Abstract
Objectives: objectives of our study was to evaluate the clinical profile and angiographic studyof female patients with coronary artery disease.
Methodology: A complete assessment, physical examination and relevant investigations like routine investigations, EKG, echocardiogram, lipid profile, CRP, specific cardiac bio-markers (Troponin T/I, CK-MB), coronary angiogram was performed to patients with coronary artery disease.
Results: Data was analyzed by using simple statistical methods with the help of MS-Office software.
Conclusions: Post menopausal women was more prone to coronary artery disease. Chest pain was the common symptoms, vomiting, palpitation, sweating and shortness of breathing were the second common symptoms followed to each other. Dyslipidemia and hypertension was the greater risk factors of ischemic heart disease. Hypercholesterolemia was the common type of dyslipidemia in IHD patients with CAD. ST – elevated myocardial infarction (STEMI) was commonly seen in IHD patients. Majority of patients with STEMI presented delayed fibrinolysis. Streptokinase was commonly used as fibrinolytic agent. Clopidogrel was commonly used as antiplatelets. Single vessel disease (SVD) lesion was commonly seen in patients with CAD. Left anterior descending (LAD) artery was commonly involved in single vessel disease (SVD) of patients with CAD.
Keywords: Female patients, risk factors, coronary angiography, ischemic heart disease, coronary artery disease.
References
- Enas EA, Jacob S. Decline of CAD in developed countries: Lessons for India. In : Sethi KK (ed). Coronary Artery Disease in Indians - A Global Perspective. Mumbai: Cardiological Society of India 1998; 98-113.
- Thom T, Hasse N, Rosamond W, et al. Heart disease and stroke statistics--2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2006;113(6):e85-e151.
- Haque AFMS, Siddiqui AR, Rahman SMM, Iqbal SA, Fatema NN, Khan Z. Acute coronary syndrome in the young – risk factors and angiographic pattern. Cardiovascular Journal. 2010;2(2):175-78.
- Enas EA, Mehta JL. Lipoproten (a): an important risk factor in coronary artery disease. J Am Coll Cardiol 1998; 32 (4): 1132-4.
- Gaziano MJ, Manson JE, Ridker PM. Primary and secondary prevention of coronary heart disease. In : Libby P, Bonow RO. Mann DL , Zipes DP, editors. Braunwalds Heart disease. A text book of cardiovascular medicine. 8th ed. Saunders: Philadelphia; 2008. P. 1119-48.
- Parameshwara: Ischemic heart disease an overview, JAPI, 1988, 36.
- Kannel W.B., et al: Menopause and the risk of cardiovascular disease. The framingham study, Ann. Intern, Med. 1976; 85; 447-452.
- S, Shashidhar, G. “A Study of Clinical Profile of Ischemic Heart Disease among South Indian Women in a Tertiary Care Centre. Journal of Evolution of Medical and Dental Sciences 2015; 44(4): 7587-7596.
- Gordon T, Kannel W.B., Hjortland M.C. McNamara P.M., Menopause and coronary heart disease. The Framingham study.Ann. Intern. Med. 1978; 89: 157-61.
- Rosenberg L, Hennekens C.H., Roser B, Belanger C, Rothman K. J., Speizer. F. E., Early menopause and the risk of myocardial infarction Am.J.Obstet Gynecol. 1981; 139; 47-51.
- Gajanan D. Khadkikar, Sangram S. Mangudkar, Jyoti A. Landge. Comparison of conventional risk factors, clinical and angiographic profile between younger and older coronary heart disease patients. Int J Res Med Sci. 2016 Feb;4(2):567-570.
Corresponding Author
Dr Hemant Kumar Alias Hemchandra Garg
Assistant Professor, Department of Cardiology, Katihar Medical College, Katihar, Bihar, India
Ph: +91 8969800712, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i4.158
