Frequency of triple vessel disease in patients with and without anterior wall STEMI undergoing coronary angiography.
BACKGROUND: Among the different forms of coronary artery disease, ST elevation myocardial infarction (STEMI) has the highest in-hospital mortality. Triple vessel disease is seen commonly in STEMI patients.
AIMS AND OBJECTIVE: To determine the frequency of triple vessel disease in patients with and without anterior wall STEMI.
MATERIAL AND METHODS: It was a descriptive cross-sectional survey. The study was conducted in Cardiology Department, Shaikh Zayed Hospital, Lahore from June 9, 2018 to December 9, 2018. 190 cases fulfilling inclusion/exclusion criteria were recruited. Physical examination, ECG and biomarkers were done (CPK, troponin test level estimated). Blood sugar and lipid profile was done for all the patients as a routine and treated accordingly. Coronary angiography was planned and done according to departmental protocols. Frequency of triple vessel disease in these cases was recorded.
RESULTS: In this study, frequency of anterior wall STEMI in patients presenting with coronary artery disease was calculated as 70(36.84%). Comparison of frequency of triple vessel disease in patients with and without anterior wall STEMI presenting with coronary artery disease shows 13(10.83%) in cases without anterior wall STEMI and 45(35.71%) in anterior wall STEMI, p-value was 0.000001.
CONCLUSION: Triple vessel disease is more common in anterior wall STEMI as compared to those without it.
KEY WORDS: Coronary artery disease, anterior wall STEMI, triple vessel disease.
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