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Category: Volume 06 Issue 01 January 2018
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Title: Coronary Artery Ectasia, its Clinical Profile and Angiographic Characteristics, Single Centre Experience (Rajarajeswari Cardiology Department)

Authors: Dr Rajiv Girdhar, Dr Ram Anil Raj, Dr Yogesh Kothari, Dr Kumar Kenchappa, Dr Nararyana Raju, Dr Ashwin Kumar K.C

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i1.119

Abstract

Objective: To evaluate the incidence of coronary ectasia and its clinical profile and angiographic characteristics in our Rural area population.

Methods: A Descriptive analysis was carried out in the Department of Cardiology in Rajarajeswari Medical college and Hospital, Bangalore from January 2015 to November 2017 on all patients undergoing coronary angiographies and Data were collected from catheterization films, and medical records.

Results: In a total of 869 coronary angiograms were performed during the period of the study. A total of 139 (15.99%) angiograms showed coronary ectasia of both mixed and pure types. Pure ectasia with no coronary obstructive lesions was seen in 36 (25.89%). Type 4 was most common 61 pts. (43.88%), as per the Markis classification. Right coronary artery (RCA) was the most commonly affected vessel 100 (72%) followed by left anterior descending artery (LAD) 45 (33.78%) and 23 patients (16.54%) patients had circumflex artery involvement. 83 patients (59.71%) had good left ventricular (LV) systolic function.

Conclusion: Prevalence of Coronary ectasia in the population presenting in the Department of Cardiology in Rajarajeswari Medical college and Hospital, Bangalore during the study period was 15.99%. Majority of patients were males, associated with, hypertension and diabetes mellitus. CAE was associated with obstructive coronary artery disease in about 74.22% of cases.RCA was the most commonly affected vessel.

Keywords: Coronary artery disease, Ectasia, Aneurysm, coronary artery angiography.

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Corresponding Author

Dr Rajiv Girdhar

PG in Dm Cardiology Dept, Rajarajeswari Medical College & Hospital,

Mysore Road, Bangalore -560074