Over the previous decade, cardiovascular disease fatalities worldwide have risen by around 20 percent, with the majority of deaths happening in poor and middle-income nations (nearly 70 percent of all cardiovascular disease deaths). The purpose of this study was to examine the relationship between local EFT, PCFT, and PCFD with the existence and severity of coronary artery disease. Methods: In an imaging facility, researchers conducted this crosssectional single-center study. Patients who were sent for MSCT coronary angiography had either known or suspected coronary artery disease and were evaluated noninvasively. Results: There was no significant difference in male and female distribution in the non-atherosclerosis group, where men were more abundant, with a P value of 0.45. Regarding the risk factors of the individuals evaluated in our research, Except for those with a family history of atherosclerosis, we found a statistically significant rise in the risk variables high blood pressure, diabetes mellitus, smoking, and hyperlipidemia in the non-atherosclerosis group. There was no statistically significant difference between individuals in terms of coronary artery disease impacted by the procedure. Prognostic imaging biomarker MSCT may help identify coronary artery disease at an early stage as well as estimate risk.

Early trans-radial operators adopted the palpatory technique probably due to operator comfort. The challenging bimanual technique needed to use both vascular ultrasound probe and the puncture needle at the same time. Radial approach has some complications like radial artery occlusion, radial artery spasm, hematoma, pseudo-aneurysm, radial artery dissection, bleeding and upper extremity dysfunction. Therefore, proper physical assessment of the forearm, wrist and hand is essential before the procedure. The aim of this study is to evaluate; Feasibility, real-time and complications of transradial access comparing the ultrasound guidance versus the fingertip palpatory approach in coronary diagnostic and interventional procedures.Methods: One hundred patients were admitted to the hospital and planned for diagnostic coronary angiography and or elective percutaneous coronary intervention via trans-radial access . patients were divided into two groups Group 05 patients undergone coronary intervention via palpatory fingertip guided approach for transradial access. Group two 05 patients undergone coronary intervention via ultrasound guided approach for transradial access. Procedural outcomes of the whole study population, 7% end by spasm, 3% had bleeding complications, and 9% end by Sheath insertion failure and crossover to another site .there was no statistical significant difference between two groups as regard creatinine level and LVEF .there was no statistical significant difference between two groups as regard technical data or medications used, while there was statistical significant difference between groups as regard attempts of cannulation, time to access, first pass success and difficult access ≥ 5 attempts. There was no statistical significant difference between groups as regard spasm or bleeding complications, while there was statistical significant difference between groups as regard Sheath insertion failure and crossover to another site with lower incidence among US guided group. UGRAA improved first-attempt success rates and shortened the time needed for radial artery cannulation when compared to historical data of palpation-directed radial artery access. Furthermore, this technique is easy to learn and incorporate into everyday practice in the cardiac catheterization lab.

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Post-procedure myocardial injury/infarction following percutaneous coronary mediation (PCI) is regular in clinical practice and is showed by the rise of heart biomarkers, for example, creatinine kinase or cardiovascular troponin. to show that focused energy plaques on non-contrast T1-weighted MRI imaging may mirror the potential for plaque weakness on IVUS evaluation, and that focused energy plaques may assume a critical part in foreseeing the frequency of postprocedural myocardial injury. This is a forthcoming non-randomized relative investigation was led on 55 patients with ongoing stable angina. Patients were exposed to coronary MRI with non-contrast T1-weighted imaging. They were chosen from