| Abstrakt: |
Introduction: Coronary heart disease (CHD) in Indians has reached an epidemic proportion and has the highest rate amongst all ethnic groups studied CAD occurring in Indians are often premature (<40 years of age) a generally follows a malignant course. The incidence of classical risk factors is low although high triglyceride, low HDL cholesterol, high Lp (a) level, hyperinsulinemia and central obesity show a substantial prevalence. Aims: To correlate the risk factors with coronary artery disease, angiographic characteristics individually in females, males, smokers, diabetics, patients with multiple risk factors and find out number of vessels involved in different subgroups. Materials and method: The present study was single centre institution based prospective study. This study conducted from Two years (from January 2014 to December 2015) in a tertiary care hospital of West Bengal. 50 patients were included in this study. Result: Proportion of male 40(80.0%) were higher than female 10(20.0%). Approximately one-fifth 9(18.0%) of the patients were Diabetes in this study. 16 (32.0%) patients had history of premature CAD. In this study, 33(66.0%) had no Hypertension but 1734.0%) had Hypertension. almost one third of the study population had Hypertension, again attributable to obesity, lack of exercise, smoking etc. Among arteries LAD was the most commonly involved (46.0%). Proximal lesion was more common, lesions were mostly focal, Patients with MI had thrombotic occlusion. Echocardiography showed RWMA in 18 cases (36.0%). This echo includes all patients with RWMA including ACS. ECG was found to be abnormal in 39 (78.0%) patients, in the form of ST-T changes, ST elevation, T wave changes. LV Dysfunction was present in 18 cases. In this study, 15(30.0%) patients were treated medically, PICA was done in 31(60%) patients and 4(8.0%) patients underwent CABG. Conclusion: we concluded that the risk factors with coronary artery disease, angiographic characteristics and number of vessels involved in different subgroups. [ABSTRACT FROM AUTHOR] |
