Aorto-ostial atherosclerotic coronary artery disease-Risk factor profiles, demographic & angiographic features.
Int J Cardiol Heart Vasc
; 12: 26-31, 2016 Sep.
Article
en En
| MEDLINE
| ID: mdl-28616538
ABSTRACT
BACKGROUND:
The risk factors along with demographic and angiographic features associated with aorto-ostial atherosclerotic coronary artery disease usually differ from that of non-aorto-ostial atherosclerotic coronary artery disease.OBJECTIVES:
This study was designed to evaluate etiology of aorto-ostial atherosclerotic coronary artery disease involving left main coronary artery (LMCA), right coronary artery or both with consideration of clinical risk factors, demographic and angiographic features.METHODS:
A total of 7356 angiograms over 2 years in continuation were analyzed.RESULTS:
116 patients were found to have aorto-ostial coronary artery disease with prevalence of 1.5. A total of 95 patients who have complete data were analyzed. Mean age was 59 ± 10 years. Prevalence in males was 5.7 times greater than female. Isolated ostial LMCA was 2 times more prevalent than isolated ostial RCA. Hypertension, diabetes and smoking were the main risk factors. 34.7% of the patients had hypercholesterolemia (> 180 mg/dl) and 26.3% of the patients had hypertriglyceridemia (> 150 mg/dl). High TC/HDL (> 3.5) ratio was seen in 77.9% of the patients. When ostial LMCA group was compared with ostial RCA group hypertriglyceridemia (Odds ratio 9.8, 95% CI, 1.7-4.2, P < 0.001) and hypercholesterolemia (Odds ratio 7.05, 95% CI, 1.7-5.7, P < 0.001) emerged as independent risk factors for ostial LMCA disease.CONCLUSION:
Overall there is 1.5% prevalence of atherosclerotic aorto-ostial disease of coronary arteries among patients of atherosclerotic coronary artery disease and higher proportions of patients are of male sex. Hypercholesterolemia, hypertriglyceridemia and high TC/HDL ratio can be considered as risk factors for aorto-ostial atherosclerotic coronary artery disease.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Int J Cardiol Heart Vasc
Año:
2016
Tipo del documento:
Article
País de afiliación:
India
Pais de publicación:
IE
/
IRELAND
/
IRLANDA