PMID- 26816930
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160128
LR  - 20201001
IS  - 2249-782X (Print)
IS  - 0973-709X (Electronic)
IS  - 0973-709X (Linking)
VI  - 9
IP  - 12
DP  - 2015 Dec
TI  - Evaluation of Coronary Artery Status by Coronary Angiography after First Survival 
      of Acute Myocardial Infarction.
PG  - OC06-8
LID - 10.7860/JCDR/2015/16502.6887 [doi]
AB  - INTRODUCTION: Acute Myocardial Infarction (AMI) is a life threatening medical 
      emergency which needs urgent medical attention. It is one of the major cause of 
      mortality and morbidity throughout the world. AIM: The aim of the present study 
      was to assess the coronary artery status by Coronary Angiography (CAG) after 
      first survival of the Acute Myocardial Infarction (AMI) and to correlate the CAG 
      findings with Coronary Artery Disease (CAD) Risk Factor (RF) and effect of early 
      thrombolysis. MATERIALS AND METHODS: CAG was done on 870 patients consecutively 
      from June 2013 to May 2015. Age, Gender, Body Mass Index (BMI), CAD risk factors 
      (RF) such as Type 2 diabetes mellitus (T2 DM), hypertension, dyslipidaemia, 
      smoking status and history of thrombolyctic status were recorded. The correlation 
      between the CAD risk factors (RF) and the CAG findings were statistically 
      analyzed. RESULTS: Coronary heart disease risk factors analysis revealed >/= three 
      RF in 23.88%, two RF in 29.88% and one RFin 45.86% of patients. CAG showed Single 
      Vessel Disease (SVD) in 236 (27.1%) patients, double vessel disease (DVD) in 
      220(25.2%) patients, Triple Vessel Disease (TVD) in 252 (28.9%) patients. 
      Multiple coronary artery involvement were found in the high risk group patients, 
      which was found statistically significant (p-value<0.0001). A total of 348/870 
      (40%) patients were thrombolysed amongst them 80 (22.9%) revealed minimal and/or 
      normal coronary artery which was found statistically significant 
      (p-value<0.0001). CONCLUSION: Higher the coronary risk factors, more the chance 
      of the multiple coronary arteries involvement. All AMI patients should be 
      thrombolysed as early as possible to get the benefit of recanalization of the 
      culprit vessel.
FAU - Jain, Siddhant
AU  - Jain S
AD  - Associate Professor, Department of Cardiology, Sri Aurobindo Medical College and 
      PG Institute , Indore, MP, India .
FAU - Sarkar, Narayan Chandra
AU  - Sarkar NC
AD  - Associate Professor, Department of Cardiology, Sri Aurobindo Medical College and 
      PG Institute , Indore, MP, India .
FAU - Sarkar, Piyabi
AU  - Sarkar P
AD  - Post Graduate Resident, Department of Pathology, Institute of Post Graduate 
      Medical Education and Research and SSKM Hosptial , Kolkata, WB, India .
FAU - Modi, Nitin
AU  - Modi N
AD  - Interventional Cardiologist, CHL-Apollo Hospital , Indore, MP, India .
FAU - Tilkar, Mahendra
AU  - Tilkar M
AD  - Assistant Professor, Department of Medicine, Sri Aurobindo Medical College and PG 
      Institute , Indore, MP, India .
LA  - eng
PT  - Journal Article
DEP - 20151201
PL  - India
TA  - J Clin Diagn Res
JT  - Journal of clinical and diagnostic research : JCDR
JID - 101488993
PMC - PMC4717759
OTO - NOTNLM
OT  - Coronary artery disease
OT  - Risk factor
OT  - Thrombolysis
EDAT- 2016/01/28 06:00
MHDA- 2016/01/28 06:01
PMCR- 2016/02/01
CRDT- 2016/01/28 06:00
PHST- 2015/08/27 00:00 [received]
PHST- 2015/10/28 00:00 [accepted]
PHST- 2016/01/28 06:00 [entrez]
PHST- 2016/01/28 06:00 [pubmed]
PHST- 2016/01/28 06:01 [medline]
PHST- 2016/02/01 00:00 [pmc-release]
AID - 10.7860/JCDR/2015/16502.6887 [doi]
PST - ppublish
SO  - J Clin Diagn Res. 2015 Dec;9(12):OC06-8. doi: 10.7860/JCDR/2015/16502.6887. Epub 
      2015 Dec 1.