Coronary artery disease in a rural population of Bangladesh: is dyslipidemia or adiposity a significant risk?

Banerjeel, Sajal Krishna; Ahmed, Chaudhury Meshkat; Rhaman, Mir Masudur; Chowdhury, MA Jalil; Sayeed, MA

doi:10.3329/imcjms.v11i2.33098

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…The younger people had a similar risk as the aged people. 3 The prevalence of CAD in working professionals in Dhaka was 19.6% as evident in a study by Ahsan et al (2009). 4 The clinical presentations of coronary artery disease include silent ischemia, stable angina pectoris, acute coronary syndrome, heart failure, and sudden death.…”

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confidence: 86%

Association of P wave Dispersion with Angiographic Severity in Patients with Chronic Stable Angina

et al. 2021

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Background:Stable angina forms a significant proportion of coronary artery disease. Newer non-invasive modalities with good predictive values like CT coronary angiography and myocardial perfusion imaging are available, they are not feasible for widespread use. In this scenario, we can use the ECG parameter (P wave dispersion) as a non-invasive, efficient and cost-effective tool for diagnosing coronary artery stenosis in chronic stable angina. Objective: To find out the association between P wave dispersion in electrocardiogram and angiographic findings by coronary angiogram in patients with chronic stable angina. Methods: This cross sectional study was conducted at the Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka from July 2018 to June 2019.Patients with chronic stable angina who were undergoing invasive coronary angiography was included in this study. A total of 45 patients were included in the study. Immediately after admission, standard 12 lead ECG was recorded at a 50 mm/s paper speed and a gain of 10 mm/mV. P wave dispersion are calculated from the standard ECG during sinus rhythm in any of the 12 ECG leads. Finally, all the enrolled patients underwent invasive evaluation by coronary angiography. The severity of CAD was assessed by Gensini score. Results:The mean PD was 23.3±8.1 millisecond in patients without CAD, 37.1±7.6 millisecond in single vessel disease, 45.3±9.1 millisecond in double vessel disease and 45.9±9.4 millisecond in triple vessel disease, which were statistically significant (p<0.05) among four groups.There was a significant correlation of PD (P wave dispersion) with Gensini score (r=0.631; p=0.001). Conclusion: This study demonstrates that there is a significant association of PD (P wave dispersion) with the severity of coronary artery disease in patients with chronic stable angina. University Heart Journal Vol. 17, No. 2, Jul 2021; 81-85

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Association of P wave Dispersion with Angiographic Severity in Patients with Chronic Stable Angina

et al. 2021

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“…[4] The most recent data on CAD prevalence was 4.5%. [5] It is well stated that ACS may be associated to renal dysfunction and significantly increase mortality, morbidity and cost of care. Most studies have found to be associated with greater short-and long-term all-cause and cardiovascular mortality, prolonged duration of hospitalization, increased readmission rates, accelerated progression to CKD stages and higher healthcare costs.…”

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confidence: 99%

In-Hospital Outcomes of Patients with Acute Kidney Injury Following Acute Coronary Syndrome in a Tertiary level Hospital

Chowdhury¹,

Iqbal²,

Mostafa³

et al. 2019

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Background: Acute Kidney Injury (AKI) is a strong predictor of in-hospital adverse outcomes, which is a common complication of acute coronary syndromes (ACS). ACS patients with renal impairment during hospitalization are associated with adverse outcomes like heart failure, cardiogenic shock, arrhythmia, dialysis requirement and mortality. Objective: To compare ACS patients with or without AKI has significant risk of in-hospital adverse outcomes. Methods: This prospective comparative study was conducted in the Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, during the period of July 2017 to June 2018. A total of 70 eligible patients were included in this study. Electrocardiography, blood test for serum creatinine (on admission, 12 hours, 48 hours and at the time of discharge), lipid profile, RBS, 2-D echocardiography along with serum troponin, CK MB and electrolytes were done for all patients. Results: It was observed that mean age was 58.0±8.5 years in group A (ACS with AKI) and 55.6±12.3 years in group B (ACS without AKI). Male population was predominant in both the groups (85.7% and 74.2%, respectively). Heart failure was more common in group A than in Group B (74.3% vs 34.2% p=0.001 respectively). Arrhythmia was more common in group A than in Group B (100% vs 74.2% respectively). The mean duration of hospital stay was significantly higher in Group A than in the Group B (9.4±2.3 vs 7.2±0.6; p=0.001) days. Conclusion: This study showed adverse outcomes including longer duration of hospital stays were more common in the patients with AKI (group A) than in the patients without AKI (group B).

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Coronary artery disease in a rural population of Bangladesh: is dyslipidemia or adiposity a significant risk?

Cited by 2 publications

References 16 publications

Association of P wave Dispersion with Angiographic Severity in Patients with Chronic Stable Angina

Association of P wave Dispersion with Angiographic Severity in Patients with Chronic Stable Angina

In-Hospital Outcomes of Patients with Acute Kidney Injury Following Acute Coronary Syndrome in a Tertiary level Hospital

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