Study of Coronary Domination in North Indian Population
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Background: Coronary artery disease is one of the major reasons for death in developing countries like India. Dominance pattern of the heart has an important clinical significance. Left dominant anatomy is believed to be associated with worse prognoses for patients with acute coronary syndrome and stable coronary artery disease. Not much study has been done in North India regarding dominance of coronary artery. This study was to determine the pattern of coronary artery dominance in North Indian hearts. Results: This study was carried on 76 specimens of cadaveric hearts and observed for the dominance of coronary arteries. Out of 100 specimens studied, the posterior interventricular artery originated from RCA (right coronary artery) in 83 (83%) cases, in 14 (14%) cases posterior interventricular artery originated from LCA, in 3 (3%) cases posterior interventricular artery originated from both RCA and LCA Conclusions: Considering the risk of higher mortality in left coronary dominance and coronary co-dominance pattern, more prevalence of myocardial infarction in left coronary dominance.. This study would be helpful to the cardiologists, radiologists and surgeons of North India.
Authors and Affiliations
DrVishram Singh, Mr. Suresh Babu Kottapalli, Dr. Rakesh Gupta, Dr. Nitin Agarwal, Dr. Yogesh Yadav
Keywords
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