Pattern of left main stenosis at a tertiary cardiac center of Nepal
Journal Title: Nepalese Heart Journal - Year 2017, Vol 14, Issue 1
Abstract
Background and Aims: Left main stem stenosis is defned as a lesion occupying more than 50% of the lumen diameter. Various studies have shown that left main stem stenosis occurs in 4%-6% of all the patients undergoing coronary angiography. We aim to fnd out the pattern of Left main stem disease in cardiology department of a tertiary cardiac center of Nepal. Methods: : This was a retrospective study and was conducted from the properly maintained record of 2 years (August 2011 to July 2013) from cardiaccatheterization labs of Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal. Results: During the study period 3290 coronary angiogram were done. Among them 102 (3.1%) patients had left main stem stenosis of more than 50%. Mean age of the patients with left main stem stenosis was 60.6±10.1yrs. Most of (73.5%) of patients with left main stem stenosis were of age more than 55 years. Most (80.3%) of them were male. Ostial left main stem stenosis was present in 32 (31.3%) patients whereas distal left main stem stenosis was present in 70 (68.6%) patients. In patients with Left main stem stenosis, single vessel disease was present in 12 (11.7%), double vessel disease in 33(32.3%) and triple vessel disease in 49 (48.0%) patients, whereas 8 (7.8%) patients with non-critical coronary artery disease. Conclusion: Left main stem disease is not an uncommon angiographic fnding and is often associated with multivessel coronary artery disease. It commonly occurs in distal part of vessel and the patients were older males.
Authors and Affiliations
Binay Kumar Rauniyar| Department of Cardiology, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal, Milan Gautam| Department of Cardiology, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal, Ranjit Sharma| Department of Cardiology, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal, Subodh Bir Singh Kansakar| Department of Cardiology, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal, Rajib Rajbhandari| Department of Cardiology, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal, Arun Maskey| Department of Cardiology, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal, Rabi Malla| Department of Cardiology, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal
Keywords
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- EP ID EP15780
- DOI http://dx.doi.org/10.3126/njh.v14i1.17193
- Views 368
- Downloads 20
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