FREQUENCY OF LMS AND TVD IN TYPE 2 DIABETIC ADULTS VS NON-DIABETICS IN CAD POPULATION OF PAKISTAN
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Keywords
CAD, Triple vessel CAD, Double vessel CAD, Single vessel CAD, Coronary artery
Abstract
Objective: The current study aimed to compare the prevalence of left central stem disease and triple vessel disease in coronary artery (CAD) patients with and without type 2 diabetes.
Study Design: Cross-sectional study
Research Setting and Duration: The study was conducted at the cardiology department, Lady Reading Hospital, Peshawar, from 6th June 2022 to 26th December 2022.
Methods: In this study, 155 patients diagnosed of having CAD were identified. In all the patients, coronary angiography was performed to evaluate the status of the coronaries. Patients with occlusion of LAD, RCA, and LCX on angiography were considered to have triple vessel disease and LMS occlusion was consider as a separate entity.
Results of the study: The patients' ages ranged from 40 to 70 years. The mean age was 59.3±12.3 years. Male to female ratio was 3:1. Out of the 155 participants, 65 (41.9%) were diabetic, and 92 (59.4%) were hypertensive. As per the number of vessels obstructed, 37(23.87%) patients had single-vessel CAD, 47(30.32%) had double-vessel CAD, and 71(45.81%) had triple-vessel CAD. There were a total of 15 (9.68%) LMS cases, out of which 8(5.33%) were diabetic patients, and 7(4.52%) were nondiabetic patients. There was a significant association found between diabetes and TVD.
Conclusion: In CAD patients, there is a high prevalence of triple vessel coronary artery disease, and diabetic patients are more prone to have TVD than non-diabetic patients.
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Dr Ayesha Fayyaz
Cardiology, Lady Reading Hospital and Medical Teaching Institute, Peshawar, Pakistan
Dr Khayyam Haider
House Officer, General Surgery, Lady Reading Hospital, Peshawar, Pakistan
Dr Ikram Ullah
Associate Professor, Lady Reading Hospital and Medical Teaching Institute, Peshawar, Pakistan
Dr Arshad Mehmood
Postgraduate Resident General Medicine, Hayatabad Medical Complex, Peshawar, Pakistan
Dr Syed Hassan Iftikhar
Internal Medicine, Lady Reading Hospital and Medical Teaching Institute, Peshawar, Pakistan
Dr Asaf Syed
House Officer, Internal Medicine, Ayub Teaching Hospital, Abbottabad, Pakistan