A review of ECG changes and coronary angiographic findings in patient underwent angiography
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 10
Abstract
Introduction: Chest pain is one of the important clinical presentation in coronary artery disease. Patient with or without symptoms irrespective of electrocardiogram changes may or may not have significant coronary angiography changes. Whatever changes are seen on ECG findings may not be the actual lesion seen in coronary angiography. Objective: To determine whether significant electrocardiogram changes is associated with strong involvement of coronary angiography morphology changes. Material and Methods: A cross sectional study was carried out for the period of one Year in Department of Cardiology, Bharati Vidyapeeth Medical College and Hospital, Sangli. 100 patients above 20 years of age, symptomatic patient, asymptomatic patient with electrocardiogram changes, patients who are willfully opting for coronary angiography were included in the study. Patients with previously diagnosed ischemic heart disease and underwent PTCA or CABG are excluded. Coronary angiography either from femoral or radial artery was done. The patients were divided into three groups depending on ST segment elevation or depression. Coronary angiography either from femoral or radial artery was done. The results of coronary angiography were carefully interpreted. Statistical analysis was done using Microsoft excel and necessary STATISTICAL ANALYSIS SOFTWARE was used where necessary. Results: Majority of patients were in age group 51-60 years (34%) with male predominant. In clinical presentation, majority of patients presented with chest pain (96%). The majority of patients presented with single vessel occlusion (36%). 15% of patients were having normal coronary angiography. The association between ECG findings and coronary occlusion was not statistically significant. Conclusion: It was concluded that patient with significant ECG change had more extensive coronary artery involvement than the patients with less significant ECG change.
Authors and Affiliations
Ravikant Patil, Pankaj Palange, R B Kulkarni, Atul Jankar
Keywords
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