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Frequency of Coronary ArteryDiseaseinPatientsofRheumaticHeartDiseaseUndergoinValvular Surgery

Author(s)
Sadia Nasem Punjab Institute of Cardiology,Lahore-,Pakistan
Manoj Shrestha PCollage of Medical Sciences (COMS),Bharatpur,Nepal
Fatima Qurratulain Punjab Institute of Cardiology,Lahore-,Pakistan
Kashif Zafar Punjab Institute of Cardiology,Lahore-,Pakistan
Rehan Riaz Faisalabad Institute of Cardiology,Faisalabad,Pakistan
Muhammad Faisal Faisalabad Institute of Cardiology,Faisalabad,Pakistan
Abstract
INTRODUCTION:Coronary Artery Disease (CAD) is not uncommon association with valvular heart disease but limited data on concomitant valvular heart disease with coronary artery disease is available. Variation in prevalence of CAD Disease in relation to Rheumatic Heart Disease (RHD) is also anticipated in this regard. The occurrence of CAD in patients with RHD alters the treatment and clinical outcome. OBJECTIVE: The objective of the study was to assess the frequency of CAD in patients of RHD undergoing valvular surgery. MATERIAL AND METHODS:This cross-sectional study was conducted at Cardiology department of Punjab Institute of Cardiology, Lahore, Pakistan from September 8, 2018 to March 7, 2019. Non probability purposive sampling technique was used in this study. Total sample size of the study was 50 patients. Patients with rheumatic valvular disease between 15-60 years were included. Patients with contraindications to CT coronary angiography , shock etc were excluded. RESULTS:Most of the patients were between 36-45 years of age i.e. 54%(n=27), mean +sd was calculated as 43.48+6.75 years. 78%(n=39) male and 22%(n=11) females. Frequency of CAD in patients of RHD undergoing valvular surgery was 18%(n=9). CONCLUSION: Noticeable number of patient with RVD has CAD. So it may suggests that every patient who present with Rheumatic Heart disease and undergoing valvular surgery, should be risk stratified for the presence of coronary artery disease.
Publication Details
Page(s) 98-101
DOI DOI not available
Published Journal: Journal of Cardiovascular Diseases, Volume: 16, Issue: 3, Year: 2020

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Keywords
Frequency, Rheumatic Heart Disease (RHD), Valvular Surgery, Coronary Artery Disease (CAD)
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