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TITLE:

ANGIOGRAPHIC CHARACTERISTICS AND INCIDECNE RATE OF CORONARY ARTERY ECTASIA

AUTHORS:

Dr Nida Pervaiz, Dr Mushal Munem Mir, Dr Izaz Ali Khan

ABSTRACT:

Objective: To determine the incidence rate of CAE (Coronary Artery Ectasia) in the patients and their angiographic traits. Methodology: A retrograde research work carried out on all the angiograms of coronary artery conducted in Allied Hospital Faisalabad. The duration of this study was from November 2016 to December 2019. We performed a follow up of two year to examine the primary as well as secondary endpoints. The collection of the data carried out from the catheterization films and clinical records of the patients. Results: Total 5000 coronary angiograms were conducted in the duration of this research work. A sum of total 2.8% (n: 140) angiograms displayed the coronary ectasia of both pure as well as mixed types. Pure ectasia without coronary obstructive abrasions was present in 1.5% (n: 75) patients. The most frequent affected vessel was LAD (Left Anterior Descending) artery (63.0%) followed by RCA (Right Coronary Artery) 25.0% and 10.0% patients were present with the involvement of the circumflex artery. Primary endpoint stated 4.20% (n: 6) patients with non-ST myocardial infarction elevation, 3.60% (n: 5) patients with ST elevation inferior wall Myocardial Infarction, 50.0% (n: 70) were present with unstable angina and there were 1.40% (n: 2) deaths because of the pulmonary edema. The secondary endpoints stated that 50% patients were still complaining the pain in chest. Conclusion: The rate of incidence of Coronary Artery Ectasia in the patients of this research work was 1.50%. Most of the patients were from male gender, having association with dyslipidemia, HTN (Hypertension) and habit of cigarette smoking. There was association of the coronary artery ectasia with the disease of obstructive coronary artery in 80% patients. The most common affected vessel was Left Anterior Descending artery. KEYWORDS: Vessel, Left Anterior Descending, Right Coronary Artery, Hypertension, Coronary Artery Ectasia, Coronary, Obstructive, Ectasia.

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