احداث الشريان التاجي بعد عام واحد من اعادة التوعية تجربة مركز واحدة == Coronary artery events one year after revascularization : a single center experience
Author name:
مروان كامل عبود
Supervisor name:
حسن يوسف النجار
General topic:
Medicine
Specific topic:
Diseases - Heart
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1636 - p.pdf
Abstract:
associated with concerns about their potential adverse effects. In - stent restenosis and stent thrombosis definitely affect the PCI outcome. However, review of recent relevant studies suggests that stent - related problems may have been somewhat overestimated when compared to coronary artery disease (CAD) progression at non stented coronary segments as causative factors of adverse cardiac clinical events late post - PCI.Both stent - related problems and native CAD progression have to be equally addressed to optimize the PCI clinical benefitAim of the study : To study the major adverse cardiac events and one year outcome after PCI.Patients & Methods : This study is cross - sectional study of all patients who were referred to Iraqi Center for heart disease, for further evaluation of suspected coronary artery disease (CAD) for the period January to July 2018. The total number of patients was fifty (50).Results : The total No. of patients were 50, mean age was 59.1±11.3, (22%) were below age 45 and (78%) equal and above age 45 year.54% were male and (46%) were female. The frequency risk factors were DM (62%), HT (56%), Dyslipidemias (52%), Obesity (21%) and Smoking (21%). The most common clinical presentations were chronic stable angina (98%) of cases and one case (2%) acute coronary syndrome. The outcome of PCI after one year divided in to four groups, group A : patients with ISR (5/50) (10 %), group B : patients with new stenosis (8/50) (16 %),group C : patients combined lesions (16/50) (32%) and group D (21/50) (42%) cases were normal.Conclusion : After one year from PCI there was high frequency of recurrence of symptoms exceeding half of the patients, most of them due to development of new lesion.
