Prevalence and Clinical Importance of Coronary Artery Ectasia: Tertiary Center Experience
Journal Title: Istanbul Medical Journal - Year 2019, Vol 20, Issue 5
Abstract
Introduction: The incidence, prognostic significance, clinical features and risk factors of coronary artery ectasia (CAE) in patients undergoing coronary angiography were investigated. Methods: A total of 10.320 coronary angiographies performed between June 2015 and August 2018 in our clinic were analyzed retrospectively.CAE, defined as the enlargement of a coronary artery to 1.5 times or more than that of the local or commonly adjacent normal coronary artery segment and classified according to Markis classification. CAE was divided into two groups as mild and severe according to the degree of ectasia. Results: Of 189 patients (1.8%) with coronary ectasia, 143 were male (76%). One hundred and seven patients (57%) were smokers, 96 (51%) were dyslipidemic, 106 (56%) had hypertension and 43 (22%) had diabetes mellitus. In 92%, the symptoms were chest pain and dyspnea. Of 102 patients (54%) presenting with acute coronary syndrome, 43 (23%) were diagnosed as ST-segment elevation myocardial infarction, while 59 (31%) were diagnosed as non-ST segment elevation myocardial infarction or unstable angina pectoris. The right coronary artery was the most affected vessel from ectasia (54.5%, n=103). Type 3 ectasia was the most common (34.9%, n=66), while type 2 ectasia was the least common (10.6%). Hundred and twenty-nine (68.3%) of the patients had mild ectasia, while 60 (31.7%) had severe ectasia. During the threeyear follow-up, a total of 16 (8.4%) patients died, three of which were in-hospital and eight were cardiac-related. Conclusion: Although it is not common in the community, it is important to detect CAE, which is an important cause of mortality and morbidity, and to follow up the patients closely.
Authors and Affiliations
Ahmet Gürdal, Serhat Sığırcı, Kadriye Orta Kılıçkesmez
Keywords
Related Articles
- EP ID EP675956
- DOI 10.4274/imj.galenos.2019.27928
- Views 147
- Downloads 0
Assessment of Echocardiographic Findings in Patients with Asymmetric Presentation of Retinopathy of Prematurity
Introduction: This study aimed to investigate the relationship between symmetric and asymmetric retinopathy of prematurity (ROP) and echocardiographic parameters. Methods: This prospective study included 85 premature in...
The Importance of Arcuate Foramen, A Variation of the Atlas: A Microsurgical Cadaveric Study and Review of the Literature
Introduction: Arcuate foramen (AF) is an osseous variation located on the vertebral artery (VA) groove (sulcus arteriae vertebralis) at the posterior arch of the atlas. Its prevalence may vary due to regional and ethnic...
Sedation for Colonoscopy: Comparison of Remifentanil and Alfentanil Combined with Propofol/Midazolam
Introduction: Different drug combinations are used in patients who underwent colonoscopy for safe sedation and early discharge. Remifentanil and alfentanil are short-acting narcotic analgesic agents. A short-acting anxio...
High-Risk Carotid Imaging Predicts ST-Segment Elevated Myocardial Infarction in Young Patients: A Cross-Sectional Study
Introduction: Myocardial infarction remains a major cause of morbidity and mortality in the young population. The relationship between carotid intima-media thickness (CIMT) and atherosclerosis has been shown in many stud...
Prediction of Prognostic Factors in the Survival of Non-small-cell Lung Cancer Patients with Multiple Brain Metastases
Introduction: We aimed to investigate the factors affecting survival in non-small-cell lung cancer (NSCLC) patients with multiple brain metastases. Methods: One hundred thirty patients who were diagnosed with NSCLC at t...