A multivessel spontaneous coronary artery dissection presented with an acute coronary syndrome that was conservatively managed. A case report

Ahmed, Said Abdirahman; Mohamed, Abdulrashid Hashi; Waberi, Mohamud Mire; Abdi, Ishak Ahmed; Mohamud, Mohamed Abdullahi; Hassan, Mohamed Sheikh

doi:10.1016/j.radcr.2023.03.044

Cited by 1 publication

(2 citation statements)

References 15 publications

(17 reference statements)

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“…17 Spontaneous coronary dissection was not studied as a cause of acute coronary syndrome among khat chewers but has been reported in a number of case reports. 18,19 Our study found there is an association between khat consumption and spontaneous coronary dissection supporting those reported case reports.…”

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confidence: 89%

“…Patients were divided into Khat user and non-Khat users.Data, including demographics, clinical presentations, and Coronary angiographic findings, lesion complexity, and prognosis were analyzed using the SYNTAX score and compared among the 2 groups. Lesion complexity and severity were divided into three groups according to the SYNTAX score were divided into tertiles as low (≤16), intermediate (16)(17)(18)(19)(20)(21)(22) and high (>22).…”

Section: Methodsmentioning

confidence: 99%

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The Severity and Complexity of Coronary Artery Disease in Khat User Somali Patients: A Study in a PCI-Capable Tertiary Center in Somalia

Köprülü,

Ahmed,

Hassan

et al. 2023

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Introduction: Coronary Artery Disease (CAD) is the leading cause of death and disability adjusted life years worldwide, primarily in low-and middle-income nations. The study aims to determine if khat use is linked to a more complicated form of CAD and a larger lesion burden. The SYNergy between Percutaneous Coronary Intervention with TAXus and cardiac surgery (SYNTAX) score is used to assess CAD severity and degree. Methodology: This observational, hospital-based descriptive study enrolled patients referred for coronary angiograms from August 2022 to May 2023. Data was collected from Khat and Non-Khat users, and analyzed using the SYNTAX score. The study compared demographics, clinical presentations, coronary angiographic findings and lesion complexity between Khat and Non-Khat users.Results: This study enrolled 177 participants, with a khat chewer group being (45.2%) compared to non-khat chewers (54.8%). The age distribution was similar, with 79.7% male and 20.3% female. Smoking was more common in the khat group (38.4%). Risk factors included hypertension, diabetes mellitus, dyslipidemia, and chronic kidney disease. There was no significant difference in lesion complexity between khat users and non-khat users.Khat chewing patients had a higher incidence of acute coronary syndrome (54% vs 24%) and higher incidence of spontaneous coronary dissection. Conclusion:The research suggests that khat use could be harmful to the cardiovascular system, including the coronary arteries. More research is required to completely understand the underlying mechanisms of action and evaluate the impact of khat on coronary arteries.

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confidence: 89%