To Determine the Frequency of Different Complex Coronary Lesions in Diabetic Patients

Authors

  • Shahid Iqbal, Ahmad Kamran Khan, Syed Bakht Ruidar, Syed Sardar Rahim, Mirza Nauman Rahi, Ahmed Ali Ishaq Khan

DOI:

https://doi.org/10.53350/pjmhs22163313

Keywords:

Diabetes mellitus, Bifurcation lesion Ostial lesion, LMCA lesion

Abstract

Background: Diabetic people have an excessive amount of coronary atherosclerosis.

Diabetes mellitus is a strong predictor of mortality and MI in both men and women. It's unclear whether diabetics and non-diabetics have different rates of complicated coronary lesions such bifurcation and ostial lesions.

Objective: To find out how often different types of complicated coronary lesions are in diabetic people.

Methodology: 136 individuals were enrolled in this study. All patients had coronary angiography using the conventional femoral or radial artery technique. Angiographic data was obtained by two interventional cardiologists with 3 years of post-fellowship experience interpreting angiograms. Data on complicated coronary lesions was collected. It has a significant p-value (0.05), indicating that there is a significant difference in this disorder between the two groups.

Results: The mean age of the 136 patients was 47.3±12.2 years (range 25 to 70 years). There were 71 males (52.2%) and 65 females (47.8%). Mean BMI was 25.9±1.3 kg/m2, mean duration of diabetes mellitus was 7.5±3.5 year, mean weight was 75.7±5.1 and mean height was 5.3±0.6 m. Coronary artery lesions were as follows: bifurcation lesions 85 (62.5%), ostial lesion 32 (23.5% and LMCA lesions 19 (14%). Stratification with regard to age, gender, BMI and duration of diabetes was also carried out.

Conclusion:  In diabetic patients, complicated coronary lesions such as bifurcation and ostial lesions were shown to be substantially more prevalent than LMCA lesions.

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How to Cite

Shahid Iqbal, Ahmad Kamran Khan, Syed Bakht Ruidar, Syed Sardar Rahim, Mirza Nauman Rahi, Ahmed Ali Ishaq Khan. (2022). To Determine the Frequency of Different Complex Coronary Lesions in Diabetic Patients. Pakistan Journal of Medical & Health Sciences, 16(03), 313. https://doi.org/10.53350/pjmhs22163313