Pitfalls in comparison of coronary artery measurements of Indian population with different geographical area studies

Autor: S.M. Ashraf, K.R. Subramanyam, Paul Divia Aricatt, C. Narasimhan, S. Ajith Mullasari, S.H. Subba, J. Ezhilan, Ramakrishna Avadhani
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
RD1-811
medicine.medical_treatment
RAM
Ramus
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary Angiography
DIAG
Diagonal
Coronary artery disease
03 medical and health sciences
0302 clinical medicine
LCx (OP)
Left circumflex coronary artery
Percutaneous Coronary Intervention
RCA (OP)
Right coronary artery
Internal medicine
Angioplasty
Ethnic differences
medicine
OM
Obtuse Marginal
Diseases of the circulatory (Cardiovascular) system
Gender differences
Humans
Morphological significance
030212 general & internal medicine
Angioplasty
Balloon
Coronary
Body surface area
business.industry
LAD (OP)
Left anterior descending artery (OstiumProximal part)
Indian population
LMCA
Left main coronary artery
Normal coronary artery measurements
BSA
Body surface area
medicine.disease
Coronary arteries
medicine.anatomical_structure
Multi-centre study
RC666-701
Conventional PCI
Coronary vessel
Cardiology
Surgery
Original Article
Cardiology and Cardiovascular Medicine
business
Artery
Zdroj: Indian Heart Journal
Indian Heart Journal, Vol 73, Iss 3, Pp 347-352 (2021)
ISSN: 2213-3763
0019-4832
Popis: Introduction Coronary artery disease (CAD) is the most common cause of morbidity and mortality especially in the developing countries. Coronary artery measurements (CAM) are the most important factor affecting the procedure and outcome of coronary angioplasty (PCI) as well as coronary by-pass operations (CABG). In this study, we aimed to establish a database for the normal CAM as well as for gender difference among the Indian population using quantitative coronary angiography (QCA) with an objective of assessing normal coronary vessel morphology of patients with normal coronaries. Materials and Methods Four thousand angiograms from patients of Indian origin were studied prospectively after procuring the sanction for the same from the ethical committee of the pre-selected hospitals of four states in India. Informed consents were obtained. Post CABG, post PCI patients and patient being diabetic for ≥5 years were also excluded from the study. Results Ten segments from right and left coronary arteries were taken for diameter measurements. These coronary diameters were indexed to body surface area (BSA) (mean diameter mm/m2 BSA). Among, 4,000 patients, 933(23.3%) [M:F-521:412] had normal coronaries and 3,067 (76.7%) were diseased. Discussion and conclusion The dimensions of the coronary artery segments of Indians were smaller (in BSA indexed and non-indexed data), compared to studies from other continents which can be due to their smaller BSA.
Databáze: OpenAIRE
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