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Pattern of Coronary Artery Disease in Patients with ST-elevation Myocardial Infarction undergoing Primary Percutaneous Coronary Intervention
Tariq Mehmood Khan, Azhar Shahzad, Hafiz Muhammad Asif Zarif, Ammar Akhtar, Muhammad Zubair, Momin Rasheed
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Volume 12 - Issue 4     Oct - Dec 2020
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Objective: To determine the pattern of coronary artery disease in patients having ST-Elevation myocardial infarction undergoing primary percutaneous coronary intervention and to find out the risk factors of coronary artery disease in local population.

Study Design: A Cross-sectional Observational study

Place and Duration: From 1st January 2019 to 30th June, 2019 at Chaudhary Pervaiz Elahi Institute of Cardiology, Multan

Methodology: Patients with ST-Elevation Myocardial Infarction diagnosed on electrocardiogram who underwent primary percutaneous coronary intervention were included. Different types of ST-elevation myocardial infarction were noted. Pattern of coronary artery disease and the vessels involvement were observed. Conventional risk factors for coronary artery disease age, gender, diabetes, hypertension, hyperlipidemia, smoking, obesity and family history were also studied. 

Results: A total of 170 patients with mean age of 42.7 ± 6.7 years predominantly male (65.29%}. Majority70%) were smokers, 17.06% patients had positive family history, 28.82% hypertensive, 46.67% diabetics and 8.82% patients were dyslipidemics. In cornory artery involvement, 61.76% had single vessel, 12.94% double vessel, 16.47% triple vessel disease and only 8.82% had left main stem involvement. Left anterior descending artery (58.82%) is the most common artery involved.

Conclusion: Single vessel disease is most common among patients with acute ST-elevation myocardial infarction. Left anterior descending artery is the most commonly affected vessel. Smoking is the most prevalent risk factor in our population.

Keywords: Coronary artery disease, Prevalence, ST-elevation, Myocardial infarction, Coronary artery involvement,  Risk factors, Smoking, Hypertension,

How to Cite This:

Khan TM, Shahzad A, Muhammad H Zarif A, Akhtar A, Zubair M, Rasheed M. Pattern of coronary artery disease in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention. Isra Med J. 2020; 12(4): 188-191.

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