To Determine the Frequency of Different Complex Coronary Lesions in Diabetic Patients | [Pakistan Journal of Medical and Health Sciences • 2022]

Author(s):

1. SHAHID IQBAL: Department of Cardiology, Punjab Rangers Teaching Hospital, Lahore, Pakistan

2. AHMAD KAMRAN KHAN: Department of Cardiac Surgery, PIC, Lahore, Pakistan

3. SYED BAKHT RUIDAR: Department of Endocrinology, Tehsil Headquarter Hospital, Wari, Pakistan

4. SYED SARDAR RAHIM: Department of Cardiac Surgery, PIC, Lahore, Pakistan

5. MIRZA NAUMAN RAHI: Department of Cardiology, Avicenna Hospital, Lahore, Pakistan

6. AHMED ALI ISHAQ KHAN: PIC, Lahore, Pakistan

Abstract:

Background: Diabetic people have an excessive amount of coronary atherosclerosis. Diabetes mellitus is a strong predictor of mortality and MI in both men and women. It's unclear whether diabetics and nondiabetics have different rates of complicated coronary lesions such bifurcation and ostial lesions. Objective: To find out how often different types of complicated coronary lesions are in diabetic people. Methodology: 136 individuals were enrolled in this study. All patients had coronary angiography using the conventional femoral or radial artery technique. Angiographic data was obtained by two interventional cardiologists with 3 years of post-fellowship experience interpreting angiograms. Data on complicated coronary lesions was collected. It has a significant p-value (0.05), indicating that there is a significant difference in this disorder between the two groups. Results: The mean age of the 136 patients was 47.3±12.2 years (range 25 to 70 years). There were 71 males (52.2%) and 65 females (47.8%). Mean BMI was 25.9±1.3 kg/m2, mean duration of diabetes mellitus was 7.5±3.5 year, mean weight was 75.7±5.1 and mean height was 5.3±0.6 m. Coronary artery lesions were as follows: bifurcation lesions 85 (62.5%), ostial lesion 32 (23.5% and LMCA lesions 19 (14%). Stratification with regard to age, gender, BMI and duration of diabetes was also carried out. Conclusion: In diabetic patients, complicated coronary lesions such as bifurcation and ostial lesions were shown to be substantially more prevalent than LMCA lesions.

Page(s): 313-314

DOI: 10.53350/pjmhs22163313

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 16, Issue: 3, Year: 2022

Keywords:

Diabetes Mellitus , Diabetes Mellitus , Bifurcation lesion Ostial lesion , LMCA lesion

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