PATTERN OF LEFT MAIN STEM STENOSIS

Iftikhar Ahmed; Jabbar Ali; Muhammad Abdur Rauf; Wahaj Aman; Adnan Mahmood Gul; Mohammad Hafizullah

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PATTERN OF LEFT MAIN STEM STENOSIS

Author(s)

Iftikhar Ahmed Cardiology Department ,Lady Reading Hospital Peshawar ,Khyber Medical University Peshawar, Pakistan

Jabbar Ali Cardiology Department ,Lady Reading Hospital Peshawar ,Khyber Medical University Peshawar, Pakistan

Muhammad Abdur Rauf Cardiology Department ,Lady Reading Hospital Peshawar ,Khyber Medical University Peshawar, Pakistan

Wahaj Aman Cardiology Department ,Lady Reading Hospital Peshawar ,Khyber Medical University Peshawar, Pakistan

Adnan Mahmood Gul Cardiology Department ,Lady Reading Hospital Peshawar ,Khyber Medical University Peshawar, Pakistan

Mohammad Hafizullah Cardiology Department ,Lady Reading Hospital Peshawar ,Khyber Medical University Peshawar, Pakistan

Abstract

Objective: To find out the pattern of left main stems disease in cardiology department of tertiary care hospital. Methodology: This descriptive study was conducted from the properly maintained record of 3 years (January 2007 to December 2010) of cardiac catheterization lab of cardiology unit, a 1400 bedded, tertiary care hospital. Results: Total numbers of cases were 3950 in which Coronary angiographies were 2058. Among them patients having normal vessels were 497 (24.14%), single vessel disease (SVD) 389 (18.9%), double vessels disease (DVD) 350 (17%), triple vessels disease (TVD) 822 (39.94%) and patients having left main stem disease were (LMS) 228 (11.03%). Mean age of the patients having LMS disease were 57.2 + 10.1yrs. Male were 77.2%. Diabetics were 151 (66.23%). Mean LMS lesion was 50.7 % + 21 of its diameter, in which more than 50% of the segment involved were 140 (61.41%). Locations of the lesion is 4 (1.7%) proximal, 49 (21.49%) mid and 175 (76.7%) distal LMS. Presentation of patients having LMS disease was stable angina in 136 (59.64%). Numbers of coronary vessels involved were single vessels disease in 21 (9.2%), double vessels disease in44 (19.3%) and triple vessels disease in 163 (71.5%) patients. Conclusion: Left main stem disease is common angiographic finding and is associated with multivessel coronary artery disease and diabetes mellitus. It commonly occurs in distal part of vessel.

Publication Details

Page(s) 34-38

DOI DOI not available

Published Journal: Pakistan Heart Journal, Volume: 46, Issue: 1, Year: 2013

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Keywords

Risk factor, Coronary arteries, site of lesion, LMS (left main stem)