Prevalence and Clinical Importance of Coronary Artery Ectasia: Tertiary Center Experience
Journal Title: Istanbul Medical Journal - Year 2019, Vol 20, Issue 5
Abstract
Introduction: The incidence, prognostic significance, clinical features and risk factors of coronary artery ectasia (CAE) in patients undergoing coronary angiography were investigated. Methods: A total of 10.320 coronary angiographies performed between June 2015 and August 2018 in our clinic were analyzed retrospectively.CAE, defined as the enlargement of a coronary artery to 1.5 times or more than that of the local or commonly adjacent normal coronary artery segment and classified according to Markis classification. CAE was divided into two groups as mild and severe according to the degree of ectasia. Results: Of 189 patients (1.8%) with coronary ectasia, 143 were male (76%). One hundred and seven patients (57%) were smokers, 96 (51%) were dyslipidemic, 106 (56%) had hypertension and 43 (22%) had diabetes mellitus. In 92%, the symptoms were chest pain and dyspnea. Of 102 patients (54%) presenting with acute coronary syndrome, 43 (23%) were diagnosed as ST-segment elevation myocardial infarction, while 59 (31%) were diagnosed as non-ST segment elevation myocardial infarction or unstable angina pectoris. The right coronary artery was the most affected vessel from ectasia (54.5%, n=103). Type 3 ectasia was the most common (34.9%, n=66), while type 2 ectasia was the least common (10.6%). Hundred and twenty-nine (68.3%) of the patients had mild ectasia, while 60 (31.7%) had severe ectasia. During the threeyear follow-up, a total of 16 (8.4%) patients died, three of which were in-hospital and eight were cardiac-related. Conclusion: Although it is not common in the community, it is important to detect CAE, which is an important cause of mortality and morbidity, and to follow up the patients closely.
Authors and Affiliations
Ahmet Gürdal, Serhat Sığırcı, Kadriye Orta Kılıçkesmez
Keywords
Related Articles
- EP ID EP675956
- DOI 10.4274/imj.galenos.2019.27928
- Views 146
- Downloads 0
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