| Abstrakt: |
lschemic heart disease is a leading cause of death worldwide which may present as a stable ischemic heart disease . The diagnosis depend on history and clinical examination in addition to electrocardiography and echocardiography. In patients with normal electrocardiography and echocardiography and have low to intermediate risk of ischemic heart disease, we need another tools like exercise stress test which include duke treadmill score as a composite score to evaluate the patient with ischemic heart disease. SYNTAX score is an angiographic scoring system that is widely used to evaluate the severity and complexity of cardiovascular disease in catheterization laboratory. The aim to look at the prevalence of ischemic heart disease and its culprit electrocardiography changes during or after exercise and calculate duke treadmill score. Then after prospectively looking at coronary angiographic findings and its syntax score. To assess if there any anatomical association between positive electrocardiographic changes, coronary angiography and duke treadmill score. A cross sectional study, out of 280 patients who attended exercise treadmill test unit in Saladin General Hospital during the period from June 2017 to June 2019, one hundred patients of them had positive stress test. sixteen patients refused coronary angiography and complete analysis done for 84 patients. In this study, two-third of patients with positive treadmill test were with significant lesions which more significant in gender, high BMI, and smoking and residual one third with the normal result or no significant lesion. In this study, there is no association between ST depression and culprit lesion in angiography except in complex coronary diseases which give an extensive ST depression in stress time. In this study, there is a significant association between high-risk duke treadmill test and the extent of coronary artery disease (p < 0.0001) and a significant relation between duke treadmill score and syntax score (p 0.0001). [ABSTRACT FROM AUTHOR] |
