CAG).Methods: A total of 75 symptomatic patients with LBBB were evaluated in a one year period by coronary angiography in a tertiary care hospital of Chittagong, Bangladesh. Standard protocol and procedure were followed during doing both ECG and CAG. All data were compiled and were analyzed by SPSS-20.Results: Among 75 patients analyzed male were 40(53.3%) and female was 35(46.67%). Male to female ratio was 1:1.14.. Among all 22(29.33%) patients were at age group <60 years, 48(64%) were at age group 40-60 years and 5(6.6%) were <40 years of age. 34(45.3%) patients were from rural community. Regarding risk factor analysis 19(25.2%) patients had DM, 16(21.33%) patients had different kinds of dyslipidemia, 8(10.6%) patients were obese, 3(4%) patients had high cholesterol(>400mg/dl), 26(34.66%) patients were hypertensive, 21(28%) were smoker, 2(2.66%) were taking jarda, 8(10.6%) patients had family history of coronary artery disease and one patients had history of alcoholism. Angiographic study revealed 6(8%) had single vessel disease, 16(21.33%) had double vessel disease, 5(6.66%) had triple vessel disease and 48(64.00%) patients had normal vessels.Conclusion: LBBB may be assoictaed with normal to variable involvement of coronary arteryUniversity Heart Journal Vol. 12, No. 2, July 2016; 88-90

To Determine the Frequency of Extent of Coronary Artery Disease (CAD) with Troponin-I level >10 folds ULN in NSTEMI Patients at Tertiary Care Hospital

2021 ◽  
Vol 15 (9) ◽  
pp. 2757-2762
Author(s):  
Vinesh Kumar ◽  
Fawad Ali Siddiqui ◽  
Kiran Irfan ◽  
Muhammad Adeel Qamar ◽  
Ghulam Jaffar Shah ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Troponin I ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Vessel Disease ◽  
The Mean ◽  
Artery Disease ◽  
Single Vessel Disease

Introduction: Higher levels of troponins >10 folds of upper normal limits (UNL) are considered as high-risk patients on coronary angiography sufferers having high levels of troponin-I (>10 folds upper limit normal level) had extra three-vessel coronary artery disease involvement. Objectives: To determine the frequency of degree of cardiovascular disease with Troponin-I level >10 folds ULN in NSTEMI patients at tertiary care hospital. Methodology: It is a cross-sectional study comprising of a total 800 patients recruited from the Department of Cardiology, National Institute of Coronary Disease, Karachi Pakistan based on Exclusion/Inclusion criteria. Results: There are 678 male as well as 122 female patients. The mean troponin-I level was 15.00±6.82 ng/ml. Single vessel disease found in 25.25% cases, two vessel diseases were observed in 37.75% cases, and three vessel diseases were observed in 20% cases. 83% were found with extent of CAD findings on angiography. There have been 678 male and also 122 female patients. The mean troponin-I level was 15.00±6.82 ng/ml. Single vessel disease found in 25.25% cases, two vessel diseases were observed in 37.75% cases, and three vessel diseases were observed in 20% cases. 83% were found with extent of CAD findings on angiography. Conclusion: The higher troponin level found significantly associated with extent of CAD and three vessel disease. To understand the cardiovascular troponin condition of the sufferer as soon as feasible is crucial. Keywords: Extent of Coronary Artery Disease, NSTEMI, Troponin-I Level >10 Folds ULN

Proarrhythmic influence of flecainide in coronary artery disease

2017 ◽  
Vol 4 (45) ◽  
pp. 30-32
Author(s):  
Agnieszka Wojdyła-Hordyńska ◽  
Grzegorz Hordyński ◽  
Arash Arya
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Left Bundle Branch Block ◽  
Electrical Storm ◽  
Reentrant Tachycardia ◽  
Bundle Branch Block ◽  
Vessel Coronary Artery Disease ◽  
Artery Disease ◽  
Vessel Coronary Artery

A 61-year old man with a double-vessel coronary artery disease presented an electrical storm 5 days after flecainide introduction. On the basis of 12-lead ECG, and consequently electrophysiologic examination a bundle branch reentrant tachycardia with left bundle branch block morphology was diagnosed. Right bundle branch ablation was performed and the tachycardia was uninducible.

scholarly journals Relationship between Hemoglobin A1c Level and Severity of Coronary Artery Disease Among The Hospitalized Patients with Acute Coronary Syndrome

2018 ◽  
Vol 33 (2) ◽  
pp. 80-84
Author(s):  
Syed Dawood Md Taimur ◽  
Sahela Nasrin ◽  
M Maksumul Haq ◽  
MA Rashid ◽  
Hemanta I Gomes ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Hemoglobin A1c ◽  
Diabetic Patients ◽  
Age Group ◽  
Coronary Syndrome ◽  
Vessel Disease ◽  
Group A ◽  
Artery Disease ◽  
Group B

Background : Diabetes mellitus is one of the important risk factors for coronary artery disease. The hemoglobin A1c is used for evaluating glycemic control in diabetic patients. Here, we conducted the study to evaluate the relationship between HbA1c level and severity of coronary artery disease among the hospitalized patients with ACS. Materials & Methods : This cross sectional study was conducted in the department of Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh from September 2015 to December 2015. Total of one hundred patients were studied and they were grouped on the basis of their glycaemic status. One hundred patients with acute coronary syndrome were enrolled in this study. Out of them fifty were diabetic (HbA1c>6.5%) and rest of were nondiabetics (HbA1c<6.5%) ( group-A and B). Results: Out of one hundred patients fifty eight were male and fourty two were female. Mean age of patients in group-A was 58.54±10.22 years and mean age of patients in group-B was 54.52±13.69 years. Mean age of male and female was 57.72±11.48 years and 54.0±13.08 years respectively. Mean HbA1c of patients in group-A was 11.43±1.43% and group-B was 6.34±0.915%. 38% of group-A and 22% of group-B had triple vessel disease, 26% of group-A and 20% of group- B had double vessel disease and 28% of group-A and 18% of group-B had single vessel disease, and 8% of group-A and 40% of group-B had normal coronary arteries. 48% patients of age group 46-50 in group-A had more incidence in coronary artery disease than other age group which was statistically significant ( p=0.035). 61-75 years age group in group-B patients had coronary artery disease than other age groups which was statistically not significant(p=0.084). Patients of group-A was significantly relation with coronary artery disease (p>.001) and six times greater coronary artery disease than patients of group-B (OR= 6.15, 95% CI for OR =2.074 -18.289). Conclusions: In this way the importance of appropriate glycaemic control has been emphasized in diabetic patients. This study showed the relation between HbA1c levels and the severity of CAD in patient with type-II diabetes mellitus .Our findings demonstrate that elevated HbA1c level was risk factor for severity of coronary artery disease in ACS patients. Bangladesh Heart Journal 2018; 33(2) : 80-84

The Diagnosis of Coronary Artery Disease in Hypertensive Patients with Chest Pain and Complete Left Bundle Branch Block

2002 ◽  
Vol 27 (7) ◽  
pp. 510-515 ◽  
Author(s):  
MAURO FEOLA ◽  
ALBERTO BIGGI ◽  
FLAVIO RIBICHINI ◽  
GIANFRANCO CAMUZZINI ◽  
EUGENIO USLENGHI
Keyword(s):  
Coronary Artery Disease ◽  
Chest Pain ◽  
Coronary Artery ◽  
Left Bundle Branch Block ◽  
Bundle Branch Block ◽  
Hypertensive Patients ◽  
Artery Disease
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