Coronary Angiographic Pattern in Patients Aged >45 Years: A Prospective Study

Abstract

Background: Cardiovascular Diseases (CVD’s) remain the biggest cause of death worldwide. Recent trends suggest that disease incidence has escalated and has started affecting younger age group also. Aims and objectives: This study was conducted to study the coronary angiographic pattern in patients aged >45 years.Materials and Methods: All patients >45 years who underwent coronary angiography and angioplasty were included in the study. Subjects meeting the inclusion criteria were selected. Detailed history, clinical examination, electrocardiography findings, echocardiography findings were studied. Angiographic findings were then correlated with the risk factors, demography and electrocardiographic findings.Results: A total of 100 patients were included in the study. Majority were in the age group 55-64 years (n=50) with a mean age of 60.59±7.16 (mean±SD). There was a male preponderance (83, 83%). Most common angiographic finding was double vessel disease in 25% followed by triple vessel disease in 23%, followed by single vessel disease in 22%. Most common angiographic pattern among the males was Triple vessel disease & Double vessel disease (26.5%) while in females, it was non-critical CAD(47.1%). The most common abnormal ECG finding was ST elevation MI in 35% participants.Conclusion: DVD was the most common angiographic abnormality which was followed by TVD and SVD.RCA was the most common culprit vessel in the majority of patients, followed by LAD and LCX.