University of Khartoum

The Correlation Of Clinical And Positive Exercise Test Findings With Coronary Angiographic Results In Sudanese Patients-Study

The Correlation Of Clinical And Positive Exercise Test Findings With Coronary Angiographic Results In Sudanese Patients-Study

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Title: The Correlation Of Clinical And Positive Exercise Test Findings With Coronary Angiographic Results In Sudanese Patients-Study
Author: Osman, Ghada
Abstract: This study was done in Sudan heart center from the year 2001-2004. Objectives: The purpose of this study was to see the mode of clinical presentation of Ischemic heart disease and to correlate it to both the exercise test and coronary angiography in patients suspected to have ischaemic heart disease. Methods: This study was a retrospective analysis, for patients with positive exercise test who were referred for coronary angiography; patients with history of acute coronary syndromes and negative exercise test were excluded from the study. Results: 103 patients were studied, males represented 61.2% of the study population and female were (38.8%). History of diabetes was obtained in 27 patients (26.7%), 54 patients (52%) were hypertensive, 31 patients (31.1%) gave history of smoking and 24 patients (24.2%) had positive history of IHD. 62 patients had serum cholesterol level estimated, eleven patients (17.7%) had normal levels, 38 patients (61.3%) had high normal levels and 13 patients (21%) had high levels. History of chest pain was found in 89 patients (86.4%). Conclusions: Patients presented with chest pain and had normal coronary angiography findings were (51.9%), the false positive results were more associated with females. -7- Diabetics and poorly controlled hypertensive patients were associated with more severe coronary diseases. Patients presented with chest pain and had normal coronary angiography findings were (51.9%), so chest pain as a presenting symptom need to be more evaluated and specified especially in females. Smokers had certain coronary arteries involvement that is the left anterior descending followed by the right coronary artery. Resting ECG had limited utility in diagnosing coronary artery disease. False positive exercise test results were found in (52.6%) of patients. The left anterior coronary artery was the most coronary vessel affected (32.4%). The left main was affected in (3.9%). The presence of high normal and high cholesterol levels was associated with more affection of the coronary arteries. Recommendations: The recording system and especially the presenting symptoms should be given the enough attention and evaluation especially the low risk group patients so as to limit the need for more invasive procedures. Hypertension should be tightly controlled. Every patient suspected to have IHD should have full lipid profile as abase line. Good evaluation and classification of patients to low, intermediate and high risk groups should be done before referral for coronary angiography.
Description: 119 Pages
URI: http://hdl.handle.net/123456789/7939
Date: 2015-04-01


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