FREQUENCY OF COMMON MODIFIABLE RISK FACTORS IN PATIENTS WITH MYOCARDIAL DAMAGE UNDERGOING SINGLE VESSEL CORONARY ANGIOPLASTY

Abstract

Objective: To determine the frequency of common modifiable risk factors in patients with myocardial damage undergoing single vessel coronary angioplasty.

Study Design: Descriptive study.

Place and Duration of Study: Armed forces Institute of Cardiology/National institute of Heart Disease Rawalpindi from June 2012 to Nov 2013.

Patients and Methods: Hundred patients undergoing elective single vessel percutaneous coronary angioplasty were evaluated with creatinine kinase and creatinine kinase MB levels before, after 8 hours and 24 hours following coronary angioplasty. The detailed performa was filled from each patient covering the necessary variables.

Results: Out of 100 patients 22% had raised creatinine kinase at 8 hours and 43% had raised creatinine kinase after 24 hours following coronary angioplasty. Whereas 19% patients and 38% patients had raised creatinine kinase MB levels at 8 hours and 24 hours following the procedure respectively. No patient had rise of creatinine kinase or creatinine kinase MB more than 3 times of normal limits in the study. Among patients with raised CKMB highest frequency was of diabetes mellitus, raised LDL levels, smoking and hypertension.

Conclusion: Patients with raised CK-MB levels after 1st day of coronary angiography had diabetes mellitus (84%), raised LDL levels (79%), smoking (68%) and hypertension (58%).