Frequency of various coronary risk factors in patients with acute coronary syndrome having coronary ectasia

Authors

  • Ali Ashar Punjab Institute of Cardiology, Lahore
  • Taimur Ahmad Punjab Institute of Cardiology, Lahore
  • Salman Munir Rehbar Rangers Medical College, Lahore
  • Muhammad Hassan Iqbal Punjab Institute of Cardiology, Lahore
  • Zameer ul Asar Rawalpindi Medical University, Rawalpindi
  • Syed Asif Ali Punjab Institute of Cardiology, Lahore

DOI:

https://doi.org/10.55958/jcvd.v18i1.76

Keywords:

Coronary factors, acute coronary syndrome, coronary ectasia, hypertension, diabetes, hyperlipidemia, smoking

Abstract

BACKGROUND: Coronary artery ectasia (CAE) is the aneurysmal dilatation of coronary arteries, which can be local or generalized. It is deliberated as the variant of coronary atherosclerosis. CAE occurs due to several risk factors of cardiovascular diseases.

AIMS AND OBJECTIVE: To assess the frequency of various coronary risk factors in patients with acute coronary syndrome having coronary ectasia.

MATERIAL AND METHODS: This cross sectional study was carried out at the department of cardiology, Mayo hospital, Lahore over the duration of 6 months from 01-11-2017 to 30-04-2018. Total 135 patients fulfilling the selection criteria were recruited. History of patient regarding coronary risk factors was obtained including DM, smoking, hypertension and hyperlipidemia.

RESULTS: The mean age of patients was 59.70±11.29years. There were 75 (55.6%) males and 60 (44.4%) females. The mean BMI of patients was 27.43±4.77kg/m2. In this study, 39 (28.9%) had STEMI, 45 (33.3%) had NSTEMI while 51 (37.8%) had UA. In this study, 93 (68.9%) patients had hypertension, 41 (30.4%) patients had diabetes, 43 (31.9%) patients were smokers and66 (48.9%) patients had hyperlipidemia.

CONCLUSION: Frequency of certain risk factors causing coronary artery ectasia in patients having ACS is high in local population.

KEY WORDS: Coronary factors, acute coronary syndrome, coronary ectasia, hypertension, diabetes, hyperlipidemia, smoking.

Author Biographies

Ali Ashar, Punjab Institute of Cardiology, Lahore

Medical Officer

Taimur Ahmad, Punjab Institute of Cardiology, Lahore

Senior Registrar Cardiology

Salman Munir, Rehbar Rangers Medical College, Lahore

Consultant Cardiologist

Muhammad Hassan Iqbal, Punjab Institute of Cardiology, Lahore

Senior Registrar Cardiology

Zameer ul Asar, Rawalpindi Medical University, Rawalpindi

Assistant Professor of Cardiology

Syed Asif Ali, Punjab Institute of Cardiology, Lahore

Senior Registrar Cardiology

References

Shabbir M, Irfan M, Khan MN, Rehman WU, Khan MQ, Majeed SMI. Frequency and angiographic characteristics of coronary artery ectasia in patients undergoing coronary angiograpms at AFIC & NIHD. Pak Armed Forces Med J 2014;1(1):S31-4.

Aksu T, Uygur B, Kosar MD, Güray Ü, Arat N, Korkmaz S, et al. Koroner arter ektazisi: Koroner anjiyografi uygulanan hastalardaki sikligi ve aterosklerotik risk faktörleri ile iliskisi/Coronary artery ectasia: its frequency and relationship with atherosclerotic risk factors in patients undergoing cardiac catheterization. Anadulu Kardiyoloji Dergisi: AKD 2011;11(4):280.

Mavrogeni S. Coronary artery ectasia: from diagnosis to treatment. Hellenic J Cardiol 2010;51(2):158-63.

Lin C-T, Chen C-W, Lin T-K, Lin C-L. Coronary artery ectasia. Tzu Chi Medical Journal 2008;20(4):270-4.

Hsu P-C, Su H-M, Lee H-C, Juo S-H, Lin T-H, Voon W-C, et al. Coronary collateral circulation in patients of coronary ectasia with significant coronary artery disease. PloS one 2014;9(1):e87001.

Antoniadis AP, Chatzizisis YS, Giannoglou GD. Pathogenetic mechanisms of coronary ectasia. International journal of cardiology 2008;130(3):335-43.

Ahmad Z, Ullah K, Awan ZA, Faheem, Ismail M. Frequency of coronary ectasia in patients undergoing coronary angiography. J Med Sci 2012;20(1):41-4.

Zhang Y, Huang Q-J, Li X-L, Guo Y-L, Zhu C-G, Wang X-W, et al. Prognostic value of coronary artery stenoses, markis class, and ectasia ratio in patients with coronary artery ectasia. Cardiology 2015;131(4):251-9.

Ipek G, Gungor B, Karatas MB, Onuk T, Keskin M, Tanik O, et al. Risk factors and outcomes in patients with ectatic infarct?related artery who underwent primary percutaneous coronary intervention after ST elevated myocardial infarction. Catheterization and Cardiovascular Interventions 2016;88(5):748-53.

Saglam M, Karakaya O, Barutcu I, Esen AM, Turkmen M, Kargin R, et al. Identifying cardiovascular risk factors in a patient population with coronary artery ectasia. Angiology 2008;58(6):698-703.

Tony H, Meng K, Wu B, Zeng Q. Among ectasia patients with coexisting coronary artery disease, TIMI frame count correlates with ectasia size and markis type IV is the commonest. Cardiology research and practice 2015;2015.

Bermúdez EP, Palop RL, Martínez-Luengas IL, Sánchez RC, Sáez PC, Carreras RR, et al. Coronary ectasia: prevalence, and clinical and angiographic characteristics. Revista espanola de cardiologia 2003;56(05):473-9.

Ramezani J, Moghiman T, Azad FJ, Ghasemi G, Ahmadi M, Shabestari MM. Coronary Risk Factors in Patients with Coronary Artery Ectasia: A Case-Control Study from Iran. Biosciences Biotechnology Research Asia 2016;13(1):401-6.

Amirzadegan AR, Davoodi G, Soleimani A, Tokaldany L, Kazazi H, Shabpiray H. Association between Traditional Risk Factors and Coronary Artery Ectasia: A Study on 10057 Angiographic Procedures among Iranian Population. The journal of Tehran Heart Center 2014;9(1):27-32.

Published

2022-05-31

Issue

Section

Articles