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Submitted: 13 Jan 2022
Accepted: 22 Feb 2022
ePublished: 26 Feb 2022
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  Abstract View: 71

Original

Determining the factors associated with the pattern and severity of coronary artery involvement in patients with acute coronary syndrome

Setayesh Sotoudehnia Korani 1, Soudabeh Behrooj 2 ORCID logo, Hossein Farshidi 1 ORCID logo, Farid Khorrami 3 ORCID logo, Ali Rezazadeh Roudkoli 4* ORCID logo

1 Hormozgan Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
2 Cardiovascular Department, Shahid Mohammadi Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
3 Department of Health Information Technology, Faculty of Para-Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
4 Hormozgan Cardiovascular Research Center, Shahid Mohammadi Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Correspondence to: Ali Rezazadeh Roudkoli, Email: Alirezazadehroudkoli@ gmail.com

Abstract

Introduction: Acute coronary artery syndrome is a term to describe a wide range of diseases associated with a sudden and severe decrease in blood flow to the heart.

Objectives: This study aimed to evaluate the variables related to the severity and type of coronary artery involvement in patients with the acute coronary syndrome (ACS).

Patients and Methods: This study is a retrospective analytical descriptive study. The statistical population of this study included patients who were admitted to the vascular ward of Shahid Mohammadi hospital in Bandar-Abbas during 2017-2020 with a diagnosis of the ACS and underwent coronary angiography.

Results: In the study of the main vessel involvement, left anterior descending artery (LAD) with 38.15% and RCA with 23.97% were the most common vessels involved. The most involved vessels were LAD-right coronary artery (LAD-RCA) (8.61%), left circumflex artery (LCX) (7.95%), obtuse marginal artery (OM) (7.68%) and diagonal arteries (4.77%), respectively. The most common sites of involvement in Chen’s anterior descending vessel were the middle part of LAD (m.LAD), the proximal part of LAD (p.LAD), and then the distal part of LAD (d.LAD), respectively. Most of the places of conflict RCA, precisely similar to LAD, were the middle part of RCA (m.RCA), the proximal part of RCA (p.RCA) and the distal part of RCA (d.RCA). There was a statistically significant relationship between the severity of coronary artery disease (CAD) according to age, gender, diabetes, blood pressure, family history and the number of vessels involved. There was no statistically significant relationship between the severity of coronary artery involvement, smoking and mean body mass index (BMI).

Conclusion: As it is shown, our results were quite similar to other studies around the country. Hence, following the nationwide guidelines for treating CVD in this city seems rational and helpful.

Keywords: Acute coronary syndrome, Coronary vessel involvement, Coronary angiography, Iran
Citation: Sotoudehnia Korani S, Behrooj S, Farshidi H, Khorrami F, Rezazadeh Roudkoli A. Determining the factors associated with the pattern and severity of coronary artery involvement in patients with acute coronary syndrome. J Prev Epidemiol. 2022;7(1):exx. doi: 10.34172/jpe.2022. xx.
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