Correlation of Clinical presentation and Angiographic Morphology in patients with Coronary Artery Disease in Ahmed Gasim Hospital-Sudan

Abstract

Background: This study was done in Ahmed Qasim Hospital, from January to June 2005. Objectives: We studied the correlation between clinical presentation and angiographic findings in patients with coronary artery disease. Method: We studied 105 patients who underwent coronary angiography in Ahmed Qasim Hospital , from January to June 2005. 56% were males, 44% were females. Ages 30-85 (mean: 59). The lesions were classified into simple (34%) and complex (66%) according to Ambrose’s modified criteria, and into single, two or three vessel disease. Results: 87 patients had angina; of this group 41 had established angiographic findings. There was no difference in lesion morphology or number of diseased vessels in those with stable and unstable angina. 30 patients had diabetes, 75 were not diabetics. Complex lesions were more common in diabetics (70%) against (63%) for non diabetics. Three vessel disease was more prevalent in diabetics (43%) against (22%) for non diabetics. In 16 patients with history of MI the presence of three vessel disease was significant (75%). Conclusion: The morphology of the lesion was not correlated to type of angina in our study. Diabetes is associated with more extensive coronary involvement. Myocardial infarction is more common in patients with three vessel disease.