Angiographic prevalence and pattern of coronary artery disease in women

Ezhumalai, Babu; Jayaraman, Balachander

doi:10.1016/j.ihj.2014.05.009

Cited by 19 publications

(25 citation statements)

References 9 publications

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“…According to certain research, close associations exists between traditional risk factors and the risk of CAD in young adults [5,13]. Based on the results of the current study, MI was higher in ≥45 years group.…”

Section: Discussionsupporting

confidence: 61%

Comparison of coronary risk factors and angiographic findings in younger and older patients with significant coronary artery disease

Mahjoob

Sadeghi

Khanaman

et al. 2018

Romanian Journal of Internal Medicine

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Section: Discussionsupporting

confidence: 61%

Comparison of coronary risk factors and angiographic findings in younger and older patients with significant coronary artery disease

Mahjoob

Sadeghi

Khanaman

et al. 2018

Romanian Journal of Internal Medicine

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“…In Nurses' health study in USA, the age adjusted relative risk for non-fatal myocardial infarction and fatal CAD among female with a parental history of acute Myocardial infarction before age 60 years were 2.8 and 5.0 respectively indicated age as risk factor for CAD [22]. The prevalence of CAD in our study population was 55.2% compared to 44.8% with normal coronaries, our findings come in according with a study found in India among 500 subject in 2013 with similar study population reported a prevalence of obstructive CAD 55.8% and normal coronaries 44.2% [23]. Traditional cardiac risk factors are highly prevalent in women.…”

Section: Discussionsupporting

confidence: 81%

Characteristics and Risk Factors Attributed to Coronary Artery Disease in Women Attended Health Services in Gaza-Palestine Observational Study

Abed¹,

Jamee²

2015

WJCD

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Coronary artery disease (CAD) is the leading cause of death in both sexes worldwide, and becomes number one killer in women due to many factors including increase in traditional risk factors, delays in apparition of symptoms, under estimation of diagnosis test and treatment. Our study aims to identify risk factors for coronary artery disease among women with chest pain underwent coronary angiography during years (2010-2013) in cardiology center. The study design is an observational among 688 women-aged 32 -96 years; the mean age of our study population is 61 years. Risk factors are abstracted from patients' files. Women with documented coronaries disease tend to be older, have higher, systolic blood pressure, serum level of triglyceride, and impaired clearance creatinine. 59.4% of them are menopause with higher prevalence of hypertension and diabetes (58.6% and 63.6%). Significant positive association is found in women with myocardial infarction, unstable angina, stable angina and presence of obstructive coronary artery disease respectively (89.6%, 82.3%, 59.1%) in opposite women presented with atypical chest pain have high prevalence of normal coronaries (95.7%). About 57.6% have more than three risk factors, and 55.3% are obese or overweight. In addition, 42.1% of them have impaired systolic function. We conclude that cardiovascular risk factors are highly prevalent among Palestinians women in Gaza and the combination of risk factors is common. Interventions to minimize CAD in our population are needed.

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“…18 Another study by Ezhumalai et al also reported higher prevalence of diabetes and dyslipidemia in old age females as compared to the younger ones. 19 Kher et al conducted a comparative study between young male and female patients to study the risk factor profile and type of CAD. The authors found higher prevalence of hypertension and diabetes in young females as compared to the young males.…”

Section: Discussionmentioning

confidence: 99%

“…Ezhumalai et al found higher incidence of DVD (19.7% versus 15.2%) and TVD (16.5% versus 7.8%) in old age females as compared to the young age females. 19 The VIRGO study emphasized on the importance of risk identification, and education of young females at all levels of health care management systems. 21 Since the risk profile is different in young females, so there is a need to re-evaluate the diagnostic and management options in these patients with early implementation of preventive strategies to prevent the occurrence of CAD in these patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical Risk Factors and Angiographic Pattern of Coronary Artery Disease in Young Females

Saeed¹,

Qadir

Shahid

et al. 2020

JIMDC

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Background: Coronary artery disease (CAD) is associated with the highest mortality in women around the world. The objective of this study was to compare the clinical risk factors and angiographic pattern of coronary artery disease in young versus old age females having CAD.Material and Methods: This cross-sectional study was conducted at the Department of Cardiology, Chaudhry Pervaiz Elahi (CPE) Institute of Cardiology Multan, Pakistan from April 2018 to December 2018. All females with diagnosis of angina and consistent ischemic changes on ECG were enrolled in the study. A total of 230 females were included with 123 patients aged <45 years and 107 patients aged >45 years. Comparison of patient characteristics, clinical risk factors and angiographic pattern in young and old age females was done by using SPSS version 21 statistical software.Results: Prevalence of hypertension (P=0.001), dyslipidemia (P=0.06) and diabetes mellitus (P=0.007) was significantly higher in females of older age group (>45 years). Similarly, a larger number of older age females (32; 29.9%) presented with ST-Elevation Myocardial Infarction (STEMI) as compared to young female patients (22; 17.88%) (P=0.03). Regarding angiographic patterns of CAD, there was no difference in the prevalence of single vessel disease (SVD), double vessel disease (DVD) and triple vessel disease (TVD) between the groups. Normal angiogram was found in 13 (12.3%) old age females versus 35 (28.8%) young females, respectively (P=0.002).Conclusions: The risk factors profile and clinical presentation of CAD is different in young female patients with CAD. There is an essential need to determine the coronary atherosclerosis factors in young females and these women should be treated more aggressively to prevent adverse cardio-vascular outcomes.Key words: Angiographic Pattern, Coronary Artery Disease, Clinical Pattern, Young Females

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Angiographic prevalence and pattern of coronary artery disease in women

Abstract: There has been a change with regard to clinical presentation and onset of risk factors for CAD at young age, but the load of atherosclerotic burden and pattern of involvement of coronary arteries have not changed in women.

Cited by 19 publications

References 9 publications

Comparison of coronary risk factors and angiographic findings in younger and older patients with significant coronary artery disease

Comparison of coronary risk factors and angiographic findings in younger and older patients with significant coronary artery disease

Characteristics and Risk Factors Attributed to Coronary Artery Disease in Women Attended Health Services in Gaza-Palestine Observational Study

Clinical Risk Factors and Angiographic Pattern of Coronary Artery Disease in Young Females

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