scholarly journals PATTERN OF CORONARY ARTERY DOMINANCE IN KASHMIRI POPULATION—AN ANGIOGRAPHY STUDY

2020 ◽  
pp. 1-2
Author(s):  
Sayma Samoon ◽  
Syed Manzoor Ali Andrabi ◽  
Mohd Saleem Itoo

Background: .In developing countries like India CAD is one of the major causes of death. The pattern of coronary artery dominance has a significant clinical role. Left dominance is said to be associated with increase in acute coronary syndrome. The aim of this study was to determine the pattern of coronary artery dominance in Kashmiri population. Materials and Methods : The study was carried on 150 patients above 18 years of age who after routine clinical evaluation were to undergo coronary angiography for various indications and their angiogram was labelled as normal by cardiologist. Results: A total of 150 patients were included in the study, among them 102 were male and 48 were female patients. The mean age for females was 56.4±10.22 years with range from 40-89 years. The mean age of males were 56.1±10.83 years with range from 30-89 years. Right coronary artery was dominant in 130 (86.67%) subjects, left coronary artery was dominant in 15 (10%) subjects and co-dominant circulation was found in 5(3.33%) subjects. Conclusion: The right coronary artery dominance is more prevalent in Kashmiri population. Knowledge about coronary artery dominance provides helpful information to anatomist and is essential for interventional cardiologist.

Aorta ◽  
2021 ◽  
Author(s):  
Mahmoud Abdelnabi ◽  
Fady Gerges ◽  
Yehia Saleh ◽  
Eman Elsharkawy ◽  
Mohamed Sanhoury ◽  
...  

AbstractA single coronary artery is an exceedingly rare anomaly. Hereby, we present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and additionally one of those LADs running a malignant intra-arterial course.


2010 ◽  
Vol 139 (3) ◽  
pp. e44-e46 ◽  
Author(s):  
Emine Bilen ◽  
Ayse Saatci Yasar ◽  
Mehmet Bilge ◽  
Fatih Karakas ◽  
Ozgur Kırbas ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Nicholas Mencer ◽  
Larry Todd Justice ◽  
William Black ◽  
Kayleigh Litton

Takotsubo syndrome (TTS) is an increasingly recognized heart disease that was initially regarded as a benign condition, but since has proven to cause irreversible myocardial damage, resembling that of acute coronary syndrome (ACS). The etiology of TTS is still uncertain but may be associated with catecholamine elevations during times of emotional or physical stress. Catecholamines are also understood to have prothrombotic properties, which could lead to ACS. With these similarities, differentiating these two pathologies can be difficult, especially when TTS and ACS occur simultaneously.


2014 ◽  
Vol 17 (4) ◽  
pp. 196
Author(s):  
Erhan Kaya ◽  
Halit Yerebakan ◽  
Daniel Spielman ◽  
Omer Isik ◽  
Cevat Yakut

Occlusion of a coronary artery by an acute type A aortic dissection presents a life-threatening emergency that is rarely seen and easy to misdiagnose. We present the case of a 75-year-old male who experienced sudden onset of severe left-sided chest pain due to an acute type A aortic dissection that obstructed the right coronary artery. Following an initial misdiagnosis of acute coronary syndrome, imaging revealed the presence of an aortic dissection. An emergency modified Bentall procedure was performed, in which the damaged aorta and aortic valve were replaced.


2021 ◽  
pp. 8-11
Author(s):  
Saroj Mandal ◽  
Sidnath Singh ◽  
Kaushik Banerjee ◽  
Aditya Verma ◽  
Vignesh R.

Background: The treatment of LMCAD has shifted from coronary artery bypass grafting (CABG) to Percutaneous coronary intervention (PCI). However, data on long-term outcomes of PCI for LMCA disease, especially in patients with acute coronary syndrome (ACS) remains limited and conicting. This study aims to nd the association of the immediate and 4-year mortality in ACS patients with LMCA disease treated by PCI based on ejection fractions at admission. Methods: A retrospective analytical study was conducted. Patients were divided at admission into those with reduced left ventricular ejection fraction and those with preserved ejection fraction. Results: Forty (58.8%) of the patients presented with preserved EF. The mean age of the patients was 71.6±7.1 years. The mean LVEF of the preserved group was 61.6±4.3% and signicantly higher than that of the reduced group. Age and cardiovascular risk factor prole was similar between the two groups. Patients with reduced ejection fraction had signicantly higher levels of serum creatinine and signicantly lower levels of Hb and HDL. Mean hospital stay was signicantly longer for patients with preserved EF. In-hospital deaths were also similar between the two groups. The reduced EF group had a signicantly higher allcause mortality in the 4-year follow-up period. The mean years of follow-up for all participants was 4.2±1.3 years. Conclusion: It was seen that in patients presenting with ACS and undergoing PCI due to LMCAD, LVEF at admission, singly and in in multivariate regression is an important predictor of in hospital and 4-year mortality


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