CLINICAL AND ANGIOGRAPHIC PROFILE OF CALCIFIC VS. NON-CALCIFIC CORONARY LESIONS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 25
Abstract
BACKGROUND We wanted to assess the clinical and angiographic characteristics associated with coronary lesion calcification as compared to non-calcified lesions in those with significant angiographic stenosis. METHODS This was a cross-sectional, descriptive, analytical, single centre study of 120 patients who were diagnosed with significant angiographic coronary artery disease during April 2018 to June 2018. Patients were divided into two groups; those with calcified lesions and those with non-calcified lesions. Calcified and non-calcified coronary lesions were compared retrospectively for any difference in clinical, investigatory and coronary angiographic data. RESULTS A total of 120 patients were included in this study. 52 patients had calcified lesions and 68 patients had non-calcified lesions. Mean age was higher in the calcified group (59 years vs. 51 years p 0.003). Multivessel disease with proximal LAD involvement and coronary ectasia were significantly more in calcified group (29% vs. 6% p 0.01 and 29% vs. 5% p 0.001 respectively). Higher lesion complexity was seen more in calcified lesions (SCAI lesion category IV 32% vs. 7% p 0.03; ACC-AHA lesion category C 46% vs. 23% p 0.04). Chronic total occlusion was more often seen in calcified group (52% vs. 23%, p 0.003). CABG was the most proposed treatment in calcified group compared to PCI in non-calcified group (40% vs. 24% p 0.04 and 47% vs 27% p 0.02 respectively). CONCLUSIONS The present study concluded that higher lesion severity, total occlusion and ectasia was more frequently seen in calcified lesions and consequently coronary artery bypass graft surgery was more frequently advised to patients with calcified lesions. Calcification in the coronary artery was more commonly seen in older patients. Other traditional risk factors were comparable between the calcified and non-calcified group.
Authors and Affiliations
Gailin B. Sebastian, Vivek Pillai, Ashraf Safiya Mansil
Keywords
Related Articles
- EP ID EP668375
- DOI 10.18410/jebmh/2019/348
- Views 77
- Downloads 0
A STUDY OF AETIOLOGY, CLINICAL FEATURES, ECG, ECHOCARDIOGRAPHIC FEATURES OF CARDIAC TAMPONADE
BACKGROUND Cardiac tamponade is a life-threatening, slow or rapid compression of the heart due to the pericardial accumulation of fluid, pus, blood, because of effusion, trauma or rupture of the heart. It was an observat...
ANTIHYPERTENSIVE DRUG USE IN DIABETICS: A DRUG UTILIZATION STUDY
Diabetes is a multisystem metabolic disorder complicated by concurrent presence of hypertension. Patients with both disorders have multifold chances of developing complications. Appropriate treatment of hypertension is k...
A PROSPECTIVE STUDY ON OUTCOME OF ENDOSCOPIC OPTIC NERVE DECOMPRESSION FOR VISUAL LOSS AFTER CRANIO - ORBITAL TRAUMA
Optic nerve damage after cranio-orbital trauma is Traumatic Optic Neuropathy (TON). The optic nerve may be damaged directly or indirectly after cranio-orbital trauma as a result of transection of nerve fibers, interrupti...
GENITAL TUBERCULOSIS PRESENTING AS PRIMARY AMENORRHEA
Incidence of Extrapulmonary TB (EPTB) is increasing in young women throughout the world. We report a case of young woman apparently having no sings & symptoms of Tuberculosis. CASE REPORT: 18 years young female patient w...
PREOPERATIVE SERUM ALBUMIN LEVEL AS A PREDICTOR OF SURGICAL COMPLICATIONS AFTER EMERGENCY ABDOMINAL SURGERY
BACKGROUND Pre-operative nutritional status has been an important factor related to morbidity and mortality in surgical patients, of which hypoalbuminemia has been shown to have direct association with increased complica...