Title: Prevalence of Significant Coronary Artery Disease in Rheumatic Heart Disease Patients Undergoing Preoperative Coronary Angiography, Tanta University Hospital Experience
Authors: Mohamed Abdelaal* MD, Ayman Elsheikh MD, Kamal Eldin Ahmed MD, Wael Haseeb MD
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.19
Abstract
Background: presence of significant coronary artery disease with rheumatic valvular heart disease patients requiring surgical valve intervention increases morbidity and mortality of such patients.
Aim of the study: to study the prevalence of significant coronary artery disease in patients undergoing preoperative coronary angiography in cardiology department, Tanta university hospital.
Patients and Methods: during the period from January 2015 to May 2016 all patients referred to our department to perform diagnostic coronary angiography before doing cardiac surgery for valvular rheumatic heart disease were included in the study. 96 patients were included. 51 patients were males and 45 patients were females.
We did echocardiography and coronary angiography (CAG) for all of them.
Results: of these 96 patients; 27 patients had severe aortic regurgitation, 23 patients had severe mitral regurgitation, 17 patients had severe aortic stenosis, 16 patients had combined lesions and 13 patients had severe mitral stenosis.
10 male patients and 6 female patients showed significant coronary artery disease in coronary angiography.
8 patients showed single vessel disease, 5 patients showed two vessel disease, and 3 patients showed 3 vessel disease.
Conclusion: our study showed that the prevalence of coronary artery disease in patients undergoing preoperative diagnostic coronary angiography was 16.66%. Such patients should be treated correctly to decrease their morbidity and mortality.
