The clinical profile and angiographic characteristics of patients with coronary artery disease at Saint Peter’s Specialized Hospital, Addis Ababa, Ethiopia
DOI:
https://doi.org/10.20372/ejphn.v6i1.356Keywords:
Coronary Artery Disease, Angiography, Pattern, Addis AbabaAbstract
Background: Coronary artery Disease (CAD) is a pathologic process that affects the coronary vessels and characterized by imbalance in myocardial oxygen supply and demand. The diagnosis of CAD through angiography is a recent experience in Ethiopia. The objective of the present investigation was therefore to find out the burden and associated factors of CAD in Addis Ababa.
Method: Hospital-based cross-sectional descriptive study was conducted. Patient record review was carried out at St. Peter’s coronary care unit. All Patients who underwent coronary angiogram from December 1, 2017 to June 30, 2019 were included. Data were collected using standardized checklist then entered and analyzed using Statistical Package for Social Sciences (SPSS) version 25.
Results: A total of 290 patients were included into the study. Male patients represent for 75.2% of the total. The mean age of patients in our study was 55.16±12.67.190 (65.5%) patients were hypertensive while 122 (68.5%) and 110(38.3%) patients were dyslipidemic and diabetic respectively. Angiography proven Coronary artery disease was diagnosed in 217(74.8%) patients of those 79.3% has significant obstruction and 123(42.4%) of them have single vessel disease involvement.
Conclusion: This study has confirmed a high proportion of SVD involvement in the majority of post MI patients. Dyslipidemia, hypertension and diabetes were the three most important risk factors identified. Hence, it is imperative to increase public awareness, promote screening services for early detection and management of these risk factors. Moreover, the utility of angiograph in these patient groups were found to be high. Hence, the expansion of this service can improve management of patient with coronary heart diseases..
Metrics
Downloads
References
Akanda Mak, Ali S, Islam A, Rahman M, Parveen A, Kabir MK, et al. (1970). Demographic Profile, Clinical Presentation & Angiographic Findings in 637 Patients with Coronary Heart Disease. Faridpur Medical College Journal, 6(2): 82–85.
Bekele A, Shashu M & Amogne A (2014). The pattern of coronary artery diseases as diagnosed by coronary angiography and the outcome of Percutaneous Coronary Intervention (PCI) in Ethiopia. Ethiopian Journal of Health Development, 28(1):11-16.
Boden WE, Rourke RAO, Teo KK, Hartigan PM, Maron DJ, Kostuk WJ, et al.(2007). The evolving pattern of symptomatic coronary artery disease in the United States and Canada: baseline characteristics of the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial. The American Journal of Cardiology, 99(2): 208-212.
Essien OE, Andy J, Ansa V, Out AA & Udoh A (2014). Coronary Artery Disease and the Profile of Cardiovascular Risk Factors in South South Nigeria : A Clinical and Autopsy Study. Cardiology Research and Practice,: 804751.
Fihn SD, Gardin GJ, Abrams J, Berra K, Blankenship JC, Dallas AP, et al. (2012). Practice guidelines: 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI
/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease. Circulation, 126(25): e354-e471.
Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al. (2014). AHA Statistical Update Heart Disease and Stroke Statistics — 2014 Update A Report From the American Heart Association WRITING GROUP MEMBERS. Circulation, 129(3): e28-e292. Available at: https://doi.org/10.1161/01.cir.0000441139.02102. 80.
Khan HU, Khan MU, Noor MM, Hayat U & Alam MA (2014). Coronary artery disease pattern: a comparision among different age groups. Journal of Ayub Medical College, 26(4): 466–469.
Maru M (1993). The changing pattern of cardiovascular diseases in Ethiopia. East African Medical Journal, 70(12): 772–776.
Onen CL (2013). Epidemiology of ischaemic heart disease in sub-Saharan Africa. Cardiovascular Journal of Africa, 24(2): 34–42. Available at: https://doi.org/10.5830/CVJA-2012-071.
Pavlica D (1970). Analysis of medical admissions to the armed forces hospital in Addis Ababa from January 1966 to January 1970. Ethiopian Medical Journal, 8(4): 193–200.
Shah IA, Faheem M, Shahzeb R, Hafizullah M, Muhammad Shah, Hafizullah M, et al. (2020). Clinical Profile, Angiographic Characteristics and Treatment Recommendations in Patients with coronary artery disease. Journal of Pioneering Medical Sciences, 3(2): 94–100.
Shashu BA & Ayele MA (2014). Original article The pattern of coronary artery diseases as diagnosed by coronary angiography and the outcome of Percutaneous Coronary Intervention ( PCI ) in Ethiopia. Ethiopian Journal of Health Development, 28(1):11-16.
William EB, Robert AO'R, Koon KT, Pamela MH, David JM, William JK, et al. (2007). Optimal medical therapy with or without PCI for stable coronary disease. New England Journal of Medicine, 356(15):1503-1516.
Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. (2018). ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal. 39(33): 3021-3104.
Yusuf S, Hawken S, Ôunpuu S, Dans T, Avezum A, Lanas F, et al. (2004). Inter Heart study. The Lancet, 364(9438):937–952. Available at: https://doi.org/10.1016/S0140-6736(04)17018-9.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Ethiopian Journal of Public Health and Nutrition (EJPHN)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This work is licensed under GNU General public license.