ANGIOGRAPHIC FEATURES OF PATIENTS WITH CORONARY ARTERY ECTASIA COMPARED WITH STENOTIC CORONARY ARTERY DISEASE

Abstract

Objective: To determine the frequency of CAE and CAD among patients undergoing coronary angiography.

Study Design: Descriptive cross sectional study.

Place and Duration of Study: Adult cardiology department in AFIC/NIHD Rawalpindi, Six months after approval of synopsis, from Oct 2018 to May 2019.

Methodology: After meeting the inclusion criteria 300 patients were enrolled. Patients admitted in AFIC/NIHD with angina/STEMI/NSTEMI or positive ETT for Ischemia. Coronary angiogram was done by resident cardiologist. Two distinct cardiologists or resident cardiologists reported the angiograms including the coronary artery anatomy and the presence of ectatic segmentsor any stenotic lesions in each vessel. All the collected data
 entered and analyzed on SPSS version 23.

Results: Patients mean age was 58.23 ± 11.73 years. The male to female ratio was 14:1. CAE was detected in 53 (17.7%) patients of coronary angiography. Stenotic CAD was most frequent in coronary arteries i.e. LAD (77.7%), RCA (72.9), LCX (50.2%) and then LMS (8.5%). Coronary artery ectasia occurred more in RCA (47.2%), followed by LAD (32.1%), LCX (17%) and LMS (3.8%).

Conclusion: Patients with CAE presents with chest pain and angina and undergo extensive intervention thus negating its benign nature. The occurrence of CAE is also different among the LAD, LCX and RCA when compared to CAD.