Gender specific coronary angiographic findings in patients with coronary artery disease in the age year group 40 to 60. The aim was to identify gender differences between both sex regarding risk factors and coronary vessels affected by coronary angiography. Methods: A study of 100 patients (50 male & 50 female) underwent diagnostic coronary angiography in our catheterization laboratory in cardiovascular department in Benha University hospital from April 2014 to April 2015. Results: A total of 100 patients with age range 40-60 years old were studied, 50 female patients with mean age (53.72±5.9) and 50 male patients with mean age (50.6±9.77).Females were significantly more obese than males. Males were significantly higher than females in smoking, DM & family history of IHD .The clinical presentation was significantly different in both groups. STEMI & NSTEMI were significantly higher in males than females while atypical chest pain was significantly higher in females than males .There was no significant differences between both groups regarding the number of vessels affected while the LAD was the most frequently affected vessel and the left main was the least. Conclusion: We documented gender difference in clinical presentation between males & females with no significant difference regarding the number of vessels affected while the LAD was the most frequently affected vessel while the left main was the least in both group.
Coronary artery disease (CAD) is the most common cause of morbidity and mortality in the world, This study aimed to compare cobalt-chromium BMS with DES in small artery stenosis in non-diabetic patients with ACS according to patients' clinical characteristics, acute and late results. the examination was led on 100 non-diabetic patients conceded with intense coronary condition and alluded to Cath. As per kind of stent utilized in mediation, the patients were arranged into: DES gathering: included 50 patients with sedate eluting stents to treat all over again coronary sores. BMS gathering: included 50 patients with cobalt chromium stents to treat anew coronary injuries. Every patient was exposed to full history taking, total clinical assessment, ECG, echocardiography, and serum creatinine. 5% of patients had composite end point, ISR and MI following a half year of development while 4% of patients had TVR and 1% of patients had CABG. Just a single patient passed on in our examination. There was no noteworthy contrast among DES and BMS bunch with respect to coronary angiographic, procedural information and clinical results during development. the utilization of medication eluting stent versus cobalt chromium stent was related with a decrease in target vessel revascularization in little supply route stenosis through half year catch up with no distinction in death and nonfatal myocardial dead tissue.
Gender specific coronary angiographic findings in patients with coronary artery disease in the age year group 40 to 60. The aim was to identify gender differences between both sex regarding risk factors and coronary vessels affected by coronary angiography. Methods: A study of 100 patients (50 male & 50 female) underwent diagnostic coronary angiography in our catheterization laboratory in cardiovascular department in Benha University hospital from April 2014 to April 2015. Results: A total of 100 patients with age range 40-60 years old were studied, 50 female patients with mean age (53.72±5.9) and 50 male patients with mean age (50.6±9.77).Females were significantly more obese than males. Males were significantly higher than females in smoking, DM & family history of IHD .The clinical presentation was significantly different in both groups. STEMI & NSTEMI were significantly higher in males than females while atypical chest pain was significantly higher in females than males .There was no significant differences between both groups regarding the number of vessels affected while the LAD was the most frequently affected vessel and the left main was the least. Conclusion: We documented gender difference in clinical presentation between males & females with no significant difference regarding the number of vessels affected while the LAD was the most frequently affected vessel while the left main was the least in both group.
Objective: Acute coronary syndrome (ACS) is associated with adverse outcomes and is a common cause of death. Presence of left main (LM) disease in patients with ACS may increase the rate of morbidity and mortality. The purpose of the present study was to compare short-term outcomes as well as major adverse cardiovascular and cerebrovascular events (MACCE) at 30 days in ACS patients with LM disease treated percutaneously or surgically as compared to those with non-LM disease treated percutaneously. Methods: This is a prospective cross-sectional multicenter study carried out on 100 patients with ACS: Group (I): 50 patients with LM disease, Group (II): 50 patients without LM disease. The LM group was treated percutaneously or surgically and the non-LM group was treated percutaneously. The primary end point is the thirty-day incidence of MACCE. Results: Patients with LM disease who were treated with percutaneous coronary intervention (PCI) had more frequent repeat revascularization than those with LM disease who were treated with coronary artery bypass graft (CABG) (P=0.022). However, there was no significant statistical difference between LM patients who were treated with PCI and those who were treated with CABG regarding all other 30 days outcomes (P>0.05). Conclusion: Coronary revascularization of patients with LM disease in the acute setting provided similar outcomes in 30 days when compared to those without LM involvement. ACS patients with LM disease treated with PCI have similar 30 days outcomes in comparison with CABG.However, repeat revascularization was significantly more frequent in LM patients treated with PCI.
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