The Role of Coronary Angiography in Assesing the Clinical Severity of Coronary Artery Disease

Abstract

Introduction : We can presume that risk factors are predictive of the degree of anatomical impairment on coronary angiography in coronary artery disease. In the present study, an attempt has been made to address whether the coronary angiography alone is potentially be able in assessing the clinical severity of patients with ACS or can we include the risk factors also in this issue. Methods: 100 Patients with established CAD were divided into 4 groups based on the angiography &clinical severity. Body mass index (B.M.I.), Waist circumference& Waist -hip ratio was calculated. Data collected was then analyzed in relation to the angiographic severity and the clinical presentation using Pearson's chi square test and Analysis of Variance, using SPSS (Statistical Package for the Social Sciences). P value of less than 0.05 was considered as statistically significant. Result: When clinical presentations of coronary artery diseases were compared with angiographic severity clinical presentations did not vary significantly with angiographic severity. But majority of the patients i.e. 80 % had more than 2 risk factors even though the clinical presentations did not vary significantly with the number of risk factors Conclusion: Angiographic severity could not predict the clinical manifestation with much precision. So clinicians should aggressively manage the clinical manifestations of CAD and also should work on the control of possible risk factors.